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Rebuilding self-confidence after cancer: a feasibility study of life-coaching

Rebuilding self-confidence after cancer: a feasibility study of life-coaching
Rebuilding self-confidence after cancer: a feasibility study of life-coaching
Background
Cancer survivors often experience decreased self-confidence which impacts negatively on their ability to self-manage the practical, social and emotional problems frequently faced as they emerge from end of treatment. This was a feasibility study of a life-coaching intervention, designed to rebuild confidence of survivors and support transition to life after cancer treatment.

Methods
A one group pre-test, post-test design was used, recruiting participants from community organisations. Eligibility criteria are as follows: <1 year of completion of primary cancer treatment, aged >18, no metastases, and no mental health problems. Participants received one individualised face-to-face and five telephone coaching sessions over 3 months. Outcome measures are as follows: New General Self-Efficacy Scale, Hope Scale, Personal Well-being Index, Assessment of Survivorship Concerns, Quality of Life in Adult Cancer Survivors, Hospital Anxiety and Depression Scale, Social Difficulties Index, and a goal attainment score. Interviews explored feasibility, acceptability and impact of life-coaching and research design.

Results
Nine women and two men were recruited, representing varying cancer diagnoses. All outcome measures were sensitive to change and indicated positive trends post-intervention. Participant interviews indicated the intervention was well received and had a positive impact. Lessons were learnt about study design, recruitment and intervention delivery.

Conclusions
Life-coaching has a potential to enable cancer survivors to manage the transition to life beyond cancer and effect change on a range of outcomes. The intervention was feasible to deliver and acceptable to survivors at a time when many struggle to make sense of life. It merits further evaluation through a randomised controlled trial.

0941-4355
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Fenlon, Deborah
52f9a9f1-1643-449c-9856-258ef563342c
Tarrant, Ruth
2403b34d-7f03-49ec-9810-5ee3bc667eb7
Howard-Jones, Gilly
1bf6b8d4-166a-470d-8b22-27bc66b127af
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Fenlon, Deborah
52f9a9f1-1643-449c-9856-258ef563342c
Tarrant, Ruth
2403b34d-7f03-49ec-9810-5ee3bc667eb7
Howard-Jones, Gilly
1bf6b8d4-166a-470d-8b22-27bc66b127af
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7

Wagland, Richard, Fenlon, Deborah, Tarrant, Ruth, Howard-Jones, Gilly and Richardson, Alison (2014) Rebuilding self-confidence after cancer: a feasibility study of life-coaching. Supportive Care in Cancer. (doi:10.1007/s00520-014-2399-5).

Record type: Article

Abstract

Background
Cancer survivors often experience decreased self-confidence which impacts negatively on their ability to self-manage the practical, social and emotional problems frequently faced as they emerge from end of treatment. This was a feasibility study of a life-coaching intervention, designed to rebuild confidence of survivors and support transition to life after cancer treatment.

Methods
A one group pre-test, post-test design was used, recruiting participants from community organisations. Eligibility criteria are as follows: <1 year of completion of primary cancer treatment, aged >18, no metastases, and no mental health problems. Participants received one individualised face-to-face and five telephone coaching sessions over 3 months. Outcome measures are as follows: New General Self-Efficacy Scale, Hope Scale, Personal Well-being Index, Assessment of Survivorship Concerns, Quality of Life in Adult Cancer Survivors, Hospital Anxiety and Depression Scale, Social Difficulties Index, and a goal attainment score. Interviews explored feasibility, acceptability and impact of life-coaching and research design.

Results
Nine women and two men were recruited, representing varying cancer diagnoses. All outcome measures were sensitive to change and indicated positive trends post-intervention. Participant interviews indicated the intervention was well received and had a positive impact. Lessons were learnt about study design, recruitment and intervention delivery.

Conclusions
Life-coaching has a potential to enable cancer survivors to manage the transition to life beyond cancer and effect change on a range of outcomes. The intervention was feasible to deliver and acceptable to survivors at a time when many struggle to make sense of life. It merits further evaluation through a randomised controlled trial.

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More information

e-pub ahead of print date: 27 August 2014
Published date: 27 August 2014
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 368769
URI: http://eprints.soton.ac.uk/id/eprint/368769
ISSN: 0941-4355
PURE UUID: 17808781-8900-460d-9aa7-8b73276d7138
ORCID for Richard Wagland: ORCID iD orcid.org/0000-0003-1825-7587
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755

Catalogue record

Date deposited: 11 Sep 2014 13:40
Last modified: 15 Mar 2024 03:35

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Contributors

Author: Richard Wagland ORCID iD
Author: Deborah Fenlon
Author: Ruth Tarrant
Author: Gilly Howard-Jones

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