EDUCATIONAL NURSING INTERVENTION TO PROMOTE ADAPTATION IN CANCER SURVIVORS: PROTOCOL FOR PILOT STUDY

An intervention promoting adaptation of cancer survivors was developed.
The intervention emphasizes the educational component and professional support.
The protocol to assess the feasibility and acceptability of the intervention is presented.

ABSTRACT

Objective:

to present the protocol of a pilot study that aims to evaluate the feasibility and acceptability of an educational nursing intervention to promote the adaptation of cancer survivors, focused on coping and anxiety.

Method:

this protocol was developed based on the Protocol Items: Recommendations for Interventional Trials 2013 (SPIRIT2013) Statement, in the city of Porto - Portugal, in 2022.

Results:

the design, structure, content, strategies, and evaluation instruments of the intervention to be implemented were defined.

Conclusion:

This article provides in detail the structure and content of an educational nursing intervention to promote the adaptation of cancer survivors that can be integrated into the piloting phase procedures. It can also be considered a stimulus for the development of new interventions and intervention programs in this phase of the cancer disease.

DESCRIPTORS:
Nursing; Neoplasms; Survivorship; Adaptation, Psychological; Health Education

Authorship

Tiago André dos Santos Martins Peixoto

Substantial contributions to the conception or design of the work

acquisition, analysis, or interpretation of data for the work

Drafting the work or revising it critically for important intellectual content

Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

approved the final version of the text

Centro Hospitalar Universitário do Porto, Porto, Portugal.Centro Hospitalar Universitário do Porto, Porto, Portugal.Centro Hospitalar Universitário do Porto, Porto, Portugal.

https://orcid.org/0000-0003-4229-0205

Nuno Miguel dos Santos Martins Peixoto

Substantial contributions to the conception or design of the work

acquisition, analysis, or interpretation of data for the work

Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

approved the final version of the text

Centro Hospitalar Universitário do Porto, Porto, Portugal.Centro Hospitalar Universitário do Porto, Porto, Portugal.Centro Hospitalar Universitário do Porto, Porto, Portugal.

https://orcid.org/0000-0001-5221-9491

Cândida Assunção Santos Pinto

Drafting the work or revising it critically for important intellectual content

approved the final version of the text

Escola Superior de Enfermagem do Porto, Porto, Portugal.Escola Superior de Enfermagem do Porto, Porto, Portugal.Escola Superior de Enfermagem do Porto, Porto, Portugal.

https://orcid.org/0000-0003-4874-6728

Célia Samarina Vilaça de Brito Santos

Drafting the work or revising it critically for important intellectual content

approved the final version of the text

Escola Superior de Enfermagem do Porto, Porto, Portugal.Escola Superior de Enfermagem do Porto, Porto, Portugal.Escola Superior de Enfermagem do Porto, Porto, Portugal.

https://orcid.org/0000-0001-9198-2668

Corresponding author: Tiago André dos Santos Martins Peixoto Centro Hospitalar Universitário do Porto Rua Guerra Junqueiro 220 1º, 4440-660 Valongo, Porto, Portugal E-mail: tiago.andre.peixoto@hotmail.com

Associate editor:

Dra. Luciana Kalinke

SCIMAGO INSTITUTIONS RANKINGS

Centro Hospitalar Universitário do Porto, Porto, Portugal.Centro Hospitalar Universitário do Porto, Porto, Portugal.Centro Hospitalar Universitário do Porto, Porto, Portugal.

Escola Superior de Enfermagem do Porto, Porto, Portugal.Escola Superior de Enfermagem do Porto, Porto, Portugal.Escola Superior de Enfermagem do Porto, Porto, Portugal.

Figures | Tables

Figures (4)
Tables (4)

Thumbnail

Figure 1
Eligibility criteria. Porto, District of Porto, Portugal, 2022

Thumbnail

Figure 2
Structure of the group sessions. Porto, District of Porto, Portugal, 2022

Thumbnail

Figure 3
Structure of individual or family sessions. Porto, District of Porto, Portugal, 2022

Thumbnail

Figure 4
Flowchart of the study. Porto, District of Porto, Portugal, 2022

Thumbnail

Chart 1
Details of sessions 1 and 2 of the educational intervention. Porto, Porto District, Portugal, 2022

Thumbnail

Chart 2
Details of sessions 3 and 4 of the educational intervention. Porto, Porto District, Portugal, 2022

Thumbnail

Chart 3
Details of sessions 5 and 6 of the educational intervention. Porto, Porto District, Portugal, 2022

Thumbnail

Chart 4
Details of sessions 7 and 8 of the educational intervention. Porto, Porto District, Portugal, 2022

Figure 1 Eligibility criteria. Porto, District of Porto, Portugal, 2022

Source: The authors (2022).

