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Problem-solving Strategies of Women Undergoing Chemotherapy for Breast Cancer

Identifieur interne : 002796 ( Pmc/Checkpoint ); précédent : 002795; suivant : 002797

Problem-solving Strategies of Women Undergoing Chemotherapy for Breast Cancer

Auteurs : Kathleen Doyle Lyons ; Kelly Erickson ; Mark T. Hegel

Source :

RBID : PMC:3660993

Abstract

Background

Many women undergoing chemotherapy for breast cancer experience side effects that make it difficult to perform daily occupations.

Purpose

To summarize the types of challenges, goals, and adaptive strategies identified by women with Stage 1–3 breast cancer participating in a pilot study of Problem-solving Treatment-Occupational Therapy (PST-OT).

Methods

Content analysis of 80 PST-OT sessions.

Findings

Women addressed eleven types of challenging activities, with exercise and independent activities of daily living (IADLs) being the most common. Women most commonly set a goal to adapt a current activity, but also set goals to find a new activity, plan an activity, or gather information about a possible activity change in the future. The adaptive strategies generated by the women were grouped into five types. Most often they found ways to add a new step to an activity, but they also brainstormed when, how, where, and with whom they could do activities.

Implications

The women were usually trying to adapt familiar activities, but also were looking for ways to include new, healthy occupations into their routines.


Url:
PubMed: 22439290
PubMed Central: 3660993


Affiliations:


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PMC:3660993

Le document en format XML

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<name sortKey="Erickson, Kelly" sort="Erickson, Kelly" uniqKey="Erickson K" first="Kelly" last="Erickson">Kelly Erickson</name>
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<name sortKey="Hegel, Mark T" sort="Hegel, Mark T" uniqKey="Hegel M" first="Mark T." last="Hegel">Mark T. Hegel</name>
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<title>Background</title>
<p id="P2">Many women undergoing chemotherapy for breast cancer experience side effects that make it difficult to perform daily occupations.</p>
</sec>
<sec id="S2">
<title>Purpose</title>
<p id="P3">To summarize the types of challenges, goals, and adaptive strategies identified by women with Stage 1–3 breast cancer participating in a pilot study of Problem-solving Treatment-Occupational Therapy (PST-OT).</p>
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<title>Methods</title>
<p id="P4">Content analysis of 80 PST-OT sessions.</p>
</sec>
<sec id="S4">
<title>Findings</title>
<p id="P5">Women addressed eleven types of challenging activities, with exercise and independent activities of daily living (IADLs) being the most common. Women most commonly set a goal to adapt a current activity, but also set goals to find a new activity, plan an activity, or gather information about a possible activity change in the future. The adaptive strategies generated by the women were grouped into five types. Most often they found ways to add a new step to an activity, but they also brainstormed when, how, where, and with whom they could do activities.</p>
</sec>
<sec id="S5">
<title>Implications</title>
<p id="P6">The women were usually trying to adapt familiar activities, but also were looking for ways to include new, healthy occupations into their routines.</p>
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<journal-id journal-id-type="nlm-journal-id">0406021</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2736</journal-id>
<journal-id journal-id-type="nlm-ta">Can J Occup Ther</journal-id>
<journal-id journal-id-type="iso-abbrev">Can J Occup Ther</journal-id>
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<journal-title>Canadian journal of occupational therapy. Revue canadienne d'ergotherapie</journal-title>
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<given-names>Kathleen Doyle</given-names>
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<degrees>ScD, OTR/L</degrees>
<aff id="A1">Research Assistant Professor of Psychiatry, Dartmouth Medical School, Hanover, NH and Investigator, Norris Cotton Cancer Center, Lebanon, NH</aff>
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<aff id="A2">Graduate of Dartmouth College, Hanover, NH</aff>
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<surname>Hegel</surname>
<given-names>Mark T.</given-names>
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<degrees>PhD</degrees>
<aff id="A3">Associate Professor of Psychiatry, Dartmouth Medical School, Hanover, NH and Investigator, Norris Cotton Cancer Center, Lebanon, NH</aff>
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<corresp id="cor1">Corresponding author contact information: Kathleen Lyons, ScD, OTR/L, 7750 Psychiatry Department, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr. Lebanon, NH 03756 Phone: (603) 653-3656, Fax: (603) 653-9091,
<email>Kathleen.d.lyons@dartmouth.edu</email>
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<p id="P1">At the time of this study, Ms. Erickson was a undergraduate student of Dartmouth College</p>
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<month>5</month>
<year>2013</year>
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<volume>79</volume>
<issue>1</issue>
<fpage>33</fpage>
<lpage>40</lpage>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P2">Many women undergoing chemotherapy for breast cancer experience side effects that make it difficult to perform daily occupations.</p>
</sec>
<sec id="S2">
<title>Purpose</title>
<p id="P3">To summarize the types of challenges, goals, and adaptive strategies identified by women with Stage 1–3 breast cancer participating in a pilot study of Problem-solving Treatment-Occupational Therapy (PST-OT).</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P4">Content analysis of 80 PST-OT sessions.</p>
</sec>
<sec id="S4">
<title>Findings</title>
<p id="P5">Women addressed eleven types of challenging activities, with exercise and independent activities of daily living (IADLs) being the most common. Women most commonly set a goal to adapt a current activity, but also set goals to find a new activity, plan an activity, or gather information about a possible activity change in the future. The adaptive strategies generated by the women were grouped into five types. Most often they found ways to add a new step to an activity, but they also brainstormed when, how, where, and with whom they could do activities.</p>
</sec>
<sec id="S5">
<title>Implications</title>
<p id="P6">The women were usually trying to adapt familiar activities, but also were looking for ways to include new, healthy occupations into their routines.</p>
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<kwd-group>
<kwd>breast neoplasms</kwd>
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<funding-group>
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<funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>R03 CA124200 || CA</award-id>
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