title: Cancer-behavior-coping in women with breast cancer: Effect of a cancer self-management program.
abstract: OBJECTIVE
  The Cancer Behavior Inventory (CBI), a measure of self-efficacy for coping with cancer, was used to examine the feasibility and impact of a self-management program for women with breast cancer. This controlled clinical trial was conducted on newly diagnosed breast cancer patients, using a time series, block design. Sixty-nine patients were allocated to receive four weekly sessions of the self-management training program, while 78 patients were allocated to the control (usual-care) group.
  
  
  RESULTS
  A significant difference was found between the means of the experimental and the control group at post-test (T2; P=.01) and at follow-up (T3; P=.02). The multivariate analyses of the three repeated measures showed significant differences (P=.001; partial eta-squared = 0.092). Pair-wise comparison shows that the differences were significant between baseline (T1) measure and follow-up (T3) measure (P=.01), and between post-test (T2) and follow-up (T3) (P=.03).
  
  
  CONCLUSIONS
  For women undergoing intervention, the cancer-specific self-efficacy as measured by the cancer-behavior-coping inventory showed improvement over time. The result demonstrated that the self-management program to improve self-care correlates significantly with coping behavior in cancer. A larger and longer study of this efficacy-enhancing intervention is warranted.
authors.affiliation: Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya 50603 Kuala Lumpur, Malaysia.
authors.forename: Siew Yim
authors.initials: SY
authors.lastname: Loh
authors.forename: Kf
authors.initials: K
authors.lastname: Quek
keywords: Breast cancer; cancer behavior coping inventory; cancer self-efficacy; self-management