- Collins, Anna, Love, Anthony, Bloch, Sidney, Street, Annette, Duchesne, Gillian, Dunai, Judy, Couper, Jeremy
- Authors: Collins, Anna , Love, Anthony , Bloch, Sidney , Street, Annette , Duchesne, Gillian , Dunai, Judy , Couper, Jeremy
- Date: 2011
- Type: Text , Journal article
- Relation: Psycho-Oncology Vol.22, no.2 (2011), p. 465-469
- Full Text: false
- Reviewed:
- Description: Objective: This paper aims to describe 'Cognitive Existential Couple Therapy' (CECT), a novel couples-based intervention for men with early stage prostate cancer (PCa) and their partners, and to report preliminary findings from a pilot study that investigated the acceptability and feasibility of the intervention and the measures to be used in a subsequent randomised controlled trial. Methods: A manualised CECT programme was delivered to 12 couples facing a diagnosis of PCa within the previous 12months by psychiatrists and clinical psychologists. Participants completed measures of psychological distress, marital function and coping pattern before and after CECT. Semi-structured interviews were conducted with nine couples shortly after the completion of CECT. Results: The application of CECT was both feasible and acceptable as indicated by favourable participant compliance (10 of the 12 couples attended all six designated sessions), completion of measures before and after CECT and participation in semi-structured interviews by nine couples. Preliminary results included reduced levels of avoidance and hyperarousal after the programme, with this effect stronger in partners than in patients. Interviews demonstrated that couples valued the therapist's contribution to their overall care. Conclusions: Previous research suggests that a couple-focused psychological intervention is desirable in the context of early stage PCa. This pilot study has established that CECT is acceptable, feasible and valued by couples facing a recent PCa diagnosis and demonstrates a potential for reduced psychological distress following CECT. A randomised controlled trial is currently being undertaken to validate the efficacy of this novel approach. © 2011 John Wiley & Sons, Ltd.
- Alqahtani, Mohammed, Jones, Linda
- Authors: Alqahtani, Mohammed , Jones, Linda
- Date: 2015
- Type: Text , Journal article
- Relation: European Journal of Oncology Nursing Vol. 19, no. 1 (2015), p. 44-49
- Full Text: false
- Reviewed:
- Description: Pain is an unpleasant human experience, often associated with underlying medical conditions, and a key reason for individuals experiencing pain to seek medical advice. However, the pain experience is unique and subjective, and affects people's quality of life, as well as impacting on their concerned family members. Optimal pain management requires adequate knowledge, a positive attitude, and competent pain assessment measures. It has been reported that oncology nurses in the Kingdom of Saudi Arabia (KSA) have inadequate knowledge, assessment skills and management of pain. Objective: This paper aims to examine nurses' knowledge and attitudes regarding pain management in Saudi Arabian hospitals (SA). Method: A cross-sectional survey was administered to 320 nurses exhibiting considerable racial, cultural, religious and professional diversity, working in oncology units at five hospitals in the KSA. Self-completed survey questionnaires were distributed using the 'Knowledge and Attitudes Survey Regarding Pain' (KASRP) tool. Results: The nurses exhibited a relatively poor overall knowledge of pain management (mean score=45.1%; 95% CI=43.9%, 46.2%). The mean KASRP scores varied significantly at α=0.05 with respect to the nurses' nationality, whether they had attended pain-related courses, and whether they had participated in research. Conclusion: The results indicate the urgency needed to reform pain management education for oncology nurses in the KSA. © 2014 Elsevier Ltd.
