期刊
PSYCHO-ONCOLOGY
卷 24, 期 8, 页码 910-918出版社
WILEY
DOI: 10.1002/pon.3656
关键词
breast cancer; cancer survivorship; quality of life; guided imagery; telemedicine
资金
- NCI NIH HHS [R25 CA057730, P30 CA016672, 2 R44 CA117597-02A2, R44 CA117597, R25T CA057730] Funding Source: Medline
ObjectiveThis multi-site randomized trial evaluates the quality of life (QOL) benefits of an imagery-based group intervention titled Envision the Rhythms of Life'(ERL). MethodsBreast cancer survivors >6 weeks post-treatment were randomized to attend five weekly 4-h group sessions at a community center with therapist present (live delivery (LD), n=48), therapist streamed via telemedicine (telemedicine delivery (TD), n=23), or to a waitlist control (WL) group (n=47). Weekly individual phone calls to encourage at-home practice began at session one and continued until the 3-month follow-up. Seven self-report measures of QOL were examined at baseline, 1-month and 3-month post-treatments including health-related and breast cancer-specific QOL, fatigue, cognitive function, spirituality, distress, and sleep. ResultsThe Bonferroni method was used to correct for multiple comparisons, and alpha was adjusted to 0.01. Linear multilevel modeling analyses revealed less fatigue, cognitive dysfunction, and sleep disturbance for LD and TD compared with WL across the follow-up (p's<0.01). Changes in fatigue, cognitive dysfunction, sleep disturbance, and health-related and breast cancer-related QOL were clinically significant. There were no differences between LD and TD. ConclusionsBoth the live and telemedicine delivered ERL intervention resulted in improvements in multiple QOL domains for breast cancer survivors compared with WL. Further, there were no significant differences between LD and TD, suggesting telemedicine delivered ERL intervention may represent an effective and viable option for cancer survivors in remote areas. Copyright (c) 2014 John Wiley & Sons, Ltd.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据