The effectiveness of a self-efficacy-enhancing intervention for Chinese patients with colorectal cancer: a randomized controlled trial with 6-month follow up

Zhang, Meifen, Chan, Sally Wai-chi, You, Liming, Wen, Yongshan, Peng, Lifen, Liu, Weiyan and Zheng, Meichun (2014) The effectiveness of a self-efficacy-enhancing intervention for Chinese patients with colorectal cancer: a randomized controlled trial with 6-month follow up. International Journal of Nursing Studies, 51 8: 1083-1092. doi:10.1016/j.ijnurstu.2013.12.005

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Author Zhang, Meifen
Chan, Sally Wai-chi
You, Liming
Wen, Yongshan
Peng, Lifen
Liu, Weiyan
Zheng, Meichun
Title The effectiveness of a self-efficacy-enhancing intervention for Chinese patients with colorectal cancer: a randomized controlled trial with 6-month follow up
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
1873-491X
Publication date 2014-08-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.ijnurstu.2013.12.005
Volume 51
Issue 8
Start page 1083
End page 1092
Total pages 10
Place of publication Bromley, United Kingdom
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Background: Colorectal cancer is a major public health problem. There is growing support for colorectal cancer survivors who are experiencing problems after cancer treatment to engage in self-management programs to reduce symptom distress. However, there is inconclusive evidence as to the effectiveness of such program especially in Asian region.
Objectives: This study tested the effects of a six-month nurse-led self-efficacy-enhancing intervention for patients with colorectal cancer, compared with routine care over a six-month follow up.
Design: A randomized controlled trial with repeated measures, two-group design.
Setting: Three teaching hospitals in Guangzhou, China.
Participants: One hundred and fifty-two Chinese adult patients with a diagnosis of colorectal cancer were recruited. The intervention group (n = 76) received self-efficacy-enhancing intervention and the control group (n = 76) received standard care.
Method: The participants were randomized into either intervention or control group after baseline measures. The outcomes of the study (self-efficacy, symptom distress, anxiety, depression and quality of life) were compared at baseline, three and six months after the intervention.
Results: Sixty-eight participants in the intervention group and 53 in the control group completed the study. Their mean age was 53 (SD = 11.3). Repeated measure MANOVA found that the patients in the intervention group had significant improvement in their self-efficacy (F = 7.26, p = 0.003) and a reduction of symptom severity (F = 5.30, p = 0.01), symptom interference (F = 4.06, p = 0.025), anxiety (F = 6.04, p = 0.006) and depression (F = 6.96, p = 0.003) at three and six months, compared with the control group. However, no statistically significant main effect was observed in quality of life perception between the two groups.
Conclusions: The nurse-led self-efficacy enhancing intervention was effective in promoting self-efficacy and psychological well-being in patients with colorectal cancer, compared with standard care. The intervention can be incorporated into routine care. Future empirical work is required to determine the longer term effects of the intervention.
Keyword Colorectal cancer
Self-efficacy
Symptom distress
Anxiety
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 17 December 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 09 Sep 2014, 00:34:23 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work