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Valjanow A, Weis J. One-to-one peer-coaching for patients with cancer - results of a pilot study. J Cancer Res Clin Oncol 2024; 150:385. [PMID: 39110146 PMCID: PMC11306543 DOI: 10.1007/s00432-024-05913-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Accepted: 07/29/2024] [Indexed: 08/10/2024]
Abstract
PURPOSE Cancer is a life threatening disease with negative impact on quality of life and psychological well-being. In international studies, one-to-one peer support and counseling have been shown to improve the psychological well-being of cancer patients. In the study presented, we developed and evaluated an innovative program of peer-coaching. In this program at the University Hospital of Freiburg, cancer survivors were trained to support peers by sharing experience. METHODS In the project, N = 25 cancer survivors were trained to conduct supportive one-to-one conversations with acute patients or patients in aftercare. Based on a prospective observational study, patients were interviewed using questionnaires before and after the conversations. We assessed expectations and experiences with the peer-coaching as well as psychosocial parameters (PHQ9, GAD7, SSUK, NCCN-distress thermometer). RESULTS A total of 52 patients had at least one contact with a peer-coach. Most of the patients attended 1-3 sessions. In total, 85 contacts pairing peer-coaches with patients were conducted. Patients showed on average a high level of distress but a low rate of psychiatric comorbidity. The supportive conversations met the patients` needs. Sharing experiences and empowerment were the most relevant benefits for the patients. Both patients and trained peers showed high satisfaction levels with the program. CONCLUSION Our findings support the feasibility and utility of a peer-coaching program in which trained cancer survivors, acting as peer-coaches, support other patients during or after their oncological treatment. In a further study, the efficacy of peer-coaching should be investigated based on a randomized-controlled trial. TRIAL REGISTRATION The trial was registered in the German Clinical Trials Register (No. DRKS DRKS00017500) on 12.12.2019.
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Affiliation(s)
- Alice Valjanow
- Comprehensive-Cancer Centre Freiburg (CCCF), Department of Self-Help Research University Clinic, Medical Faculty of the Albert-Ludwigs University, Hugstetterstr. 49, Freiburg, 79106, Germany
| | - Joachim Weis
- Comprehensive-Cancer Centre Freiburg (CCCF), Department of Self-Help Research University Clinic, Medical Faculty of the Albert-Ludwigs University, Hugstetterstr. 49, Freiburg, 79106, Germany.
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Tsatali M, Gaspar De Almeida Santos A, Makri M, Santokhie RT, Boccaletti L, Caciula I, Caciula R, Trogu G, Tsolaki M, Johansen KJ. Peer Support Workers as an Innovative Force in Advocacy in Dementia Care: A Transnational Project Delivered in Norway, Greece, Italy, and Romania. J Multidiscip Healthc 2024; 17:3155-3165. [PMID: 39006874 PMCID: PMC11245633 DOI: 10.2147/jmdh.s464195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Accepted: 06/06/2024] [Indexed: 07/16/2024] Open
Abstract
Aim Peer Support Workers (PSW) as an Innovative Force in Advocacy in Dementia Care (PIA) project aimed to create sustainable and competency-enhancing services for people with dementia by finding new ways to involve former as well as current caregivers in dementia services and, therefore, provide their valuable perspective in dementia care and daily practice. Participants and Methods In order to achieve the aforementioned goals, the first step consisted in mapping the situation existing in the partners' countries, respectively, Norway, Greece, Italy, and Romania. Subsequently, specific and well-structured training material was created with the purpose of recruiting and engaging PSW, in order to contribute to dementia services. The training material was then transferred to a digital platform addressed to PSW, people living with dementia (PwD), caregivers, and health professionals. Results The PIA project proposed the introduction of PSW in dementia care, establishing a close collaboration across the contributing countries, and trained a total of fifty potential PSW. Each country identified a specific role and function of PSW in dementia practice, according to their national particulars. The training seminars and videos proposed by the PIA project are presented in the current study and therefore helped to the distribution of significant information about the contribution of (potential) PSW in dementia care. All the results were uploaded on the platform designed to increase communication and collaboration across health professionals as well as caregivers. Conclusion The PIA project developed and designed training materials and methodologies for establishing PSW in dementia care in Norway, Greece, Italy, and Romania. PIA aims at introducing PSW in the healthcare system of the aforementioned countries, whereas future studies will elaborate on novel ways to measure the efficacy of being a PSW, as well as the benefits to stakeholders.
