title: Collaborative care intervention for the perceived care needs of women with breast cancer undergoing adjuvant therapy after surgery: a feasibility study.
abstract: OBJECTIVE
  This study aimed to investigate the feasibility of an intervention program for women with breast cancer undergoing adjuvant anticancer therapy, and determine its preliminary effectiveness in reducing their unmet needs and psychological distress.
  
  
  METHODS
  The intervention was based on the collaborative care model, and compromised four domains: identification of unmet needs, problem-solving therapy and behavioral activation supervised by a psychiatrist, psychoeducation and referral to relevant departments. Eligible women with breast cancer were provided the collaborative care intervention over four sessions. The feasibility of the program was evaluated by the percentage of women who entered the intervention and by the percentage of adherence to the program. Self-reported outcomes were measured by the Supportive Care Needs Survey-Short Form 34 (SCNS-SF34), the Profile of Mood States (POMS), the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Concern about Recurrence Scale, and pre- and post-intervention satisfaction with medical care.
  
  
  RESULTS
  In total, 40 patients participated in this study. The rate of participation in the intervention was 68%, and the rate of adherence was 93%. Participants had significantly improved scores on total perceived needs, physical needs and psychological needs on the SCNS-SF34; vigor and confusion on the POMS and function (physical, emotional and cognitive), nausea and vomiting, dyspnea, appetite loss and financial difficulties on the EORTC QLQ-C30 compared with the baseline assessment.
  
  
  CONCLUSIONS
  Our findings indicated the intervention program was feasible. Further study is needed to demonstrate the program's effectiveness in reducing unmet needs.
authors.affiliation: Nagoya City University Graduate School of Nursing, Nagoya.
authors.forename: Kanae
authors.initials: K
authors.lastname: Momino
authors.affiliation: Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai.
authors.forename: Miyashita
authors.initials: M
authors.lastname: Mitsunori
authors.affiliation: Department of Breast Surgery, Division of Surgery, Hokkaido University Graduate School of Medicine, Hokkaido.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Yamashita
authors.affiliation: Department of Breast Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Toyama
authors.affiliation: Department of Breast and Endocrine Surgery, Nagoya City West Medical Center, Nagoya.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sugiura
authors.affiliation: Department of Breast and Endocrine Surgery, Nagoya City West Medical Center, Nagoya.
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Yoshimoto
authors.affiliation: Graduate School of Human Sciences, and Graduate School of Medicine, Osaka University, Osaka.
authors.forename: Kei
authors.initials: K
authors.lastname: Hirai
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School ofMedical Sciences, Nagoya, Japan.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Akechi
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery; D017024:Chemotherapy, Adjuvant / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: breast cancer; clinical trial; needs; problem solving