Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home
Abstract Background Given the great symptom burden associated with chemotherapy on the one hand and generally poor self-management of symptoms by cancer patients on the other hand, our aim was to develop a nursing intervention to reduce symptom burden in adult cancer patients treated with chemothera...
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | BMC Nursing |
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| Online Access: | http://link.springer.com/article/10.1186/s12912-018-0297-8 |
| _version_ | 1818932612044947456 |
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| author | Annemarie Coolbrandt Hans Wildiers Bert Aertgeerts Bernadette Dierckx de Casterlé Theo van Achterberg Koen Milisen |
| author_facet | Annemarie Coolbrandt Hans Wildiers Bert Aertgeerts Bernadette Dierckx de Casterlé Theo van Achterberg Koen Milisen |
| author_sort | Annemarie Coolbrandt |
| collection | DOAJ |
| description | Abstract Background Given the great symptom burden associated with chemotherapy on the one hand and generally poor self-management of symptoms by cancer patients on the other hand, our aim was to develop a nursing intervention to reduce symptom burden in adult cancer patients treated with chemotherapy and to support them in dealing with their various symptoms at home. Methods Development of the intervention was guided by the Intervention Mapping Approach and included following steps: needs assessment, formulation of proximal programme objectives, selection of methods and strategies, production of programme components, and planning for implementation and evaluation of the intervention. A panel of multidisciplinary healthcare professionals (n = 12) and a panel of patients and family caregivers (n = 7) were actively involved developing the intervention at each stage. Results For the intervention, four patient performance objectives relating to self-management were advanced. Self-efficacy and outcome expectations were selected as key determinants of dealing with chemotherapy-related symptoms. As methods for supporting patients, motivational interviewing and tailoring were found to fit best with the change objectives and determinants. Existing patient information materials were re-designed after panel input to reinforce the new intervention approach. Conclusion The intervention mapping approach, including active involvement of the intervention providers and receivers, informed the design of this nursing intervention with two or more contacts. Further evaluation is needed to gain insight into the potential effects, feasibility and mechanisms of this complex intervention. |
| first_indexed | 2024-12-20T04:35:15Z |
| format | Article |
| id | doaj.art-070cf7e67500466e8618ced380c3668b |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-12-20T04:35:15Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-070cf7e67500466e8618ced380c3668b2022-12-21T19:53:16ZengBMCBMC Nursing1472-69552018-06-0117111010.1186/s12912-018-0297-8Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at homeAnnemarie Coolbrandt0Hans Wildiers1Bert Aertgeerts2Bernadette Dierckx de Casterlé3Theo van Achterberg4Koen Milisen5Department of Oncology Nursing, University Hospitals LeuvenDepartment of General Medical Oncology, University Hospitals LeuvenDepartment of Public Health and Primary Care, Academic Centre for General Practice, KU LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenAbstract Background Given the great symptom burden associated with chemotherapy on the one hand and generally poor self-management of symptoms by cancer patients on the other hand, our aim was to develop a nursing intervention to reduce symptom burden in adult cancer patients treated with chemotherapy and to support them in dealing with their various symptoms at home. Methods Development of the intervention was guided by the Intervention Mapping Approach and included following steps: needs assessment, formulation of proximal programme objectives, selection of methods and strategies, production of programme components, and planning for implementation and evaluation of the intervention. A panel of multidisciplinary healthcare professionals (n = 12) and a panel of patients and family caregivers (n = 7) were actively involved developing the intervention at each stage. Results For the intervention, four patient performance objectives relating to self-management were advanced. Self-efficacy and outcome expectations were selected as key determinants of dealing with chemotherapy-related symptoms. As methods for supporting patients, motivational interviewing and tailoring were found to fit best with the change objectives and determinants. Existing patient information materials were re-designed after panel input to reinforce the new intervention approach. Conclusion The intervention mapping approach, including active involvement of the intervention providers and receivers, informed the design of this nursing intervention with two or more contacts. Further evaluation is needed to gain insight into the potential effects, feasibility and mechanisms of this complex intervention.http://link.springer.com/article/10.1186/s12912-018-0297-8ChemotherapySymptomsNursingInterventionComplex interventionIntervention-mapping approach |
| spellingShingle | Annemarie Coolbrandt Hans Wildiers Bert Aertgeerts Bernadette Dierckx de Casterlé Theo van Achterberg Koen Milisen Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home BMC Nursing Chemotherapy Symptoms Nursing Intervention Complex intervention Intervention-mapping approach |
| title | Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home |
| title_full | Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home |
| title_fullStr | Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home |
| title_full_unstemmed | Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home |
| title_short | Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home |
| title_sort | systematic development of chemo support a nursing intervention to support adult patients with cancer in dealing with chemotherapy related symptoms at home |
| topic | Chemotherapy Symptoms Nursing Intervention Complex intervention Intervention-mapping approach |
| url | http://link.springer.com/article/10.1186/s12912-018-0297-8 |
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