Figure 2 Structure of the group sessions. Porto, District of Porto, Portugal, 2022

Source: Authors (2022).

Figure 3 Structure of individual or family sessions. Porto, District of Porto, Portugal, 2022

Source: Authors (2022).

Figure 4 Flowchart of the study. Porto, District of Porto, Portugal, 2022

Source: The authors (2022).

Chart 1 Details of sessions 1 and 2 of the educational intervention. Porto, Porto District, Portugal, 2022

Domain: Adaptation Focus of attention to be considered: Acceptance Of Health Status (10044273); Adaptation (10001741); Self Management (10046837); Ability To Adjust (10000047); Health Knowledge (10008753); Knowledge Of Behaviour Change Process (10024907); Awareness (10003083)
Session 1 - Group intervention
Objectives- Present and conclude the health contract between nurse and participant - Promote awareness of the new health condition - survivorship - Promote knowledge about health status - Promote the learning of adaptation techniques - Promote healthy adaptation processes in the context of cancer survivorship - Promote positive psychological responses in the process of transition to survivorship	Interventions: - Contracting For Positive Behaviour (10035771) - Teaching About Health Seeking Behaviour (10032956) - Teaching About Disease (10024116) - Teaching About Clinical Pathway (10050977) - Teaching About Treatment Regime (10024625) - Teaching Adaptation Techniques (10023717) - Facilitating Learning (10051139) - Promoting Acceptance Of Health Status (10037783) - Promoting Self Awareness (10036097) - Promoting Self Efficacy (10035962) - Promoting Self Esteem (10024455) - Providing Instructional Material (10024493)
Session 2 - Intervention with an individual or significant family member

Objectives: - Assist the participant to identify the most appropriate adaptive strategies for the individual condition - Providing support in the implementation of adaptation techniques - Integrate the significant family member in the participant’s adaptation process - Provide space for the participant to express their emotions in the face of the adaptation process - Reinforce the importance of knowledge about the disease in the adaptation process	Interventions: - Supporting Beliefs (10026458) - Supporting Positive Body Image (10044531) - Supporting Decision Making Process (10024589) - Involving In Decision Making Process (10026323) - Establishing Trust (10024396) - Presencing (10015575) - Facilitating Ability To Participate In Care Planning (10040501) - Providing Self Management Support (10046960) - Reinforcing Self Efficacy (10022537) - Reinforcing Capabilities (10026436) - Reinforcing Personal Identity (10026443) - Reinforcing Behavioural Regime (10039002)

Source: The authors (2022).

Chart 2 Details of sessions 3 and 4 of the educational intervention. Porto, Porto District, Portugal, 2022

Domain: Attitude/Coping Focus of attention to be considered: Skill Learning (10018225); Attitude Toward Health Status (10040627); Self Management Of Symptoms (10046859); Ability To Communicate Needs (10038183); Ability To Communicate Feelings (10026587); Ability To Manage Stress (10044124); Coping (10005208); Stress (10018888)
Session 3 - Group intervention
Objectives: - Promote learning of symptom/emotion self-management strategies - Promote knowledge about self-surveillance - Promote effective coping process in the context of cancer survivorship - Promote positive psychological responses in the process of transition to survivorship	Interventions: - Teaching Self Monitoring (10046994) - Teaching About Impulse Control (10036148) - Teaching About Symptom Control (10038080) - Teaching About Reality Orientation Therapy (10043768) - Facilitating Learning (10051139) - Promoting Self Management Of Symptom (10038469) - Promoting Effective Coping (10035936) - Promoting Limit Setting (10026334) - Promoting Positive Relationships (10035759) - Promoting Positive Psychological Status (10032505) - Providing Instructional Material (10024493)
Session 4 - Intervention with individual or significant family member
Objectives: - Assist in identifying the most appropriate coping strategies for the individual condition - Provide support in the implementation of coping strategies - Integrate the significant family member in the coping process of the participant - Provide space for the participant to express difficulty in integrating effective coping strategies - Reinforce the importance of adopting effective coping strategies in the adaptation process	Interventions: - Establishing Trust (10024396) - Presencing (10015575) - Facilitating Family Ability To Participate In Care Plan (10035927) - Facilitating Impulse Control (10035716) - Managing Negative Response to Treatment (10024429) - Identifying Obstruction To Communication (10009683) - Reinforcing Capabilities (10026436) - Reinforcing Positive Behaviour (10036176) - Reinforcing Communication (10050309) - Reinforcing Achievements (10026427) - Reinforcing Impulse Control (10036107) - Reinforcing Priority Setting (10026188)

Source: The authors (2022).

