Learning Objective 1: describe the benefit of a multi-modal coping strategies approach to affecting long term quaity of life among breast cancer survivors.
Learning Objective 2: describe the apporaches to empower women with breast cancer to manage stress and symptoms during survivorship.
Methods: This was a prospective, randomized, experimental study guided by Stress, Appraisal and Coping Theory. Breast cancer patients (n = 73; CCSP 38, control 35) scheduled for chemotherapy treatment were randomized to CCSP treatment or control group. The CCSP intervention (education, cognitive restructuring, coping skills enhancement, and relaxation/ imagery) was administered 2 weeks before admission and reinforced over 5 time points. Variables included QOL, psychological distress, coping strategies, and CCSP benefits. Data were collected at baseline and one year follow-up. Analyses examined descriptive statistics, correlations, hierarchical regression and used analysis of covariance.
Results: The CCSP group had significant improvement in overall QOL (p<.01), health and functioning (p<.05), socioeconomic (p<.05), and psychological/ spiritual well-being (p<.01) compared to control group. Patients used the CCSP to manage psychological (51%) and sleep problems (60%).
Conclusions: CCSP improved QOL for patients at one year follow-up. CCSP has potential as a self-management program for breast cancer survivors. The study represents one of the few controlled trials of a comprehensive breast cancer intervention to empower survivors when coping with symptoms and stress. Potential areas for research include customizing CCSP for caregivers affected by high levels of stress and health disparities populations, their co-morbidities, and disabilities.
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