Intervention to enhance empowerment in breast cancer self-help groups.
As arduous psychological reactions and loss of control almost inevitably represent a challenge for women diagnosed and treated for breast cancer, a participatory intervention study was initiated that aimed to enhance empowerment in breast cancer self-help groups. Women newly diagnosed with breast cancer were invited to participate. The intervention encompassed three professionally led self-help groups running sequentially, each group for approximately 4 months. Each group of five to seven participants met weekly. Several empowerment strategies were initiated by two professional facilitators, aiming to promote empowerment processes and to manage stress. The participants experienced group participation as both empowering and as a valuable source of support, and although the group processes developed very differently, a strong sense of fellowship developed in all three groups. The discussion highlights the findings in relation to several theoretical perspectives including social capital, social cohesion, risky agreements, helper-therapy and power/empowerment. We conclude that empowerment strategies that are implemented in professionally led breast cancer self-help groups can contribute to participant empowerment and function as an important source of re-discovery and confirmation of the participants' strengths and abilities.
Stang
Ingun
I
Faculty of Health Sciences, Research Centre for Health Promotion, Vestfold University College, Horten, Norway. is@hive.no
Mittelmark
Maurice B
MB
D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000150:complications / Q000523:psychology*; D005260:Female; D006126:Group Processes; D006801:Humans; D007389:Internal-External Control; D008875:Middle Aged; D009664:Norway; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D011209:Power, Psychological; D015397:Program Evaluation; D012648:Self Care; D012657:Self-Help Groups / Q000458:organization & administration*; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control; D014930:Women / Q000193:education / Q000523:psychology