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Preparing Cancer Patients and Family Caregivers for Lung Surgery: Development of a Multimedia Self-Management Intervention

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Abstract

The surgical treatment of lung malignancies often results in persistent symptoms, psychosocial distress, and decrements in quality of life (QOL) for cancer patients and their family caregivers (FCGs). The potential benefits of providing patients and FCGs with preparatory education that begins in the preoperative setting have been explored in multiple medical conditions, with positive impact observed on postoperative recovery, psychological distress, and QOL. However, few studies have explored the benefits of preparatory educational interventions to promote self-management in cancer surgery, including lung surgery. This paper describes the systematic approach used in the development of a multimedia self-management intervention to prepare cancer patients and their FCGs for lung surgery. Intervention development was informed by (1) contemporary published evidence on the impact of lung surgery on patients and FCG, (2) our previous research that explored QOL, symptoms, and caregiver burden after lung surgery, (3) the use of the chronic care self-management model (CCM) to guide intervention design, and (4) written comments and feedback from patients and FCGs that informed intervention development and refinement. Pilot-testing of the intervention is in process, and a future randomized trial will determine the efficacy of the intervention to improve patient, FCG, and system outcomes.

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Author information

Authors and Affiliations

  1. Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA

    Virginia Sun & Betty Ferrell

  2. Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA, USA

    Jae Y. Kim, Dan J. Raz & Loretta Erhunmwunsee

  3. Department of Anesthesiology, City of Hope, Duarte, CA, USA

    Walter Chang & Michael Lew

  4. Department of Nursing, Clinical Practice and Education, City of Hope, Duarte, CA, USA

    Carolina Uranga

  5. Department of Nursing, Solid Tumor Malignancies Program, City of Hope, Duarte, CA, USA

    Anne Marie Ireland

  6. Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, USA

    Karen Reckamp

  7. Department of Respiratory Diseases and Pulmonary Rehabilitation, City of Hope, Duarte, CA, USA

    Brian Tiep

  8. Department of Rehabilitation, City of Hope, Duarte, CA, USA

    Jennifer Hayter

  9. School of Nursing, Yale University, New Haven, CT, USA

    Ruth McCorkle

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  1. Virginia Sun
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Correspondence to Virginia Sun.

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Sun, V., Kim, J.Y., Raz, D.J. et al. Preparing Cancer Patients and Family Caregivers for Lung Surgery: Development of a Multimedia Self-Management Intervention. J Canc Educ 33, 557–563 (2018). https://doi.org/10.1007/s13187-016-1103-5

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  • DOI: https://doi.org/10.1007/s13187-016-1103-5

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