Experiences of pelvic floor dysfunction and treatment in women with breast cancer: a qualitative study
- Colombage, Udari, Lin, Kuan-Yin, Soh, Sze-Ee, Brennen, Robyn, Frawley, Helena
- Authors: Colombage, Udari , Lin, Kuan-Yin , Soh, Sze-Ee , Brennen, Robyn , Frawley, Helena
- Date: 2022
- Type: Text , Journal article
- Relation: Supportive care in cancer Vol. 30, no. 10 (2022), p. 8139-8149
- Full Text:
- Reviewed:
- Description: Purpose To explore the experiences of women with breast cancer and pelvic floor (PF) dysfunction and the perceived enablers and barriers to uptake of treatment for PF dysfunction during their recovery. Method Purposive sampling was used to recruit 30 women with a past diagnosis of breast cancer and PF dysfunction. Semi-structured interviews were conducted, and data were analysed inductively to identify new concepts in the experiences of PF dysfunction in women with breast cancer and deductively according to the capability, opportunity, motivation and behaviour (COM-B) framework to identify the enablers and barriers to the uptake of treatment for PF dysfunction in women with breast cancer. Results Participants were aged between 31 and 88 years, diagnosed with stages I–IV breast cancer and experienced either urinary incontinence ( n = 24/30, 80%), faecal incontinence ( n = 6/30, 20%) or sexual dysfunction ( n = 20/30, 67%). They were either resigned to or bothered by their PF dysfunction bother was exacerbated by embarrassment from experiencing PF symptoms in public. Barriers to accessing treatment for PF dysfunction included a lack of awareness about PF dysfunction following breast cancer treatments and health care professionals not focussing on the management of PF symptoms during cancer treatment. An enabler was their motivation to resume their normal pre-cancer lives. Conclusion Participants in this study reported that there needs to be more awareness about PF dysfunction in women undergoing treatment for breast cancer. They would like to receive information about PF dysfunction prior to starting cancer treatment, be screened for PF dysfunction during cancer treatment and be offered therapies for their PF dysfunction after primary cancer treatment. Therefore, a greater focus on managing PF symptoms by clinicians may be warranted in women with breast cancer.
- Authors: Colombage, Udari , Lin, Kuan-Yin , Soh, Sze-Ee , Brennen, Robyn , Frawley, Helena
- Date: 2022
- Type: Text , Journal article
- Relation: Supportive care in cancer Vol. 30, no. 10 (2022), p. 8139-8149
- Full Text:
- Reviewed:
- Description: Purpose To explore the experiences of women with breast cancer and pelvic floor (PF) dysfunction and the perceived enablers and barriers to uptake of treatment for PF dysfunction during their recovery. Method Purposive sampling was used to recruit 30 women with a past diagnosis of breast cancer and PF dysfunction. Semi-structured interviews were conducted, and data were analysed inductively to identify new concepts in the experiences of PF dysfunction in women with breast cancer and deductively according to the capability, opportunity, motivation and behaviour (COM-B) framework to identify the enablers and barriers to the uptake of treatment for PF dysfunction in women with breast cancer. Results Participants were aged between 31 and 88 years, diagnosed with stages I–IV breast cancer and experienced either urinary incontinence ( n = 24/30, 80%), faecal incontinence ( n = 6/30, 20%) or sexual dysfunction ( n = 20/30, 67%). They were either resigned to or bothered by their PF dysfunction bother was exacerbated by embarrassment from experiencing PF symptoms in public. Barriers to accessing treatment for PF dysfunction included a lack of awareness about PF dysfunction following breast cancer treatments and health care professionals not focussing on the management of PF symptoms during cancer treatment. An enabler was their motivation to resume their normal pre-cancer lives. Conclusion Participants in this study reported that there needs to be more awareness about PF dysfunction in women undergoing treatment for breast cancer. They would like to receive information about PF dysfunction prior to starting cancer treatment, be screened for PF dysfunction during cancer treatment and be offered therapies for their PF dysfunction after primary cancer treatment. Therefore, a greater focus on managing PF symptoms by clinicians may be warranted in women with breast cancer.
