Evaluation of the making sense of brain tumor program: A randomized controlled trial of a home-based psychosocial intervention

Ownsworth, Tamara, Chambers, Suzanne, Damborg, Ea, Casey, Leanne, Walker, David G and Shum, David H.K (2015) Evaluation of the making sense of brain tumor program: A randomized controlled trial of a home-based psychosocial intervention. Psycho-Oncology, 24 5: 540-547. doi:10.1002/pon.3687


Author Ownsworth, Tamara
Chambers, Suzanne
Damborg, Ea
Casey, Leanne
Walker, David G
Shum, David H.K
Title Evaluation of the making sense of brain tumor program: A randomized controlled trial of a home-based psychosocial intervention
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1099-1611
1057-9249
Publication date 2015-05
Year available 2014
Sub-type Article (original research)
DOI 10.1002/pon.3687
Volume 24
Issue 5
Start page 540
End page 547
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons Ltd
Collection year 2016
Language eng
Formatted abstract
Objective
Despite significant psychosocial morbidity, there are few controlled trials of psychological support for people with brain tumor. This study evaluated the efficacy of the Making Sense of Brain Tumor (MSoBT) program, a home-based psychosocial intervention.

Design
A randomized controlled trial with a wait list condition

Methods
Fifty participants aged 17–82 years with brain tumor (54% benign) were randomly allocated to immediate treatment (n = 27) or a waitlist (n = 23). Measures included Montgomery–Asberg Depression Rating Scale (MADRS), McGill Quality of Life (MQOL) Questionnaire, Depression Anxiety Stress Scales (DASS) and Functional Assessment of Cancer Therapy-Brain (FACT-Br). The immediate treatment group received the 10-session MSoBT program, while the waitlist group received usual care for 10 weeks and were then re-assessed before receiving the MSoBT program. A 6-month post-intervention follow-up was conducted.

Results
Analysis of covariance adjusting for baseline functioning identified that the immediate treatment group reported significantly lower levels of depression on the MADRS (ηp2 = .19) and higher levels of existential well-being on the MQOL (ηp2 = .13) and functional well-being (ηp2 = .21) and global quality of life on the FACT-Br (ηp2 = .12) at post-assessment than the waitlist group. At 6-month follow-up participants reported significantly lower levels of depression and stress and higher existential well-being and quality of life relative to pre-intervention.

Conclusions
The MSoBT program appears to have efficacy for enhancing psychological well-being and quality of life after brain tumor.
Keyword cancer
oncology
brain tumor
mental health
quality of life
randomized controlled trial
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2016 Collection
 
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