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Considerations in developing and delivering a nonpharmacological intervention for symptom management in lung cancer: the views of patients and informal caregivers

Considerations in developing and delivering a nonpharmacological intervention for symptom management in lung cancer: the views of patients and informal caregivers
Considerations in developing and delivering a nonpharmacological intervention for symptom management in lung cancer: the views of patients and informal caregivers
Context. Few studies consider patient’s and caregiver’s preferences when developing nonpharmacological interventions. This is important to develop acceptable and accessible nonpharmacological interventions for patients with cancer.

Objectives. The objective of this study was to identify the views of patients with lung cancer and their informal caregivers on the desirable components of a novel nonpharmacological intervention for the management of the symptom cluster of cough, breathlessness, and fatigue, and their needs and preferences regarding uptake and delivery of the intervention.

Methods. This study was qualitative in orientation, using semistructured interviews and framework analysis to elicit the views of 37 patients with lung cancer and 23 caregivers regarding the issues that were perceived to be important regarding the development and delivery of a nonpharmacological intervention.

Results. A number of key issues were identified that carried important implications for patient participation and adherence to the intervention,including the perceived relevance of potential techniques; appreciable benefits in the short term; convenience; variation in patient preferences; timing of the intervention; venue; caregiver involvement; the provider of the intervention, and contact with other patients.

Conclusion. The data from this study have provided insight into the key issues that are likely to influence the development, uptake, and delivery of a nonpharmacological intervention to help manage the respiratory symptom cluster of cough, breathlessness, and fatigue. It is crucial that these findings are considered when developing and modeling a nonpharmacological symptom management intervention.
0885-3924
831-842
Ellis, J.
2dd4cce8-c2ae-44cd-8bda-6d877e371c2a
Wagland, R.
16a44dcc-29cd-4797-9af2-41ef87f64d08
Tischelman, C.
90c59f8f-df10-4c27-82f8-e7f6d2213e7d
Lloyd Williams, M.
5dcbaff4-d7e5-4a81-aea1-8d4f548b34bd
Bailey, C.
af803055-3a2d-42cf-813c-47558ca0a3e5
Haines, J.
5b0489b4-fb05-493a-8e65-81649f3c5bdf
Caress, A.
46fb4b99-fe08-4603-8749-0b9b7c75d9c1
Lorigan, P.
42f0a90b-b129-4d62-aa8a-0463046f563b
Smith, J.A.
15b087c0-3a1f-4a77-8bc7-af4194be76d3
Booton, R.
6af52f12-c632-4109-8719-9facf7e8adfa
Blackhall, F.
3324569f-1ad3-43a5-af97-6f1f0b3acefb
Molassiotis, A.
cddf6fdc-a8f5-49cd-bc5b-f9787889e898
Ellis, J.
2dd4cce8-c2ae-44cd-8bda-6d877e371c2a
Wagland, R.
16a44dcc-29cd-4797-9af2-41ef87f64d08
Tischelman, C.
90c59f8f-df10-4c27-82f8-e7f6d2213e7d
Lloyd Williams, M.
5dcbaff4-d7e5-4a81-aea1-8d4f548b34bd
Bailey, C.
af803055-3a2d-42cf-813c-47558ca0a3e5
Haines, J.
5b0489b4-fb05-493a-8e65-81649f3c5bdf
Caress, A.
46fb4b99-fe08-4603-8749-0b9b7c75d9c1
Lorigan, P.
42f0a90b-b129-4d62-aa8a-0463046f563b
Smith, J.A.
15b087c0-3a1f-4a77-8bc7-af4194be76d3
Booton, R.
6af52f12-c632-4109-8719-9facf7e8adfa
Blackhall, F.
3324569f-1ad3-43a5-af97-6f1f0b3acefb
Molassiotis, A.
cddf6fdc-a8f5-49cd-bc5b-f9787889e898

Ellis, J., Wagland, R., Tischelman, C., Lloyd Williams, M., Bailey, C., Haines, J., Caress, A., Lorigan, P., Smith, J.A., Booton, R., Blackhall, F. and Molassiotis, A. (2012) Considerations in developing and delivering a nonpharmacological intervention for symptom management in lung cancer: the views of patients and informal caregivers. Journal of Pain and Symptom Management, 44 (6), 831-842. (doi:10.1016/j.jpainsymman.2011.12.274). (PMID:22672922)

Record type: Article

Abstract

Context. Few studies consider patient’s and caregiver’s preferences when developing nonpharmacological interventions. This is important to develop acceptable and accessible nonpharmacological interventions for patients with cancer.

Objectives. The objective of this study was to identify the views of patients with lung cancer and their informal caregivers on the desirable components of a novel nonpharmacological intervention for the management of the symptom cluster of cough, breathlessness, and fatigue, and their needs and preferences regarding uptake and delivery of the intervention.

Methods. This study was qualitative in orientation, using semistructured interviews and framework analysis to elicit the views of 37 patients with lung cancer and 23 caregivers regarding the issues that were perceived to be important regarding the development and delivery of a nonpharmacological intervention.

Results. A number of key issues were identified that carried important implications for patient participation and adherence to the intervention,including the perceived relevance of potential techniques; appreciable benefits in the short term; convenience; variation in patient preferences; timing of the intervention; venue; caregiver involvement; the provider of the intervention, and contact with other patients.

Conclusion. The data from this study have provided insight into the key issues that are likely to influence the development, uptake, and delivery of a nonpharmacological intervention to help manage the respiratory symptom cluster of cough, breathlessness, and fatigue. It is crucial that these findings are considered when developing and modeling a nonpharmacological symptom management intervention.

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Published date: 5 June 2012
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 350721
URI: http://eprints.soton.ac.uk/id/eprint/350721
ISSN: 0885-3924
PURE UUID: 63bae43b-2bf3-4048-8c40-0b477a7eb1a2
ORCID for R. Wagland: ORCID iD orcid.org/0000-0003-1825-7587
ORCID for C. Bailey: ORCID iD orcid.org/0000-0002-7528-6264

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Date deposited: 08 Apr 2013 12:07
Last modified: 15 Mar 2024 03:35

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Contributors

Author: J. Ellis
Author: R. Wagland ORCID iD
Author: C. Tischelman
Author: M. Lloyd Williams
Author: C. Bailey ORCID iD
Author: J. Haines
Author: A. Caress
Author: P. Lorigan
Author: J.A. Smith
Author: R. Booton
Author: F. Blackhall
Author: A. Molassiotis

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