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Affiliation(s)
- Marianna Tsatali
- Greek Alzheimer Association and Related Disorders, Thessaloniki, Greece
- Network Aging Research, Heidelberg University, Heidelberg, Germany
- Department of Psychology, School of Humanities and Social Sciences, University of Western Macedonia, Kozani, Greece
| | | | - Marina Makri
- Greek Alzheimer Association and Related Disorders, Thessaloniki, Greece
- Department of Neurology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | | | - Ioana Caciula
- Asociatia Habilitas - Centru de Resurse si Formare Profesionala, Bucharest, Romania
| | - Rodica Caciula
- Asociatia Habilitas - Centru de Resurse si Formare Profesionala, Bucharest, Romania
| | - Giusy Trogu
- Anziani e non solo soc. coop. soc., Carpi, Italy
| | - Magda Tsolaki
- Greek Alzheimer Association and Related Disorders, Thessaloniki, Greece
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases, Aristotle, University of Thessaloniki (CIRI-Auth), Thessaloniki, Greece
| | - Karl Johan Johansen
- Kompetansesenter for brukererfaring og tjenesteutvikling, KBT, Trondheim, Norway
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Pollock MD, Ming D, Chung RJ, Maslow G. Parent-to-parent peer support for children and youth with special health care needs: Preliminary evaluation of a family partner program in a healthcare system. J Pediatr Nurs 2022; 66:6-14. [PMID: 35597132 DOI: 10.1016/j.pedn.2022.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 04/16/2022] [Accepted: 05/06/2022] [Indexed: 12/22/2022]
Abstract
PURPOSE Children and youth with special health care needs (CYSHCN) have complex care and coordination needs that are often managed by parents or primary caregivers. This study describes a parent-to-parent peer support pilot program for parents of CYSHCN implemented in both outpatient and inpatient settings across a large health system. DESIGN & METHODS Retrospective data from the Family Partner Program documentation in patient health records are described. Descriptions about the encounters and types of support provided are also reviewed using qualitative descriptive analysis. RESULTS Three Family Partners conducted 203 encounters with parents of 90 CYSHCN over six months. Family Partners provided both emotional and tangible support. Primary themes discussed included the persistent care, coordination and management needs related to parenting a child with complex care needs, the subsequent worry and stress about their child and family, and the need for stress management and self-care. CONCLUSION This study provides early evidence that implementation of a parent-to-parent peer support program for parents of CYSHCN in a large, academic medical center is feasible. Family Partners enhanced their healthcare team's ability to provide patient- and family-centered support for pediatric patients and their families through the provision of emotional and tangible support. PRACTICE IMPLICATIONS Family Partners, who are trained in effective use of the shared experience, the health coach model, and healthcare systems, and who are supported by a strong supervisory team, are ideally suited to support families and patients as they address their concerns and unmet needs and navigate complex health circumstances.
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Affiliation(s)
- McLean D Pollock
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America.
