title: A family-based program of care for women with recurrent breast cancer and their family members.
abstract: OBJECTIVE
  To evaluate the FOCUS Program (family involvement, optimistic attitude, coping effectiveness, uncertainty reduction, and symptom management), a family-based program of care for women with recurrent breast cancer and their family caregivers.
  
  
  METHODS
  Randomized clinical trial.
  
  
  METHODS
  Midwest region of the United States.
  
  
  RESULTS
  The family-based program of care consisted of five components: family involvement, optimistic attitude, coping effectiveness, uncertainty reduction, and symptom management. The program was delivered in three home visits and two follow-up phone calls over a five-month period of time.
  
  
  CONCLUSIONS
  Patients with recurrent breast cancer and their family members reported high satisfaction with the FOCUS Program. Although the FOCUS Program had a number of strengths, limitations of the program also were identified that need to be addressed in future family-based interventions.
  
  
  CONCLUSIONS
  A need exists for family-based programs of care that enable both patients and their family members to manage the multiple demands associated with recurrent breast cancer.
authors.affiliation: School of Nursing, University of Michigan, Ann Arbor, MI, USA. lnortho@umich.edu
authors.forename: Laurel L
authors.initials: LL
authors.lastname: Northouse
authors.forename: Julie
authors.initials: J
authors.lastname: Walker
authors.forename: Ann
authors.initials: A
authors.lastname: Schafenacker
authors.forename: Darlene
authors.initials: D
authors.lastname: Mood
authors.forename: Suzanne
authors.initials: S
authors.lastname: Mellon
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Galvin
authors.forename: Janet
authors.initials: J
authors.lastname: Harden
authors.forename: Laurie
authors.initials: L
authors.lastname: Freeman-Gibb
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D032721:Adult Children; D001943:Breast Neoplasms / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000523:psychology / Q000592:standards; D005190:Family / Q000523:psychology; D005192:Family Health; D005194:Family Practice / Q000379:methods*; D005260:Female; D006801:Humans; D008017:Life Expectancy; D008137:Longitudinal Studies; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000523:psychology / Q000628:therapy*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000379:methods*; D011787:Quality of Health Care; D035781:Siblings; D016896:Treatment Outcome; D014481:United States