Program

Mar 22, 2012

OVERVIEW

The Self-care Coping Intervention aimed to provide strategies to adolescents and
youth newly recently diagnosed with cancer to cope with and continue on the
treatment process. One experimental study found there to be no significant
differences in hopefulness, self-efficacy or self-esteem between the
experimental and control groups.

DESCRIPTION OF
PROGRAM

Target
population:

Adolescents and youth newly diagnosed with cancer.

The
intervention is designed to provide self-coping strategies to adolescents and
youth recently diagnosed with cancer. Drawing on the adolescent self-sustaining
model, it aims to increase patients’ abilities to cope with and comply with the
demands of treatment, and ultimately increase their survival rate. The
intervention takes place over the first 6 months of a patient’s treatment.
Patients in the intervention group are taught self-coping strategies by a
researcher during the 5-7 weeks after diagnosis. Sessions lasted about 40
minutes and were comprised of 3 parts: (1) information on self-care coping, (2)
a 25-minute video in which four adolescents demonstrated or described behavioral
and coping strategies that they had found helpful, and (3) a rehearsal of those
strategies which the study participant selected as most likely to help him or
her cope with the demands of treatment. Patients in the experimental group were
instructed to use the strategies during treatment and to monitor the
effectiveness of these strategies

EVALUATION OF PROGRAM

Hinds, P.S.,
Quargenenti, A., Bush, A.J., Pratt, C., Fairclough, D., Rissmiller, G., Betcher,
D., Gilschrist, G.S. (2000). An evaluation of the impact of a self-care coping
intervention on psychological and clinical outcomes in adolescents with newly
diagnosed cancer. European Journal of Oncology Nursing, 4 (1), 6-17.

Evaluated
Population: 
The study sample consisted of 46 female and 32 male patients who ranged in age
from 12 to 21 years, recently diagnosed with cancer.

Approach:
Patients were randomly assigned to the experimental or control group.
Randomization included stratification by diagnosis. The study used four
measurement points spanning the first 6 months of treatment. The first
measurement point, which provided baseline information, occurred soon after
chemotherapy had begun (1-12 days after diagnosis). The second measurement was
taken 5-7 weeks after diagnosis; the third point, 3 months after diagnosis; the
final measurement was taken 6 months after diagnosis. Each group completed a
variety of assessments at each of the four measurement points, including items
on hopefulness, distress, self-efficacy, locus of control, and self-esteem.
Toxicity was also assessed as a clinical assessment of the adverse effects of
cancer treatment.

Results:
Both groups continually reported high levels of self-esteem, self-efficacy and
hopefulness at all four assessments, and both groups became more internally
oriented during the 6 month-study period. In addition, scores for symptom
distress decreased over the study period in both groups. There were no
statistically significant differences between the experimental and control
groups. There were unexplained differences in the pattern of test scores over
time within the groups. Hopefulness in the experimental group increased
significantly between the 3rd and 4th measurement point,
where as the control group showed significant increases between the 1st
and 2nd measurement point as well as between the 3rd and 4th
measurement point.

SOURCES FOR MORE INFORMATION

References

Hinds, P.S., Quargenenti, A., Bush, A.J., Pratt, C., Fairclough, D., Rissmiller,
G., Betcher, D., Gilschrist, G.S. (2000). An evaluation of the impact of a
self-care coping intervention on psychological and clinical outcomes in
adolescents with newly diagnosed cancer. European Journal of Oncology
Nursing, 4 (1),
6-17.

KEYWORDS:
Adolescents, Youth, Clinic-based, Health Status/Conditions, Social Skills/Life
Skills, Self-Esteem/Self-Concept, Other Social-Emotional Health

Program
information last updated on 03/22/2012