Chart 3 Details of sessions 5 and 6 of the educational intervention. Porto, Porto District, Portugal, 2022

Domain: Emotion/Anxiety Focus of attention to be considered: Distress (10006118); Anxiety (10002429); Death Anxiety (10041001); Emotion (10006765); Hope (10009095); Insecurity (10010311); Fear (10007738); Preoccupation (10015466)
Session 5 - Intervention in groups
Objectives: - Promote the learning of anxiety-reducing strategies - Promote knowledge about the impact of anxiety on the adaptation process - Promote anxiety control through stress management techniques in the context of cancer survivorship - Promote positive psychological responses in the process of transition to survivorship	Interventions: - Demonstrating Relaxation Technique (10024365) - Teaching About Stress Management (10038681) - Teaching About Normal Psychological Response (10051028) - Teaching About Diversional Therapy (10043536) - Teaching Relaxation Technique (10038699) - Facilitating Learning (10051139) - Promoting Hope (10024440) - Promoting Resting Behaviour (10050912) - Promoting Activity Therapy (10050908) - Promoting Diversional Therapy (10036045) - Providing Instructional Material (10024493)
Session 6 - Intervention with an individual or significant family member
Objectives - Assist in identifying stress management strategies best suited to the individual condition - Provide advice on emotion management - Provide support in the implementation of anxiety management strategies - Integrate the significant family member in the participant’s emotional management process - Provide space for the participant to express difficulty in integrating anxiety management strategies	Interventions: - Counselling About Spiritual Distress (10026231) - Counselling about Hopes (10026212) - Counselling About Fears (10026208) - Supporting Psychological Status (10019161) - Comforting (10004664) - Encouraging Positive Affirmations (10024377) - Encouraging Rest (10041415) - Establishing Trust (10024396) - Presencing (10015575) - Facilitating Ability To Communicate Feelings (10026616) - Providing Emotional Support (10027051) - Providing Spiritual Support (10027067) - Reinforcing Capabilities (10026436)

Source: The authors (2022).

Chart 4 Details of sessions 7 and 8 of the educational intervention. Porto, Porto District, Portugal, 2022

Domain: Resources Focus of attention to be considered: Family Support (10023680); Emotional Support (10027022); Social Support (10024074); Community Service (10027359); Spiritual Support (10027033)
Session 7 - Intervention in group
Objectives: - Promote the identification of the different resources available - Promote the use of the identified resources in the transition to survival process - Promote knowledge about the importance of resource use in the adaptation process	Interventions: - Teaching About Family Process (10036153) - Teaching About Community Service (10050983) - Teaching About Self Help Service (10038773) - Teaching About Health Service (10050965) - Teaching About Use Of Supporting Device (10040909) - Facilitating Learning (10051139) - Promoting Family Support (10036078) - Promoting Spiritual Support (10038300) - Promoting Social Support (10024464) - Promoting Ability To Socialise (10050898) - Promoting Effective Family Communication (10036066) - Promoting Effective Family Process (10036084) - Providing Instructional Material (10024493)
Session 8 - Intervention with an individual or significant family member
Objectives: - Assist in identifying the most appropriate resources for the individual condition - Provide counseling on the importance of family involvement in the adaptation process - Integrate the significant family member as an important resource - Provide space for the participant to express concerns about individual resources and needs - Reinforce the importance of using available resources in the adaptation process	Interventions: - Supporting Family (10032844) - Supporting Family Decision Making Process (10026462) - Supporting Spiritual Rituals (10024591) - Presencing (10015575) - Facilitating Ability To Communicate Needs (10038196) - Providing Social Support (10027046) - Providing Family Anticipatory Guidance (10026375)

Source: The authors (2022).

How to cite

copy

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Português
Inglês
Espanhol

Versões e tradução automática

Versão original do texto

English
Español
Português

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org

Leia a Declaração de Acesso Aberto

Métricas

EDUCATIONAL NURSING INTERVENTION TO PROMOTE ADAPTATION IN CANCER SURVIVORS: PROTOCOL FOR PILOT STUDY

PlumX

Mensagem

[1] Corresponding author: Tiago André dos Santos Martins Peixoto Centro Hospitalar Universitário do Porto Rua Guerra Junqueiro 220 1º, 4440-660 Valongo, Porto, Portugal E-mail: tiago.andre.peixoto@hotmail.com