Organisational barriers to effective pain management amongst oncology nurses in Saudi Arabia
- Alqahtani, Mohammed, Jones, Linda, Holroyd, Eleanor
- Authors: Alqahtani, Mohammed , Jones, Linda , Holroyd, Eleanor
- Date: 2015
- Type: Text , Journal article
- Relation: Journal of Hospital Administration Vol. 5, no. 1 (2015), p. 81-89
- Full Text:
- Reviewed:
- Description: Cancer pain is a multi-dimensional syndrome with a combination of acute and chronic pain that causes physical, psycho-social, behavioural, emotional and spiritual problems resulting in adverse effects on patients’ quality of life. Nurses need to be well prepared with knowledge on pain assessment and management techniques in oncology units, due to their vital role in the decision-making process regarding pain management. However, limited research has been conducted regarding nurses’ barriers regarding pain management in oncology units, especially in Saudi Arabia. The overall aim of this study was to explore the nurses’ perceived barriers that hinder the delivery of effective pain management to cancer patients. Five focus group discussions were conducted using a purposive sampling of six to eight nurses in each group, with a total of 35 oncology nurses. The results of focus group analysis revealed two main thematic categories with associated sub themes, being nurses’ workloads, and the absence of health team collaboration. This study provides an increased awareness of the barriers that may hinder the efficacy of pain management provided to cancer patients in Saudi Arabia context. Significant implications will benefit nursing practice, administration and education, in addition to identifying potential future research.
- Authors: Alqahtani, Mohammed , Jones, Linda , Holroyd, Eleanor
- Date: 2015
- Type: Text , Journal article
- Relation: Journal of Hospital Administration Vol. 5, no. 1 (2015), p. 81-89
- Full Text:
- Reviewed:
- Description: Cancer pain is a multi-dimensional syndrome with a combination of acute and chronic pain that causes physical, psycho-social, behavioural, emotional and spiritual problems resulting in adverse effects on patients’ quality of life. Nurses need to be well prepared with knowledge on pain assessment and management techniques in oncology units, due to their vital role in the decision-making process regarding pain management. However, limited research has been conducted regarding nurses’ barriers regarding pain management in oncology units, especially in Saudi Arabia. The overall aim of this study was to explore the nurses’ perceived barriers that hinder the delivery of effective pain management to cancer patients. Five focus group discussions were conducted using a purposive sampling of six to eight nurses in each group, with a total of 35 oncology nurses. The results of focus group analysis revealed two main thematic categories with associated sub themes, being nurses’ workloads, and the absence of health team collaboration. This study provides an increased awareness of the barriers that may hinder the efficacy of pain management provided to cancer patients in Saudi Arabia context. Significant implications will benefit nursing practice, administration and education, in addition to identifying potential future research.
Data mining with combined use of optimization techniques and self-organizing maps for improving risk grouping rules : Application to prostate cancer patients
- Churilov, Leonid, Bagirov, Adil, Schwartz, Daniel, Smith, Kate, Dally, Michael
- Authors: Churilov, Leonid , Bagirov, Adil , Schwartz, Daniel , Smith, Kate , Dally, Michael
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Management Information Systems Vol. 21, no. 4 (2005), p. 85-100
- Full Text:
- Reviewed:
- Description: Data mining techniques provide a popular and powerful tool set to generate various data-driven classification systems. In this paper, we investigate the combined use of self-organizing maps (SOM) and nonsmooth nonconvex optimization techniques in order to produce a working case of a data-driven risk classification system. The optimization approach strengthens the validity of SOM results, and the improved classification system increases both the quality of prediction and the homogeneity within the risk groups. Accurate classification of prostate cancer patients into risk groups is important to assist in the identification of appropriate treatment paths. We start with the existing rules and aim to improve classification accuracy by identifying inconsistencies utilizing self-organizing maps as a data visualization tool. Then, we progress to the study of assigning prostate cancer patients into homogenous groups with the aim to support future clinical treatment decisions. Using the case of prostate cancer patients grouping, we demonstrate strong potential of data-driven risk classification schemes for addressing the risk grouping issues in more general organizational settings. © 2005 M.E. Sharpe, Inc.
