title: Preparing Cancer Patients and Family Caregivers for Lung Surgery: Development of a Multimedia Self-Management Intervention.
abstract: The surgical treatment of lung malignancies often results in persistent symptoms, psychosocial distress, and decrements in quality of life (QOL) for cancer patients and their family caregivers (FCGs). The potential benefits of providing patients and FCGs with preparatory education that begins in the preoperative setting have been explored in multiple medical conditions, with positive impact observed on postoperative recovery, psychological distress, and QOL. However, few studies have explored the benefits of preparatory educational interventions to promote self-management in cancer surgery, including lung surgery. This paper describes the systematic approach used in the development of a multimedia self-management intervention to prepare cancer patients and their FCGs for lung surgery. Intervention development was informed by (1) contemporary published evidence on the impact of lung surgery on patients and FCG, (2) our previous research that explored QOL, symptoms, and caregiver burden after lung surgery, (3) the use of the chronic care self-management model (CCM) to guide intervention design, and (4) written comments and feedback from patients and FCGs that informed intervention development and refinement. Pilot-testing of the intervention is in process, and a future randomized trial will determine the efficacy of the intervention to improve patient, FCG, and system outcomes.
authors.affiliation: Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. vsun@coh.org.
authors.forename: Virginia
authors.initials: V
authors.lastname: Sun
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA, USA.
authors.forename: Jae Y
authors.initials: JY
authors.lastname: Kim
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA, USA.
authors.forename: Dan J
authors.initials: DJ
authors.lastname: Raz
authors.affiliation: Department of Anesthesiology, City of Hope, Duarte, CA, USA.
authors.forename: Walter
authors.initials: W
authors.lastname: Chang
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA, USA.
authors.forename: Loretta
authors.initials: L
authors.lastname: Erhunmwunsee
authors.affiliation: Department of Nursing, Clinical Practice and Education, City of Hope, Duarte, CA, USA.
authors.forename: Carolina
authors.initials: C
authors.lastname: Uranga
authors.affiliation: Department of Nursing, Solid Tumor Malignancies Program, City of Hope, Duarte, CA, USA.
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Ireland
authors.affiliation: Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Reckamp
authors.affiliation: Department of Respiratory Diseases and Pulmonary Rehabilitation, City of Hope, Duarte, CA, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Tiep
authors.affiliation: Department of Rehabilitation, City of Hope, Duarte, CA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hayter
authors.affiliation: Department of Anesthesiology, City of Hope, Duarte, CA, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Lew
authors.affiliation: Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA.
authors.forename: Betty
authors.initials: B
authors.lastname: Ferrell
authors.affiliation: School of Nursing, Yale University, New Haven, CT, USA.
authors.forename: Ruth
authors.initials: R
authors.lastname: McCorkle
mesh_terms: D000223:Adaptation, Psychological; D017028:Caregivers / Q000193:education*; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D019212:Multimedia; D010353:Patient Education as Topic / Q000379:methods*; D011184:Postoperative Period; D016730:Program Development; D011788:Quality of Life / Q000523:psychology; D000073278:Self-Management / Q000193:education*; D013315:Stress, Psychological / Q000453:epidemiology
keywords: Family caregivers; Lung malignancies; Quality of life; Surgery