Caroline S. Dorfman, T. Somers, R. Shelby, Joseph G. Winger, Michele L. Patel, G. Kimmick, L. Craighead, F. Keefe
Background Weight gain is common for breast cancer survivors and associated with disease progression, recurrence, and mortality. Traditional behavioral programs fail to address symptoms (i.e., pain, fatigue, distress) experienced by breast cancer survivors that may interfere with weight loss and fail to capitalize on the concordance in weight-related health behaviors of couples. This study aimed to develop and examine the feasibility and acceptability of a behavioral weight and symptom management intervention for breast cancer survivors and their intimate partners. Materials and Methods Interviews were conducted with N=14 couples with overweight/obesity to develop the intervention. Intervention feasibility and acceptability were examined through a single-arm pilot trial (N=12 couples). Patterns of change in intervention targets were examined for survivors and partners. Results Themes derived from interviews were used to develop the 12-session couple-based intervention, which included components from traditional behavioral weight management interventions, appetite awareness training, and cognitive and behavioral symptom management protocols. Couples also worked together to set goals, create plans for health behavior change, and adjust systemic and relationship barriers to weight loss. Examples were tailored to the experiences and symptom management needs of breast cancer survivors and partners. The intervention demonstrated feasibility (attrition: 8%; session completion: 88%) and acceptability (satisfaction). Survivors and partners experienced reductions in weight and improvements in physical activity, eating behaviors, emotional distress, and self-efficacy. Survivors evidenced improvements in fatigue and pain. Conclusions A behavioral weight and symptom management intervention for breast cancer survivors and partners is feasible, acceptable, and is potentially efficacious.
{"title":"DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS","authors":"Caroline S. Dorfman, T. Somers, R. Shelby, Joseph G. Winger, Michele L. Patel, G. Kimmick, L. Craighead, F. Keefe","doi":"10.48252/JCR57","DOIUrl":"https://doi.org/10.48252/JCR57","url":null,"abstract":"Background Weight gain is common for breast cancer survivors and associated with disease progression, recurrence, and mortality. Traditional behavioral programs fail to address symptoms (i.e., pain, fatigue, distress) experienced by breast cancer survivors that may interfere with weight loss and fail to capitalize on the concordance in weight-related health behaviors of couples. This study aimed to develop and examine the feasibility and acceptability of a behavioral weight and symptom management intervention for breast cancer survivors and their intimate partners. Materials and Methods Interviews were conducted with N=14 couples with overweight/obesity to develop the intervention. Intervention feasibility and acceptability were examined through a single-arm pilot trial (N=12 couples). Patterns of change in intervention targets were examined for survivors and partners. Results Themes derived from interviews were used to develop the 12-session couple-based intervention, which included components from traditional behavioral weight management interventions, appetite awareness training, and cognitive and behavioral symptom management protocols. Couples also worked together to set goals, create plans for health behavior change, and adjust systemic and relationship barriers to weight loss. Examples were tailored to the experiences and symptom management needs of breast cancer survivors and partners. The intervention demonstrated feasibility (attrition: 8%; session completion: 88%) and acceptability (satisfaction). Survivors and partners experienced reductions in weight and improvements in physical activity, eating behaviors, emotional distress, and self-efficacy. Survivors evidenced improvements in fatigue and pain. Conclusions A behavioral weight and symptom management intervention for breast cancer survivors and partners is feasible, acceptable, and is potentially efficacious.","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76063718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prehabilitation is a clinical model that introduces components of rehabilitation to patients prior to undergoing intensive medical interventions, such as surgery, in order to optimize function and improve tolerability to the intervention. Cancer care introduces a continuum of sequential or concurrent intensive anti-neoplastic medical interventions that are known to be detrimental to a patient's function. Prehabilitation evidence has grown across several areas of oncology care delivery demonstrating that a multi-modal rehabilitative intervention, delivered prior to oncology-direct therapies, leads to better functional outcomes and improves important endpoints associated with surgery and cancer treatment. This commentary article provides a brief history of the emergence of prehabilitation in cancer care delivery, reviews the current evidence base and guidelines for prehabilitation, and offers insights for future implementation of this model as a standard in oncology care. A prehabilitation program is an optimal starting point for most patients undergoing anti-neoplastic therapy as it serves as a gateway to improving functional outcomes throughout the cancer continuum. Future research in prehabilitation should aim to reach beyond measuring functional outcomes and to explore the impact of this model on important disease treatment endpoints such as tumor response to oncology-directed treatment, impact on treatment-related toxicities, and disease progression.