- Description: C1
- Description: 2003001265
- Authors: Churilov, Leonid , Bagirov, Adil , Schwartz, Daniel , Smith, Kate , Dally, Michael
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Management Information Systems Vol. 21, no. 4 (2005), p. 85-100
- Full Text:
- Reviewed:
- Description: Data mining techniques provide a popular and powerful tool set to generate various data-driven classification systems. In this paper, we investigate the combined use of self-organizing maps (SOM) and nonsmooth nonconvex optimization techniques in order to produce a working case of a data-driven risk classification system. The optimization approach strengthens the validity of SOM results, and the improved classification system increases both the quality of prediction and the homogeneity within the risk groups. Accurate classification of prostate cancer patients into risk groups is important to assist in the identification of appropriate treatment paths. We start with the existing rules and aim to improve classification accuracy by identifying inconsistencies utilizing self-organizing maps as a data visualization tool. Then, we progress to the study of assigning prostate cancer patients into homogenous groups with the aim to support future clinical treatment decisions. Using the case of prostate cancer patients grouping, we demonstrate strong potential of data-driven risk classification schemes for addressing the risk grouping issues in more general organizational settings. © 2005 M.E. Sharpe, Inc.
- Description: C1
- Description: 2003001265
- Smith, Allan, Bamgboje-Ayodele, Adeola, Butow, Phyllis, Klein, Britt, Turner, Jane, Sharpe, Louise, Fardell, Joanna, Beatty, Lisa, Pearce, Alison, Thewes, Belinda, Beith, Jane, Girgis, Afaf, iConquerFear Community Advisory, Group
- Authors: Smith, Allan , Bamgboje-Ayodele, Adeola , Butow, Phyllis , Klein, Britt , Turner, Jane , Sharpe, Louise , Fardell, Joanna , Beatty, Lisa , Pearce, Alison , Thewes, Belinda , Beith, Jane , Girgis, Afaf , iConquerFear Community Advisory, Group
- Date: 2019
- Type: Text , Journal article
- Relation: Psycho-Oncology Vol. , no. (2019), p.
- Full Text: false
- Reviewed:
- Description: Objective: To develop and evaluate the usability of iConquerFear, an online self-management adaptation of an efficacious face-to-face therapist-delivered treatment for fear of cancer recurrence (FCR). Methods: iConquerFear development was theory based and person based. Development was guided by Ritterband et al's behaviour change model for internet interventions. iConquerFear end users (cancer survivors) provided iterative feedback in accordance with Yardley et al's person-based approach to maximise engagement and usability. Online focus groups and cognitive interviews were conducted to evaluate the usability of iConquerFear. Discussions were recorded, transcribed verbatim, and thematically analysed. Results: Five online FCR modules were developed. Twenty-three cancer survivors (47% of those eligible) participated; 11/23 (58%) were breast cancer survivors, and average age was 53 years (SD = 10.8). Thematic saturation was reached after six focus groups (n = 16) and seven individual think-aloud interviews. Thematic analysis produced five overarching themes: easy navigation essential; satisfaction and engagement with content; flexible access is key; normalising and empowering; and a useful first step. Conclusions: Online self-management interventions like iConquerFear have the potential to address the unmet supportive care needs reported by burgeoning numbers of cancer survivors. However, that potential may not be realised unless interventions are rigorously developed and user tested, as benefits are constrained by limited engagement. Themes from the usability testing of iConquerFear highlight the importance of developing flexible, tailored, interactive, and contextual online self-management interventions for people with cancer. © 2019 John Wiley & Sons, Ltd.
