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Efficacy of an Application-based Recurrence prevention Program for Breast Cancer Survivors: A Pilot study

Affiliations

  • Department of Nursing, Nambu University, South of Korea
  • College of Nursing, Chonnam National University, South of Korea

Abstract


Objectives: To develop an application-based recurrence prevention program and to determine whether the program was effective in reducing symptom experience, increasing social support, and reducing uncertainty on breast cancer survivors. Methods/Statistical Analysis: This is a quasi-experimental study with a non-equivalent control group pre-post test design. Twenty-seven breast cancer survivors with stage 0∼II cancer identified within 24 months of completion of primary care treatment were recruited. Experimental group downloaded an application-based program on their smartphone and documented their diet, exercise and pain during 8 weeks. The data was analyzed using Fisher’s exact test, Mann-Whitney U test, and Wilcoxon Signed Rank test. Findings: There is no significant difference between the two groups was evident in terms of any socio-demographic or clinical characteristics at the baseline. The experimental group had significantly lower scores for symptom experience (p = .044), uncertainty (p = .043) and higher scores for social support (p< .001). According to the results, app-based uncertainty intervention program for breast cancer survivors was effective in reducing symptom experience, increasing social support, and reducing uncertainty. Improvements/Applications: In conclusion, an application-based recurrence prevention program for breast cancer survivors may give a help to health management as the utilization of smartphone is more extended.

Keywords

Application-Based Recurrence Prevention Program, Breast Cancer, Symptom Experience, Social Support, Uncertainty.

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References


  • National Cancer Information Center. Annual report of cancer statistics in Korea in 2010. Available from: http://www.cancer.go.kr/ebook/98/pc/98.html
  • Korean Breast Cancer Society. Breast Cancer Facts and Figures. Available from: http://www.kbcs.or.kr/journal/file/2013_Breast_Cancer_Facts_and_Figures_updated.pdf.
  • Min SH, Park SY, Lim JS, Park MO, Won HJ, & Kim, JI. A study on behaviors of preventing recurrence and quality of life in breast cancer survivors. Journal of Korea Academy of Nursing. 2008; 38(2):187–94.
  • Weiner JG, Jordan TR, Thompson AJ, Fink BN. Analysis of the relationship between diet and exercise beliefs and actual behaviors among breast cancer survivors on Northwest Ohio. Breast Cancer (Auckl). 2010; 4:5–13.
  • Winters BL, Mitchell DC, Smicklasi-Wrignt H, Grosvenor MB, Liu W, Blasckburn GL. Dietary patterns in women treated for breast cancer who successfully reduce fat intake: The Women's Intervention Nutrition Study (WINS). Journal of the American Dietetic Association. 2004; 104(4):551–9.
  • Lee MK, Park HA, Yun YH, Chang YJ. Development and formative evaluation of a web-based self-management exercise and diet intervention program with tailored motivation and action planning for breast cancer survivors. JMIR Research Protocols. 2013; 2(1):1–11.
  • Pierce JP, Faerber S, Wright FA, Rock CL, Newman V, Flatt SW, et al. Women's Healthy Eating and Living (WHEL) study group. Control Clinical Trials. 2002; 23(6):728–56.
  • Gil KM, Mishel MH, Germino B, Porter LS, Carlton-LaNey I, Belyea M. Uncertainty management intervention for older African American and caucasian long-term breast cancer survivors. Journal of Psychosocial Oncology. 2005; 23(2-3):3–21.
  • Samarel N, Leddy SK, Greco K, Cooley ME, Torres SC, Tulman L, et al. Development and testing of the symptom experience scale. Journal of Pain and Symptom Management. 1996; 12(4):221–8.
  • Kim HY, So HS. A structural model for psychosocial adjustment in patients with early breast cancer. Journal of Korean Academy Nursing. 2012; 42(1):105–15.
  • Tae YS. A study on the correlation between perceived social support and depression of the cancer patients [Master's thesis]. Ewha Women University; 1985.
  • Mishel MH. The measurement of Uncertainty in illness. Nursing Research. 1981; 30(5):258–63.
  • Park JH, Bae SH, Jung YS, Kim KS. Quality of life and symptom experience in breast cancer survivors after participating in a psychoeducational support program: A pilot study. Cancer Nursing. 2012; 35(1):34–41.
  • Lee EK, Rhu EJ, Kim KH. Structural equation modeling on adjustment of cancer patients receiving chemotherapy. Journal of Korean Oncology Nursing. 2011; 11(2):101–7.
  • Yang SK, Kim ES. The relationship among the coping style, social support, and post-traumatic stress disorder in breast cancer patients treated with chemotherapy. The Korean Journal of Hospice and Palliative Care. 2015; 18(1):35–41.
  • Lien CY, Chen SH, Tsai PP, Chen KM, Hsieh YI, Liang Y. Effectiveness of nursing instruction in reducing uncertainty, anxiety, and self care in breast cancer women undergoing initial chemotherapy. Hu li za zhi The Journal of Nursing. 2010; 57(6):51–60.

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