title: A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery.
abstract: The purpose of this study was to evaluate the feasibility and acceptability of a multimedia self-management (MSM) intervention to prepare patients and family caregivers for lung surgery.
  
  
  
  This is a quasi-experimental, 2-group, sequential enrollment pilot study of a 4-session multimedia intervention (audio/visual + print) to enhance self-management and quality of life (QOL) for patients and family caregivers. The intervention, Preparing for Lung Surgery, begins before surgery, and continues through hospitalization and discharge, with 2 telephone support sessions after discharge. Outcomes were assessed before surgery (preintervention), at discharge, and 2 to 4 weeks postdischarge (postintervention). Patient outcomes were assessed using the Functional Assessment of Cancer Therapy-General (QOL), MD Anderson Symptom Inventory and Functional Assessment of Cancer Therapy-Pulmonary Symptom Index (symptoms), self-efficacy, surgery-related knowledge, and patient activation. Family caregiver outcomes included City of Hope-QOL-Family (QOL), Caregiver Burden Scale, and knowledge. Paired t tests were used for exploratory evaluations of score changes from pre- to postintervention.
  
  
  
  Sixty participants (38 patients, 22 family caregivers) enrolled in the study (70% accrual). Postintervention scores were significantly improved for patients' emotional QOL (P = .001). Trends for improvements were observed for patient self-efficacy, surgery-related knowledge, and activation. Family caregivers' surgery-related knowledge was significantly improved (P = .02). Overall, participants were highly satisfied with the acceptability/usability of the intervention (3.6-3.7 of 4.0).
  
  
  
  A standardized MSM intervention was feasible and acceptable in supporting readiness and preparedness for lung surgery and postoperative recovery. A larger randomized trial is needed to verify the impact of the MSM intervention on patient/family caregiver outcomes and health care resource use.
authors.affiliation: Division of Nursing Research and Education, Department of Population Sciences, City of Hope, Duarte, CA. Electronic address: 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.
authors.forename: Dan J
authors.initials: DJ
authors.lastname: Raz
authors.affiliation: Biostatistics Core, Department of Information Sciences, City of Hope, Duarte, CA.
authors.forename: Nora
authors.initials: N
authors.lastname: Ruel
authors.affiliation: Department of Anesthesiology, City of Hope, Duarte, CA.
authors.forename: Walter
authors.initials: W
authors.lastname: Chang
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA.
authors.forename: Loretta
authors.initials: L
authors.lastname: Erhunmwunsee
authors.affiliation: Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA.
authors.forename: Karen
authors.initials: K
authors.lastname: Reckamp
authors.affiliation: Department of Respiratory Diseases and Pulmonary Rehabilitation, City of Hope, Duarte, CA.
authors.forename: Brian
authors.initials: B
authors.lastname: Tiep
authors.affiliation: Division of Nursing Research and Education, Department of Population Sciences, City of Hope, Duarte, CA.
authors.forename: Betty
authors.initials: B
authors.lastname: Ferrell
authors.affiliation: School of Nursing, Yale University, West Haven, CT.
authors.forename: Ruth
authors.initials: R
authors.lastname: McCorkle
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA.
authors.forename: Jae Y
authors.initials: JY
authors.lastname: Kim
mesh_terms: D000368:Aged; D017028:Caregivers; D005190:Family; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology* / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019212:Multimedia; D010353:Patient Education as Topic; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010865:Pilot Projects; D011184:Postoperative Period; D013510:Pulmonary Surgical Procedures; D011788:Quality of Life; D020377:Self Efficacy; D000073278:Self-Management / Q000706:statistics & numerical data; D013315:Stress, Psychological
keywords: Activation; Caregiver burden; Family caregivers; Quality of life; Self-efficacy