Adapting a palliative care-focused cancer self- and family management intervention for use in Israel.

Dena Schulman-Green, Shelli L Feder, David Collett, Eliana M Aaron, Yafa Haron, Yael Eilon, Hanna Admi
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Abstract

Background: In Israel, there is a need to improve quality of life and health outcomes among patients and families facing cancer. Increasing awareness of, literacy about, and availability of palliative care may further this goal.

Aims: This study aimed to adapt a palliative care-focused cancer self- and family management intervention developed in the US for use in Israel.

Methods: The Managing Cancer Care (MCC) psycho-educational intervention is comprised of Managing Cancer Care: A Personal Guide (MCC-PT©) for patients and Managing Cancer Care: A Caregiver's Guide (MCC-CG©) for family caregivers. Following translation into Hebrew, an expert panel of Israeli nurses edited the MCC tool for cultural relevance. The authors then conducted qualitative interviews with patients with breast cancer and their family caregivers to obtain feedback. Data were analysed using qualitative content analysis.

Findings: Following recommendations from Israeli experts in oncology and/or palliative care (n=3), the authors revised intervention content specific to the US healthcare system and culture. Patients' (n=13) and family caregivers' (n=10) reported MCC as attractive (70%, 80%), topically relevant (80%, 70%), and culturally appropriate, but felt that palliative care resources should be more Israel-specific.

Conclusion: The MCC tool is acceptable to potential users, warranting further pilot-testing.

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适应以姑息治疗为重点的癌症自我和家庭管理干预在以色列的使用。
背景:在以色列,有必要改善癌症患者及其家属的生活质量和健康结果。提高对姑息治疗的认识、读写能力和可得性可能会进一步实现这一目标。目的:本研究旨在将美国开发的以姑息治疗为重点的癌症自我和家庭管理干预措施应用于以色列。方法:“癌症护理管理”(MCC)心理教育干预包括针对患者的“癌症护理管理:个人指南”(MCC- pt©)和针对家庭照顾者的“癌症护理管理:照顾者指南”(MCC- cg©)。在翻译成希伯来语之后,一个由以色列护士组成的专家小组编辑了与文化相关的MCC工具。作者随后对乳腺癌患者及其家庭护理人员进行了定性访谈,以获得反馈。采用定性内容分析法对资料进行分析。研究结果:根据以色列肿瘤学和/或姑息治疗专家(n=3)的建议,作者修改了针对美国医疗体系和文化的干预内容。患者(n=13)和家庭照护者(n=10)认为MCC具有吸引力(70%,80%),与主题相关(80%,70%),文化适宜,但认为姑息治疗资源应更具以色列特异性。结论:MCC工具对潜在用户是可以接受的,需要进一步的试点测试。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
自引率
10.00%
发文量
65
期刊介绍: Since its launch in 1995, International Journal of Palliative Nursing (IJPN) has been committed to promoting excellence in palliative and hospice care. It is now established as the leading journal for nurses working in this most demanding profession, covering all aspects of palliative care nursing in a way which is intelligent, helpful and accessible, and so useful in daily practice. The aim of IJPN is to provide nurses with essential information to help them deliver the best possible care and support for their patients. Each issue contains an unparalleled range of peer-reviewed clinical, professional and educational articles, as well as helpful and informative information on practical, legal and policy issues of importance to all palliative nurses.
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