{"title":"Prehabilitation is the Gateway to Better Functional Outcomes for Individuals with Cancer.","authors":"Nicole L Stout, Jack B Fu, Julie K Silver","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prehabilitation is a clinical model that introduces components of rehabilitation to patients prior to undergoing intensive medical interventions, such as surgery, in order to optimize function and improve tolerability to the intervention. Cancer care introduces a continuum of sequential or concurrent intensive anti-neoplastic medical interventions that are known to be detrimental to a patient's function. Prehabilitation evidence has grown across several areas of oncology care delivery demonstrating that a multi-modal rehabilitative intervention, delivered prior to oncology-direct therapies, leads to better functional outcomes and improves important endpoints associated with surgery and cancer treatment. This commentary article provides a brief history of the emergence of prehabilitation in cancer care delivery, reviews the current evidence base and guidelines for prehabilitation, and offers insights for future implementation of this model as a standard in oncology care. A prehabilitation program is an optimal starting point for most patients undergoing anti-neoplastic therapy as it serves as a gateway to improving functional outcomes throughout the cancer continuum. Future research in prehabilitation should aim to reach beyond measuring functional outcomes and to explore the impact of this model on important disease treatment endpoints such as tumor response to oncology-directed treatment, impact on treatment-related toxicities, and disease progression.</p>","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765744/pdf/nihms-1766318.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39835017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.1007/978-3-030-44462-4_11
Michael D. Stubblefield, K. Chou, Nabela Enam
{"title":"Radiation Fibrosis Syndrome","authors":"Michael D. Stubblefield, K. Chou, Nabela Enam","doi":"10.1007/978-3-030-44462-4_11","DOIUrl":"https://doi.org/10.1007/978-3-030-44462-4_11","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75494011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.1007/978-3-030-44462-4_2
K. Power, A. Khanna
{"title":"Breast Cancer Rehabilitation","authors":"K. Power, A. Khanna","doi":"10.1007/978-3-030-44462-4_2","DOIUrl":"https://doi.org/10.1007/978-3-030-44462-4_2","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74405452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01Epub Date: 2020-02-12DOI: 10.48252/JCR2
Amy H Ng, Jack B Fu, Karissa L Nedoma, Eduardo Bruera
Hospitals and rehabilitation centers around the world have been impacted by the novel coronavirus SARS-CoV-2 (COVID-19). Lockdown measures and strict quarantine from the COVID-19 pandemic has caused a shift in health care delivery to our patients. Additionally, the increased bed availability for Covid positive patients resulted in many rehabilitation beds being converted to acute medical beds. It also changed visitor policies to the hospital, which meant caregivers were completely absent and unavailable for the usual traditional in-person learning and training. We aim to describe barriers of discharging patients safely home during this pandemic and propose potential virtual and hybrid solutions to aid in training for safe discharges home for all hospitalized patients.
{"title":"Impact of COVID-19 on Acute Inpatient Rehabilitation Caregiver Training.","authors":"Amy H Ng, Jack B Fu, Karissa L Nedoma, Eduardo Bruera","doi":"10.48252/JCR2","DOIUrl":"https://doi.org/10.48252/JCR2","url":null,"abstract":"<p><p>Hospitals and rehabilitation centers around the world have been impacted by the novel coronavirus SARS-CoV-2 (COVID-19). Lockdown measures and strict quarantine from the COVID-19 pandemic has caused a shift in health care delivery to our patients. Additionally, the increased bed availability for Covid positive patients resulted in many rehabilitation beds being converted to acute medical beds. It also changed visitor policies to the hospital, which meant caregivers were completely absent and unavailable for the usual traditional in-person learning and training. We aim to describe barriers of discharging patients safely home during this pandemic and propose potential virtual and hybrid solutions to aid in training for safe discharges home for all hospitalized patients.</p>","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929083/pdf/nihms-1669352.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25433436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Survey of Cancer Rehabilitation Professionals Regarding Emerging Topics in the Field.","authors":"Jack B Fu, Paolo Tralongo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473059/pdf/nihms-1612345.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38359502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.1007/978-3-030-44462-4_10
G. Syrkin
{"title":"Cancer of the Skin","authors":"G. Syrkin","doi":"10.1007/978-3-030-44462-4_10","DOIUrl":"https://doi.org/10.1007/978-3-030-44462-4_10","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90754576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.1007/978-3-030-44462-4
Jennifer Baima, Ashish Khanna, Julie K. Silver
{"title":"Cancer Rehabilitation: A Concise and Portable Pocket Guide","authors":"Jennifer Baima, Ashish Khanna, Julie K. Silver","doi":"10.1007/978-3-030-44462-4","DOIUrl":"https://doi.org/10.1007/978-3-030-44462-4","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79118470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1891/9780826121646.0017
Katarzyna Ibanez, L. Deangelis
{"title":"Evaluation and Management of Primary Central Nervous System Tumors","authors":"Katarzyna Ibanez, L. Deangelis","doi":"10.1891/9780826121646.0017","DOIUrl":"https://doi.org/10.1891/9780826121646.0017","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84230364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1891/9780826121646.0034
S. Raman, Julia R. Broussard
{"title":"Endocrine Complications of Cancer and Their Treatment","authors":"S. Raman, Julia R. Broussard","doi":"10.1891/9780826121646.0034","DOIUrl":"https://doi.org/10.1891/9780826121646.0034","url":null,"abstract":"","PeriodicalId":87295,"journal":{"name":"Journal of cancer rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86922731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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