| | - David Ming
- Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States of America
| | - Richard J Chung
- Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States of America
| | - Gary Maslow
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America; Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States of America
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Carter G, Monaghan C, Santin O. What is known from the existing literature about peer support interventions for carers of individuals living with dementia: A scoping review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:1134-1151. [PMID: 31919974 DOI: 10.1111/hsc.12944] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 12/16/2019] [Accepted: 12/16/2019] [Indexed: 06/10/2023]
Abstract
This scoping review comprehensively describes evidence of using peer support to assist informal carers of individuals with dementia (any type). A systematic search of 11 databases (CINAHL, Cochrane Library, Medline, Embase, PsychInfo, Web of Science, Scopus, Science Direct, ProQuest, TRIP and PubMed) was conducted for research published between 2007-2017 focussing on informal dementia carers, and research designs with interventions incorporating or consisting exclusively of peer support. Authors worked independently to screen retrieved articles, review applicability and extract data. Thirty-six research papers (representing 28 original studies) were identified, from these, two modes of delivery were demonstrated: 12 studies provided the intervention online, and the remainder face-to-face. The review indicated that peer support is of potential benefit to carers if it is delivered via either mode. It is not clear what components may or may not be effective as results provided a mixed landscape of differing intervention effectiveness due to the wide variation in outcome measurements. Trial design using a multi-component intervention was the predominant choice, with the most common components being Information Sharing and Non-Healthcare Professional Support for both delivery modes. The burden/anxiety/depression compendium and health and well-being were the most frequently measured outcomes; perceived level of support was one of the least. The peer support interventions identified included various components, demonstrating no true best practice model. Nonetheless, they can be offered successfully online or face-to-face. This provides a unique opportunity to develop and supply tailored peer support interventions for informal dementia carers to ensure their specific needs are met. Further work is required to construct and evaluate the effectiveness of targeted peer-led support whether online or face-to-face to meet the individual needs of dementia carers.
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Affiliation(s)
- Gillian Carter
- School of Nursing and Midwifery, Queen's University, Belfast, UK
| | | | - Olinda Santin
- School of Nursing and Midwifery, Queen's University, Belfast, UK
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Santin O, McShane T, Hudson P, Prue G. Using a six-step co-design model to develop and test a peer-led web-based resource (PLWR) to support informal carers of cancer patients. Psychooncology 2019; 28:518-524. [PMID: 30597666 PMCID: PMC6590360 DOI: 10.1002/pon.4969] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Revised: 11/28/2018] [Accepted: 12/13/2018] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To co-design and test the acceptability of a peer-led web-based resource (PLWR) for cancer carers to provide practical and emotional advice on common issues. METHODS A six-step co-design model informed PLWR development. Content was developed through three cancer carer workshops and monthly meetings with an expert advisory team (n = 12). User-testing was conducted via web-based survey and telephone interview. Descriptive statistics and thematic analysis were utilised. Google analytics explored site visits, commonly used components, and time spent using the PLWR. RESULTS The PLWR was developed to deliver cancer carer information tailored to each stage of the illness trajectory regardless of cancer type, in the form of videoed personal experiences. From November to May 2018, there were 2789 unique visits to the PLWR with 743 returners. The majority of time was spent on the full unclipped peer stories (414 views), and diagnosis-specific information (159 views), with less time spent on bereavement, cancer treatment, or self-care (120 views each). Fifty-five individuals completed the resource evaluation, with 10 participating in telephone interviews. Fifty-four carers rated the resource as excellent, useful, and easy to use. The web-based videos were regarded as convenient as and less burdensome than written information. The resource provided relevant information, potentially reducing isolation and uncertainty. CONCLUSION The content and design of the PLWR appear acceptable to cancer carers. The co-design model is an effective way to develop appropriate information for service users and could be utilised as a framework for development of other interventions in a variety of disease groups.
