Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex intervention development study

Gray, N.M. et al. (2013) Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex intervention development study. BMJ Open, 3(4), e002596. (doi: 10.1136/bmjopen-2013-002596) (PMID:23585391) (PMCID:PMC3641512)

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Abstract

Objectives: To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design: A complex intervention development study. Setting: North East Scotland and Glasgow. Participants: Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12). Interventions: A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future). Primary and secondary outcome measures: Qualitative assessment of intervention feasibility and acceptability. Results: Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery. Conclusions: Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally and Browne, Dr Susan
Authors: Gray, N.M., Allan, J.L., Murchie, P., Browne, S., Hall, S., Hubbard, G., Johnston, M., Lee, A.J., McKinley, A., Macleod, U., Presseau, J., Samuel, L., Wyke, S., and Campbell, N.C.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN:2044-6055
Published Online:11 April 2013
Copyright Holders:Copyright © 2013 The Authors
First Published:First published in BMJ Open 3(4):e002596
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
420855Establishing the potential for primary care to tackle social inequalities in established colorectal cancerUna MacleodCancer Research UK (CAN-RES-UK)C542/A11341RI HEALTH & WELLBEING