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Deconstruction of Nurse-Delivered Patient Self-Management Interventions for Symptom Management: Factors Related to Delivery Enactment and Response

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

This research examines the processes by which patient self-management interventions are related to symptom responses among cancer patients. A total of 333 patients from two randomized clinical trials were combined. Each patient received a six-contact 8-week patient self-management intervention delivered by a nurse to address symptoms. Nurses’ decisions to deliver the strategies, patient enactment of strategies, and their success were investigated using patient- and symptom-level characteristics. Generalized estimating equation modeling accounted for clustering of symptoms and strategies delivered for each symptom within patient. Patient self-management intervention strategies were classified into four classes. Strategies were delivered by nurses for symptoms with higher interference and longer duration. Patient and symptom factors were related to enactment strategies. Symptom responses were related to number of strategies tried by patients. Delivery and enactment of strategies were related to both patient and symptom characteristics.

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Acknowledgement of Research Support

National Cancer Institute Grant #RO1 CA30724

Automated Telephone Monitoring for Symptom Management, Charles Given, PI, Barbara Given, Co-PI

In Affiliation with the Walther Cancer Institute Indianapolis, IN

Author information

Authors and Affiliations

  1. Department of Family Medicine, Michigan State University, East Lansing, MI, USA

    Charles W. Given Ph.D.

  2. College of Nursing, Michigan State University, East Lansing, MI, USA

    Barbara A. Given Ph.D., R.N., F.A.A.N. & Mei You M.S.

  3. Department of Statistics and Probability, Michigan State University, East Lansing, MI, USA

    Alla Sikorskii Ph.D.

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

    Sangchoon Jeon Ph.D. & Ruth McCorkle Ph.D., F.A.A.N.

  5. School of Nursing, Indiana University, Indianapolis, IN, USA

    Victoria Champion D.N.S.

  6. B108 Clinical Center, East Lansing, MI, 48824, USA

    Charles W. Given Ph.D.

Authors
  1. Charles W. Given Ph.D.
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  2. Barbara A. Given Ph.D., R.N., F.A.A.N.
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  3. Alla Sikorskii Ph.D.
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  4. Mei You M.S.
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  5. Sangchoon Jeon Ph.D.
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  6. Victoria Champion D.N.S.
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  7. Ruth McCorkle Ph.D., F.A.A.N.
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Corresponding author

Correspondence to Charles W. Given Ph.D..

Appendix 1

Appendix 1

Five Most Frequent Strategies by Category, for Fatigue

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Given, C.W., Given, B.A., Sikorskii, A. et al. Deconstruction of Nurse-Delivered Patient Self-Management Interventions for Symptom Management: Factors Related to Delivery Enactment and Response. ann. behav. med. 40, 99–113 (2010). https://doi.org/10.1007/s12160-010-9191-7

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  • DOI: https://doi.org/10.1007/s12160-010-9191-7

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