Interprofessional, psycho-social intervention to facilitate resilience and reduce supportive care needs for patients with cancer: Results of a noncomparative, randomized phase II trial.

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Serval ID
serval:BIB_1109D754C293
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Interprofessional, psycho-social intervention to facilitate resilience and reduce supportive care needs for patients with cancer: Results of a noncomparative, randomized phase II trial.
Journal
Psycho-oncology
Author(s)
Eicher M., Ribi K., Senn-Dubey C., Senn S., Ballabeni P., Betticher D.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Publication state
Published
Issued date
07/2018
Peer-reviewed
Oui
Volume
27
Number
7
Pages
1833-1839
Language
english
Notes
Publication types: Clinical Trial, Phase II ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
We developed 2 intensity levels of a complex intervention for interprofessional supportive care in cancer (IPSC-C) to facilitate resilience and reduce unmet supportive care needs. We aimed to test the feasibility, acceptability, and preliminary effectiveness of both intensity levels in routine practice.
In a randomized, noncomparative phase II trial, newly diagnosed patients received either low (LI-IPSC-C) or high (HI-IPSC-C) intensity interventions. Low-intensity-interprofessional supportive care in cancer (LI-IPSC-C) consisted of 3 electronic assessments of resilience, unmet supportive care needs, mood, and coping effort over 16 weeks with an immediate feedback to clinicians including tailored intervention recommendations to facilitate resilience and supportive care. High-intensity-interprofessional supportive care in cancer (HI-IPSC-C) added 5 structured consultations (face-to-face and telephone) provided by specialized nurses. Primary outcome was a change ≥5 in resilience score on the Connor-Davidson Resilience Scale (CD-RISC). Secondary outcomes were unmet supportive care needs, mood, and coping effort. We assessed feasibility by clinician-provided tailored interventions as recommended and acceptability through qualitative interviews with clinicians and patients.
In the LI-IPSC-C arm, 11 of 41, in the HI-IPSC-C arm 17 of 43, patients increased resilience scores by ≥5. Relatively more patients decreased unmet needs in HI-IPSC-C arm. Mood, in both arms, and coping effort, in HI-IPSC-C arm, improved meaningfully. Feasibility was limited for the LI-IPSC-C arm, mainly due to lack of time; acceptability was high in both arms.
Neither LI-IPSC-C nor HI-IPSC-C interventions reached the desired threshold. HI-IPSC-C showed positive effects on secondary outcomes and was feasible. Resilience as measured by the CD-RISC may not be the optimal outcome measure for this intervention.
Keywords
Adaptation, Psychological, Aged, Female, Health Services Needs and Demand/statistics & numerical data, Humans, Interprofessional Relations, Male, Middle Aged, Needs Assessment/organization & administration, Neoplasms/psychology, Neoplasms/therapy, Professional-Patient Relations, Referral and Consultation/organization & administration, Research, Social Support, cancer, complex intervention, interprofessional supportive care, nursing, oncology, resilience, supportive care needs
Pubmed
Web of science
Create date
03/08/2018 16:34
Last modification date
23/06/2020 6:08
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