Feasibility and preliminary efficacy of iConquerFear: a self-guided digital intervention for fear of cancer recurrence
- Smith, Allan, Bamgboje‐Ayodele, Adeola, Jegathees, Sharuja, Butow, Phyllis, Klein, Britt, Salter, Marj, Turner, Jane, Fardell, Joanne, Thewes, Belinda, Sharpe, Louise, Beatty, Lisa, Pearce, Alison, Beith, Jane, Costa, Daniel, Rincones, Orlando, Wu, Verena, Garden, Frances, Kiely, Belinda, Lim, Karen, Morstyn, Lisa, Hanley, Brigid, Hodgkin, Rosemerry, Beattie, Annette, Girgis, Afaf
- Authors: Smith, Allan , Bamgboje‐Ayodele, Adeola , Jegathees, Sharuja , Butow, Phyllis , Klein, Britt , Salter, Marj , Turner, Jane , Fardell, Joanne , Thewes, Belinda , Sharpe, Louise , Beatty, Lisa , Pearce, Alison , Beith, Jane , Costa, Daniel , Rincones, Orlando , Wu, Verena , Garden, Frances , Kiely, Belinda , Lim, Karen , Morstyn, Lisa , Hanley, Brigid , Hodgkin, Rosemerry , Beattie, Annette , Girgis, Afaf
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Cancer Survivorship Vol. 18, no. 2 (2024), p. 425-438
- Full Text:
- Reviewed:
- Description: Purpose: Approximately 50% of cancer survivors experience moderate-severe fear of cancer recurrence (FCR). Self-guided digital interventions have potential to address the high level of FCR-related unmet needs at scale, but existing digital interventions have demonstrated variable engagement and efficacy. This study aimed to evaluate the feasibility and preliminary efficacy of iConquerFear, a five-module self-guided digital FCR intervention. Methods: Eligible curatively treated breast cancer survivors were recruited. Participants reporting clinically significant FCR "From abstract"
- Description: Purpose: Approximately 50% of cancer survivors experience moderate-severe fear of cancer recurrence (FCR). Self-guided digital interventions have potential to address the high level of FCR-related unmet needs at scale, but existing digital interventions have demonstrated variable engagement and efficacy. This study aimed to evaluate the feasibility and preliminary efficacy of iConquerFear, a five-module self-guided digital FCR intervention. Methods: Eligible curatively treated breast cancer survivors were recruited. Participants reporting clinically significant FCR (
- Authors: Smith, Allan , Bamgboje‐Ayodele, Adeola , Jegathees, Sharuja , Butow, Phyllis , Klein, Britt , Salter, Marj , Turner, Jane , Fardell, Joanne , Thewes, Belinda , Sharpe, Louise , Beatty, Lisa , Pearce, Alison , Beith, Jane , Costa, Daniel , Rincones, Orlando , Wu, Verena , Garden, Frances , Kiely, Belinda , Lim, Karen , Morstyn, Lisa , Hanley, Brigid , Hodgkin, Rosemerry , Beattie, Annette , Girgis, Afaf
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Cancer Survivorship Vol. 18, no. 2 (2024), p. 425-438
- Full Text:
- Reviewed:
- Description: Purpose: Approximately 50% of cancer survivors experience moderate-severe fear of cancer recurrence (FCR). Self-guided digital interventions have potential to address the high level of FCR-related unmet needs at scale, but existing digital interventions have demonstrated variable engagement and efficacy. This study aimed to evaluate the feasibility and preliminary efficacy of iConquerFear, a five-module self-guided digital FCR intervention. Methods: Eligible curatively treated breast cancer survivors were recruited. Participants reporting clinically significant FCR "From abstract"
- Description: Purpose: Approximately 50% of cancer survivors experience moderate-severe fear of cancer recurrence (FCR). Self-guided digital interventions have potential to address the high level of FCR-related unmet needs at scale, but existing digital interventions have demonstrated variable engagement and efficacy. This study aimed to evaluate the feasibility and preliminary efficacy of iConquerFear, a five-module self-guided digital FCR intervention. Methods: Eligible curatively treated breast cancer survivors were recruited. Participants reporting clinically significant FCR (
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