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An Individualized Representational Intervention to Improve Symptom Management (IRIS) in Older Breast Cancer Survivors: Three Pilot Studies

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An Individualized Representational Intervention to Improve Symptom Management (IRIS) in Older Breast Cancer Survivors: Three Pilot Studies

Auteurs : Susan M. Heidrich ; Roger L. Brown ; Judith J. Egan ; Oscar A. Perez ; Cynthia H. Phelan ; Hyune Yeom ; Sandra E. Ward

Source :

Oncology nursing forum [ 0190-535X ] ; 2009.

RBID : PMC:2754203

Abstract

Purpose/Objectives

To test the feasibility and acceptability of an individualized representational intervention to improve symptom management (IRIS) in older breast cancer survivors and test the short-term effects of an IRIS on symptom distress.

Design

Two small randomized clinical trials and one pre-experimental study.

Setting

Oncology clinic and community.

Sample

41 women with breast cancer (aged 65 years and older) in pilot study 1, 20 in pilot study 2, and 21 in pilot study 3.

Methods

In pilot study 1, women were randomized to the IRIS or usual care control. In pilot study 2, women were randomized to the IRIS or delayed IRIS (wait list) control. In pilot study 3, all women received the IRIS by telephone. Measures were collected at baseline, postintervention, and follow-up (up to four months).

Main Research Variables

Feasibility, acceptability, symptom distress, symptom management behaviors, symptom management barriers, and quality of life.

Findings

Across three pilot studies, 76% of eligible women participated, 95% completed the study, 88% reported the study was helpful, and 91% were satisfied with the study. Some measures of symptom distress decreased significantly after the IRIS, but quality of life was stable. Women in the IRIS group changed their symptom management behaviors more than controls.

Conclusions

Preliminary evidence supports the need for and feasibility of an IRIS.

Implications for Nursing

Nurses may help older breast cancer survivors manage their numerous chronic symptoms more effectively by assessing women’s beliefs about their symptoms and their current symptom management strategies.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2754203

