title: Effect of a multidiscipline mentor-based program, Be Resilient to Breast Cancer (BRBC), on female breast cancer survivors in mainland China-A randomized, controlled, theoretically-derived intervention trial.
abstract: To reduce the risk of adjustment problems for breast cancer patients in mainland China, we examined the efficacy of a multidiscipline mentor-based program, Be Resilient to Breast Cancer (BRBC), delivered after breast surgery to (a) increase protective factors of social support, hope for the future, etc.; (b) decrease risk factors of Physical and Emotional Distress; and (c) increase outcomes of Resilience, Transcendence and Quality of Life (QOL). A multisite randomized controlled trial was conducted at 6 specialist cancer hospitals. 101 and 103 breast cancer patients were allocated to intervention group (IG) and control group (CG), respectively, and 112 general females (without breast cancer) were allocated to the norm group (NG). Participants completed measures that were related to latent variables derived from the Resilience Model for Breast Cancer (RM-BC) at baseline (T1), 2 months (T2), 6 months (T3), and 12 months (T4) after intervention. At T2, the IG reported significantly lower Depression (ES = 0.65,P = 0.0019) and Illness Uncertainty (ES = 0.57, P = 0.004), better Hope (ES = 0.81, P < 0.001) and QOL (ES = 0.60, P = 0.002) than did the CG. At T3, the IG reported significantly lower Anxiety (ES = 0.74, P < 0.001), better Social Support (ES = 0.51,P = 0.009), Transcendence (ES = 0.87, P < 0.001), and Resilience (ES = 0.83, P < 0.001) compared with the CG. At T4, the IG reported better Resilience though not significant (P = 0.085) and better Transcendence (P = 0.0243) than did the NG. The BRBC intervention improves the positive health outcomes and decreases the risk factors of illness-related distress of breast cancer patients during the high-risk cancer treatment.
authors.affiliation: College of Economics and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China. zengjieye@qq.com.|The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China. zengjieye@qq.com.
authors.forename: Zeng Jie
authors.initials: ZJ
authors.lastname: Ye
authors.affiliation: Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China.
authors.forename: Mu Zi
authors.initials: MZ
authors.lastname: Liang
authors.affiliation: College of Economics and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China.
authors.forename: Hong Zhong
authors.initials: HZ
authors.lastname: Qiu
authors.affiliation: Sun Yat-sen University Cancer Center, Guangzhou, Guangdong province, China.
authors.forename: Mei Ling
authors.initials: ML
authors.lastname: Liu
authors.affiliation: The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China.
authors.forename: Guang Yun
authors.initials: GY
authors.lastname: Hu
authors.affiliation: The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China.
authors.forename: Yun Fei
authors.initials: YF
authors.lastname: Zhu
authors.affiliation: The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Zeng
authors.affiliation: The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China.
authors.forename: Jing Jing
authors.initials: JJ
authors.lastname: Zhao
authors.affiliation: Nursing Department of The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong province, China. 1047052548@qq.com.
authors.forename: Xiao Ming
authors.identifier: 0000-0002-4437-3947
authors.initials: XM
authors.lastname: Quan
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery; D002681:China; D005260:Female; D006801:Humans; D000071252:Mentoring / Q000379:methods*; D011788:Quality of Life; D055500:Resilience, Psychological; D020377:Self Efficacy; D012944:Social Support; D017741:Survivors / Q000523:psychology*; D016896:Treatment Outcome
keywords: Breast cancer; Mainland China; Mentor-based; Multidiscipline; Randomized trial; Resilience; Survivors; Theoretically-derived