Examining the effecting of a life-coaching intervention on breast cancer survivors’ post treatment adjustment: protocol of a parallel group randomized controlled trial
DOI:
https://doi.org/10.18203/2349-3259.ijct20214035Keywords:
Breast cancer survivors, Life coaching, Post traumatic growth, QoL, FCR, Randomized controlled trialAbstract
Background: The growing number of breast cancer survivors in the country has warranted health interventions targeted to mitigate the bio-psychosocial impact associated with a cancer diagnosis and the toxicities of oncological treatments. Life coaching is a widely adopted intervention strategy to promote an individual’s positive psychological adaptation, self-management, and self-confidence. This present study will investigate whether a life coaching intervention with group and individual coaching components can significantly improve quality of life (QoL) and post traumatic growth among breast cancer survivors.
Methods: This study is a randomized controlled trial with three parallel study arms. A prospective sample size of 120 adult breast cancer survivors will be randomized into one of the three study groups either to receive: 1) group coaching following by individual coaching sessions; 2) group coaching sessions only; or 3) routine care. The primary outcome evaluates post traumatic growth and secondary outcomes assess QoL and fear of cancer recurrence (FCR). Data collection will occur at baseline (T0) and at 3 weeks (T1), and at 18 weeks (T2). A follow-up assessment will occur at 30 weeks (T3).
Conclusions: This is the first randomized control trial to address post traumatic growth among breast cancer survivors using a life coaching intervention. If positive, the results of this study could inform intervention development that benefits the health of cancer survivors.
Trial registration: This trial is ethically approved and registered with clinical trial registry (NCT05020561).
References
Canadian Cancer Society. Canadian cancer statistics 2020: Cancer-specific statistics. Available at https://www.cancer.ca/en/cancer-information/cancer-101/cancer-statistics-at-a-glance/?region=on. Accessed 25 August 2021.
Nekhlyudov L, Mollica MA, Jacobsen PB, Mayer DK, Shulman LN, Geiger AM. Developing a quality of cancer survivorship care framework: Implications for clinical care, research, and policy. J Natl Cancer Inst. 2019;111(11):1120-30.
Takahashi M. Health promotion for cancer survivors: New paradigm beyond prevention and treatment. In: Muto T, Nakahara T eds. Asian Perspectives and Evidence on Health Promotion and Education. Tokyo: Springer Japan. 2011;78-86.
Sun H, Yang Y, Zhang J. Fear of cancer recurrence, anxiety and depressive symptoms in adolescent and young adult cancer patients. Neuropsychiatr Dis Treat. 2019;15:857-65.
Sodergren SC, Husson O, Rohde GE. A life put on pause: An exploration of the health-related quality of life issues relevant to adolescents and young adults with cancer. J Adolesc Young Adult Oncol. 2018;7(4):453-64.
Boland L, Bennett K, Connolly D. Self-management interventions for cancer survivors: A systematic review. Support Care Cancer. 2018;26(5):1585-95.
Lee V, Cohen S, Edgar L, Laizner A, Gagnon A. Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med. 2006;62:3133-45.
Eagen L, Levesque J. Transforming community cancer care: The Ottawa regional cancer foundation’s cancer coaching practice. University Ottawa J Med. 2017;7:1.
Post L, Liefbroer AI. Reducing distress in cancer patients-A preliminary evaluation of short‐term coaching by expert volunteers. Psycho-Oncology. 2019;28(8):1762-6.
Ammentorp J, Uhrenfeldt L, Angel F, Ehrensvärd M, Carlsen EB, Kofoed PE. Can life coaching improve health outcomes? A systematic review of intervention studies. BMC Health Serv Res. 2013;13(1):428.
Olsen JM, Nesbitt BJ. Health coaching to improve healthy lifestyle behaviors: An integrative review. Am J Health Promot. 2010;25(1):e1-12.
Wagland R, Fenlon D, Tarrant R, Howard-Jones G, Richardson A. Rebuilding self-confidence after cancer: a feasibility study of life-coaching. Support Care Cancer. 2015;23(3):651-9.
Timmermann C, Ammentorp J, Birkelund R. Person‐centred communication with cancer survivors: Exploring the meaning of follow‐up coaching conversations. Scand J Caring Sci. 2021.
Kvale EA, Huang CS, Meneses KM. Patient-centered support in the survivorship care transition: Outcomes from the patient-owned survivorship care plan intervention. Cancer. 2016;122(20):3232-42.
Wagner EH. Chronic disease management: What will it take to improve care for chronic illness? Eff Clin Pract. 1998;1(1):2-4.
Coleman EA, Parry C, Chalmers S, Min S-J. The care transitions intervention. Arch Intern Med. 2006;166(17):1822.
Coleman EA, Smith JD, Frank JC, Min SJ, Parry C, Kramer AM. Preparing patients and caregivers to participate in care delivered across settings: The care transitions intervention. J Am Geriatr Soc. 2004;52(11):1817-25.
Davis SN, O’Malley DM, Bator A. Rationale and design of extended cancer education for longer term survivors (EXCELS): A randomized control trial of ‘high touch’ vs. ‘high tech’ cancer survivorship self-management tools in primary care. BMC Cancer. 2019;19:1.
Barakat S, Boehmer K, Abdelrahim M, et al. Does health coaching grow capacity in cancer survivors? A systematic review. Popul Health Manag. 2017;21(1):63-81.
Bellizzi KM, Blank TO. Predicting posttraumatic growth in breast cancer survivors. Health Psychol. 2006;25(1):47.
Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. J Trauma Stress. 1996;9(3):455-71.
Ganz PA. Late effects of cancer and its treatment. Semin Oncol Nurs. 2001;17(4):241-8.
Ganz PA. Quality of care and cancer survivorship: The challenge of implementing the institute of medicine recommendations. J Oncol Pract. 2009;5(3):101-5.
Magill N, Knight R, McCrone P, Ismail K, Landau S. A scoping review of the problems and solutions associated with contamination in trials of complex interventions in mental health. BMC Me Res Methodol. 2019;19:1.
Aggarwal R, Ranganathan P. Study designs: Part 5-interventional studies (II). Perspect Clin Res. 2019;10(4):183-6.
Holtmaat K, Van der Spek N, Cuijpers P, Leemans CR, Verdonck-de Leeuw IM. Posttraumatic growth among head and neck cancer survivors with psychological distress. Psycho-Oncol. 2017;26(1):96-101.
Dewitt B, Jalal H, Hanmer J. Computing PROPr utility scores for PROMIS® profile instruments. Value in Health. 2020;23(3):370-8.
Hays RD, Spritzer KL, Schalet BD, Cella D. PROMIS®-29 v2.0 profile physical and mental health summary scores. Qual Life Res. 2018;27(7):1885-91.
Custers JAE, Kwakkenbos L, Van De Wal M, Prins JB, Thewes B. Re-validation and screening capacity of the 6-item version of the Cancer Worry Scale. Psycho-Oncol. 2018;27(11):2609-15.
Brix SA, Bidstrup PE, Christensen J. Post-traumatic growth among elderly women with breast cancer compared to breast cancer-free women. Acta Oncol. 2013;52(2):345-54.