title: Developing and Evaluating a Self-Management Intervention for Women With Breast Cancer.
abstract: Reports of self-management interventions usually focus on efficacy and do not detail processes of intervention development and evaluation. We describe the development and evaluation of Managing Cancer Care: A Personal Guide, a patient-oriented cancer self-management intervention consisting of seven modules on the topics of self-management, care options, transitions, communication, symptom management, and self-efficacy. We developed and evaluated the intervention in stages by partnering with women with breast cancer. Stages were as follows: individual interviews (n = 25), intervention design, focus group (n = 6), pilot testing with metastatic patients (n = 23), and population testing with non-metastatic patients (n = 105). We used interpretive description and content analysis for qualitative analyses and used descriptive statistics to analyze module ratings and frequency of use. We report results of each stage and discuss the challenges of creating a self-management intervention that has broad appeal without taking a one-size-fits-all approach and implementing a self-management intervention in a real-world versus research setting.
authors.affiliation: Yale School of Nursing, West Haven, CT, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Goldberg
authors.affiliation: Yale School of Nursing, West Haven, CT, USA.
authors.forename: Jenna
authors.initials: J
authors.lastname: Hinchey
authors.affiliation: Yale School of Nursing, West Haven, CT, USA.
authors.forename: Shelli
authors.initials: S
authors.lastname: Feder
authors.affiliation: Yale School of Nursing, West Haven, CT, USA dena.schulman-green@yale.edu.
authors.forename: Dena
authors.initials: D
authors.lastname: Schulman-Green
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D003142:Communication; D005260:Female; D017144:Focus Groups; D006801:Humans; D018802:Patient-Centered Care; D015397:Program Evaluation; D036301:Qualitative Research; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D012944:Social Support
keywords: breast cancer; intervention development; self-management