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Affiliation(s)
- Olinda Santin
- School of Nursing and MidwiferyQueen's University Belfast, Medical Biology CentreBelfastUK
| | - Theresa McShane
- School of Nursing and MidwiferyQueen's University Belfast, Medical Biology CentreBelfastUK
| | - Peter Hudson
- The University of Melbourne, Centre for Palliative Care, St Vincent's HospitalMelbourneAustralia
| | - Gillian Prue
- School of Nursing and MidwiferyQueen's University Belfast, Medical Biology CentreBelfastUK
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Copeland L, Merrett L, McQuire C, Grant A, Gobat N, Tedstone S, Playle R, Channon S, Sanders J, Phillips R, Hunter B, Brown A, Fitzsimmons D, Robling M, Paranjothy S. Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention. MATERNAL AND CHILD NUTRITION 2018; 15:e12703. [PMID: 30246923 DOI: 10.1111/mcn.12703] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 09/11/2018] [Accepted: 09/12/2018] [Indexed: 11/29/2022]
Abstract
An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peer-support intervention informed by motivational interviewing (MI; Mam-Kind). Peer-supporters were trained to deliver the Mam-Kind intervention that provided intensive one-to-one peer-support, including (a) antenatal contact, (b) face-to-face contact within 48 hr of birth, (c) proactive (peer-supporter led) alternate day contact for 2 weeks after birth, and (d) mother-led contact for a further 6 weeks. Peer-supporters completed structured diaries and audio-recorded face-to-face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peer-supporters. Interview data were analysed thematically to assess intervention acceptability. Audio-recorded peer-support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peer-supporters delivered the Mam-Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peer-supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peer-supporters reported difficulties in adapting from an expert-by-experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peer-support using a MI-informed approach. Refinement of the intervention is needed to further develop peer-supporters' skills in providing mother-centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial.
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Affiliation(s)
- Lauren Copeland
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Laura Merrett
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Cheryl McQuire
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Aimee Grant
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | - Nina Gobat
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Sally Tedstone
- Royal United Hospitals Bath, NHS Foundation Trust, Bath, UK
| | - Rebecca Playle
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | - Sue Channon
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | - Julia Sanders
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | - Rhiannon Phillips
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Billie Hunter
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | - Amy Brown
- Department of Public Health, Policy and Social Sciences, Swansea University, Swansea, UK
| | - Deborah Fitzsimmons
- Department of Public Health, Policy and Social Sciences, Swansea University, Swansea, UK
| | | | - Shantini Paranjothy
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
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Allicock M, Haynes-Maslow L, Johnson LS, Carpenter WR, Vines AI, Belle DG, Phillips R, Cherry MW. Peer Connect for African American breast cancer survivors and caregivers: a train-the-trainer approach for peer support. Transl Behav Med 2018; 7:495-505. [PMID: 28425087 DOI: 10.1007/s13142-017-0490-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Racial disparities in breast cancer survivorship are a major concern nationally. How survivors cope with cancer and re-frame their lives is a critical part of survivorship. Community-academic research partnerships may facilitate access to much-needed psychosocial support for African American survivors and caregivers in rural areas, but drivers of successful intervention implementation are not well understood. The purpose of this study was to describe the training and evaluation of Community Coaches and Guides (i.e., peer supporters) using the Peer Connect program for African American breast cancer survivors and caregivers. Community engagement strategies were used to implement the training component of Peer Connect, an evidence-based program grounded in the Diffusion of Innovation Theory utilizing motivational interviewing techniques (MI) and a "train-the-trainer" model. Quantitative and qualitative methods examined implementation outcomes of feasibility, MI fidelity, and acceptability-precursor outcomes that must be achieved before examining intervention impact vis-à-vis changes in support care. Training was feasible to implement and replicable by the trained Community Coaches. Beyond feasibility and replicability, success was modest regarding MI fidelity. Benefits (e.g., serving as role models and having safe sources of support) and lessons learned (e.g., need for additional quality control) were identified as both facilitators and barriers to implementation and as factors that could impact the effectiveness of community-engaged programs to improve survivorship outcomes. Peer Connect, like other programs that employ community-engagement strategies, holds promise to meet the psychosocial support needs of diverse rural cancer survivor populations.