DOI: 10.1188/09.ONF.E133-E143
PubMed: 19403441
PubMed Central: 2754203

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PMC:2754203

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<series><title level="j">Oncology nursing forum</title>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">To test the feasibility and acceptability of an individualized representational intervention to improve symptom management (IRIS) in older breast cancer survivors and test the short-term effects of an IRIS on symptom distress.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Two small randomized clinical trials and one pre-experimental study.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">Oncology clinic and community.</p>
</sec>
<sec id="S4"><title>Sample</title>
<p id="P4">41 women with breast cancer (aged 65 years and older) in pilot study 1, 20 in pilot study 2, and 21 in pilot study 3.</p>
</sec>
<sec sec-type="methods" id="S5"><title>Methods</title>
<p id="P5">In pilot study 1, women were randomized to the IRIS or usual care control. In pilot study 2, women were randomized to the IRIS or delayed IRIS (wait list) control. In pilot study 3, all women received the IRIS by telephone. Measures were collected at baseline, postintervention, and follow-up (up to four months).</p>
</sec>
<sec id="S6"><title>Main Research Variables</title>
<p id="P6">Feasibility, acceptability, symptom distress, symptom management behaviors, symptom management barriers, and quality of life.</p>
</sec>
<sec id="S7"><title>Findings</title>
<p id="P7">Across three pilot studies, 76% of eligible women participated, 95% completed the study, 88% reported the study was helpful, and 91% were satisfied with the study. Some measures of symptom distress decreased significantly after the IRIS, but quality of life was stable. Women in the IRIS group changed their symptom management behaviors more than controls.</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">Preliminary evidence supports the need for and feasibility of an IRIS.</p>
</sec>
<sec id="S9"><title>Implications for Nursing</title>
<p id="P9">Nurses may help older breast cancer survivors manage their numerous chronic symptoms more effectively by assessing women’s beliefs about their symptoms and their current symptom management strategies.</p>
</sec>
</div>
</front>
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  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">7809033</journal-id>
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<journal-id journal-id-type="nlm-ta">Oncol Nurs Forum</journal-id>
<journal-title>Oncology nursing forum</journal-title>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>An Individualized Representational Intervention to Improve Symptom Management (IRIS) in Older Breast Cancer Survivors: Three Pilot Studies</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Heidrich</surname>
<given-names>Susan M.</given-names>
</name>
<degrees>PhD, RN</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Brown</surname>
<given-names>Roger L.</given-names>
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<degrees>PhD</degrees>
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<contrib contrib-type="author"><name><surname>Egan</surname>
<given-names>Judith J.</given-names>
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<degrees>RN, MS</degrees>
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<contrib contrib-type="author"><name><surname>Perez</surname>
<given-names>Oscar A.</given-names>
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<degrees>MS</degrees>
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<contrib contrib-type="author"><name><surname>Phelan</surname>
<given-names>Cynthia H.</given-names>
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<degrees>PhD, RN</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Yeom</surname>
<given-names>Hyune</given-names>
</name>
<degrees>MS</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Ward</surname>
<given-names>Sandra E.</given-names>
</name>
<degrees>PhD, RN, FAAN</degrees>
</contrib>
<aff id="A1">Susan M. Heidrich, PhD, RN, is a professor, Roger L. Brown, PhD, is a professor, Judith J. Egan, RN, MS, is a researcher, and Oscar A. Perez, MS, is a project assistant, all in the School of Nursing at University of Wisconsin–Madison; Cynthia H. Phelan, PhD, RN, is an advanced geriatric fellow at the William S. Middleton VA Hospital in Madison; and Hyune Yeom, MS, is a project assistant and Sandra E. Ward, PhD, RN, FAAN, is a professor, both in the School of Nursing at the University of Wisconsin–Madison.</aff>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>13</day>
<month>5</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub"><month>5</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>29</day>
<month>9</month>
<year>2009</year>
</pub-date>
<volume>36</volume>
<issue>3</issue>
<fpage>E133</fpage>
<lpage>E143</lpage>
<abstract><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">To test the feasibility and acceptability of an individualized representational intervention to improve symptom management (IRIS) in older breast cancer survivors and test the short-term effects of an IRIS on symptom distress.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Two small randomized clinical trials and one pre-experimental study.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">Oncology clinic and community.</p>
</sec>
<sec id="S4"><title>Sample</title>
<p id="P4">41 women with breast cancer (aged 65 years and older) in pilot study 1, 20 in pilot study 2, and 21 in pilot study 3.</p>
</sec>
<sec sec-type="methods" id="S5"><title>Methods</title>
<p id="P5">In pilot study 1, women were randomized to the IRIS or usual care control. In pilot study 2, women were randomized to the IRIS or delayed IRIS (wait list) control. In pilot study 3, all women received the IRIS by telephone. Measures were collected at baseline, postintervention, and follow-up (up to four months).</p>
</sec>
<sec id="S6"><title>Main Research Variables</title>
<p id="P6">Feasibility, acceptability, symptom distress, symptom management behaviors, symptom management barriers, and quality of life.</p>
</sec>
<sec id="S7"><title>Findings</title>
<p id="P7">Across three pilot studies, 76% of eligible women participated, 95% completed the study, 88% reported the study was helpful, and 91% were satisfied with the study. Some measures of symptom distress decreased significantly after the IRIS, but quality of life was stable. Women in the IRIS group changed their symptom management behaviors more than controls.</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">Preliminary evidence supports the need for and feasibility of an IRIS.</p>
</sec>
<sec id="S9"><title>Implications for Nursing</title>
<p id="P9">Nurses may help older breast cancer survivors manage their numerous chronic symptoms more effectively by assessing women’s beliefs about their symptoms and their current symptom management strategies.</p>
</sec>
</abstract>
<contract-num rid="NR1">R55 NR007741-01</contract-num>
<contract-sponsor id="NR1">National Institute of Nursing Research : NINR</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>

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An Individualized Representational Intervention to Improve Symptom Management (IRIS) in Older Breast Cancer Survivors: Three Pilot Studies

An Individualized Representational Intervention to Improve Symptom Management (IRIS) in Older Breast Cancer Survivors: Three Pilot Studies

Source :

Abstract

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