Effectiveness of psycho-education intervention program on quality of life, coping strategies and psychological distress among jordanian women diagnosed with breast cancer
Year: 2021
Type: dissertation
Study design: Clinical Trial
Abstract: The diagnosis of breast cancer is distressing and devastating events that may befall \nwomen. It is considered a major stressful event that threats all aspects of woman's' life \nand can regarded as a challenge to women’s basic values, beliefs and goals, life \nfunctions and threatening their sense of identity. At the time of diagnosis, the patients \nface unmet knowledge needs and they express the greatest need to speak with someone \nwho has experienced and overcame the same disease. In this study, related to \nknowledge and sharing experience that will be provided to the breast cancer patients \nwith aim of enhance the reappraisal of stressful situation that reduce the psychological \ndistress, and promote quality of life through enhance coping strategy. The objective of \nthis study was to determine the effectiveness of psycho-education intervention \nprogram on quality of life, coping strategies, psychological distress among Jordanian \nwomen diagnosed with breast cancer.A randomized controlled trial, double-blind \nstudy was conducted with 200 participants from Al-Bashir Hospital in Amman city. \nThe participants include all Jordanian women in aged 20-65 years and had diagnosis \nof breast cancer in stage 0, I, II or III. The participants who met the eligibility criteria \nwas selected randomly after which they were evenly randomized using randomly \ngenerated permuted blocks of equal sizes into one of either the intervention or control \ngroup. The intervention group then underwent two-day health education session on \nbreast cancer, which was strictly guided by the Fawzy Fawzy module. This comprised \nof four components: 1) health education; 2) coping skills training; 3) stress \nmanagement; and 4) psychosocial support. The outcomes were measured by using \nEORTC QLQ-C30 and QLQ-BR23 questionnaires to assess the quality of life, Brief \nCOPE scale to assess coping strategy, and Hospital Anxiety Depression Scale (HADS) \nto assess the anxiety and depression among Jordanian breast cancer women. \nGeneralised Linear Mixed Models was conducted to evaluate the effect of the \nintervention adjusted for confounding variables. The results showed that the \nintervention group was significant in increasing the quality of life: QLQ-C30 \n(=0.137, P=0.006), QLQ-BR23 (=0.190, P=0.001); adaptive coping skills \n(=0.921, P<0.001), and decreasing anxiety score (=-0.378, P<0.001) and depression \nscore (=-0.525, P<0.001) compared to the control group. The intervention was \neffective in positively affecting the QOL, adaptive coping strategies and psychological \ndistress. It is recommended for adoption as part of routine health education given at \noncology clinics in Jordan.
Language: English
Topic: Cancer survivorship and care
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3206485477