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1.
Can J Occup Ther ; 89(2): 115-126, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35040344

ABSTRACT

Background. Purpose in life is important to health and well-being; purpose disruption often goes unidentified after breast cancer. Purpose. To evaluate the efficacy of a purpose renewal intervention and utility of a screening question for identifying people with purpose-related distress. Method. In this prospective pretest-posttest study, participants with breast cancer received an 8-session purpose renewal group intervention (n = 35). Participants completed standardized measures of meaning and purpose at pretest, posttest, and two-month follow-up and a forced-choice Purpose Status Question (PSQ) at pretest. Findings. Participants made statistically significant pretest-to-posttest and pretest-to-follow-up improvements. The PSQ demonstrated construct validity: 40% of participants lacked purpose direction at pretest and this subgroup made significantly greater improvements than participants who reported purpose direction at pretest. Implications. The PSQ warrants further study as a screener to identify people with purpose-related distress. Many breast cancer survivors may benefit from a purpose in life intervention; a subgroup may benefit more.


Subject(s)
Breast Neoplasms , Cancer Survivors , Occupational Therapy , Female , Humans , Occupations , Prospective Studies
2.
Clin J Oncol Nurs ; 25(6): E69-E76, 2021 12 01.
Article in English | MEDLINE | ID: mdl-34800105

ABSTRACT

BACKGROUND: Many cancer survivors experience cancer-related cognitive dysfunction (CRCD), which is believed to be the result of multiple contributing biologic, situational, and personal factors. Efficacious, clinically implementable interventions addressing the multifactorial nature of CRCD are needed. OBJECTIVES: This study evaluated the feasibility of an intervention to help breast cancer survivors mitigate the effects of modifiable factors that contribute to CRCD and improve cognitive functioning. METHODS: A single-group pre-/post-test design was used. Treatment fidelity was tracked to evaluate implementability; attendance rates, experience surveys, and homework engagement were used to characterize acceptability. Pre- and post-test cognitive functioning, stress, fatigue, and mood were measured to evaluate preliminary efficacy. FINDINGS: The intervention was implementable and acceptable to participants. Participants made statistically significant improvements.


Subject(s)
Breast Neoplasms , Cancer Survivors , Cognitive Dysfunction , Breast Neoplasms/psychology , Cancer Survivors/psychology , Cognitive Dysfunction/etiology , Cognitive Dysfunction/therapy , Crisis Intervention , Feasibility Studies , Female , Humans , Quality of Life
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