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Affiliation(s)
- Marlyn Allicock
- School of Public Health, Department of Health Promotion and Behavioral Sciences, The University of Texas, 5323 Harry Hines, V8.112, Dallas, TX, 75390-9128, USA.
| | - Lindsey Haynes-Maslow
- Department of Youth, Family, and Community Sciences College of Agriculture and Life Sciences, North Carolina State University, Raleigh, NC, 27695, USA
| | - La-Shell Johnson
- Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | | | - Anissa I Vines
- University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - Denise G Belle
- Rural Health Group, Inc, 500 Jackson St, Roanoke Rapids, NC, 27870, USA
| | - Ray Phillips
- Vidant Edgecombe Hospital, 111 Hospital Dr a, Tarboro, NC, 27886, USA
| | - Michele W Cherry
- Vidant Edgecombe Hospital, 111 Hospital Dr a, Tarboro, NC, 27886, USA
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Haynes-Maslow L, Allicock M, Johnson LS. Peer support preferences among African-American breast cancer survivors and caregivers. Support Care Cancer 2016; 25:1511-1517. [PMID: 28032217 DOI: 10.1007/s00520-016-3550-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Accepted: 12/20/2016] [Indexed: 10/20/2022]
Abstract
PURPOSE Breast cancer mortality rates continue to improve due to advances in cancer control and treatment. However, gains in breast cancer survival rates vary by race. Psychosocial support systems can lead to improved health outcomes among cancer survivors. This study was a part of a larger study exploring the challenges that both African-American cancer survivors and caregivers face across the cancer continuum. The objective of this paper was to explore African-American breast cancer survivors' and caregivers' preferences regarding characteristics and qualities of Peer Connect guides to inform the development of a peer support program. METHODS Forty-one African-American cancer survivors and caregivers participated in five focus groups lasting approximately 90 min. Participants were asked about what qualities or characteristics they would prefer in a peer support guide to make them feel comfortable talking with them. Focus group transcripts were analyzed using thematic content analysis, an iterative coding process. Themes were identified based on the research team's integrated and unified final codes. RESULTS Twenty-two cancer survivors, 19 caregivers, and 3 individuals who were both survivors and caregivers participated in the focus groups. Participants discussed five preferences for peer support guides: (1) competency, (2) gender, (3) age, (4) cancer role status, and (5) relationship to participant. CONCLUSIONS This study highlights cancer survivors' and caregivers' perceptions of characteristics needed for peer support providers that in turn can influence whether and how they participate in cancer support programs.
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Affiliation(s)
- Lindsey Haynes-Maslow
- Department of Agricultural and Human Sciences, North Carolina State University, Campus Box 7606, Raleigh, NC, 27695, USA.
| | - Marlyn Allicock
- Department of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas, Austin, USA
| | - La-Shell Johnson
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Austin, USA
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Allicock M, Golin CE, Kaye L, Grodensky C, Blackman LT, Thibodeaux H. SafeTalk: Training Peers to Deliver a Motivational Interviewing HIV Prevention Program. Health Promot Pract 2016; 18:410-417. [PMID: 27519260 DOI: 10.1177/1524839916663486] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
As multiple effective interventions emerge to reduce the spread of HIV, there is a need to implement and disseminate such programs cost-effectively, such as by expanding service delivery through integration of peer supporters. The benefits of peer support are well established. However, knowledge about peer counseling initiatives remain limited. This pilot study tested the feasibility, fidelity, and acceptability of a motivational interviewing (MI) counseling training with individuals living with HIV to serve as peer counselors in order to address medication adherence and safer sex. We adapted, SafeTalk, an evidence-based intervention previously delivered by health professionals to reduce risky sexual behaviors among people living with HIV. We trained six peers in a 5-day program (24 hours total) over a 2-month period. We used a combination of training observation, pre-and posttests, debriefing, and the Motivational Interviewing Treatment Integrity (MITI 3.1) scale 3.1 to assess implementation of the training. Results suggest the program was feasible, and there was positive acceptability. However, fidelity to MI was poor. While participants were dedicated and enthusiastic about the training and able to learn some skills and demonstrate the "spirit of MI," they had difficulty with reflecting and moving away from giving direct advice. Training challenges and successes are discussed.
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Affiliation(s)
| | - Carol E Golin
- 2 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Spencer JC, Wheeler SB. A systematic review of Motivational Interviewing interventions in cancer patients and survivors. PATIENT EDUCATION AND COUNSELING 2016; 99:1099-1105. [PMID: 26879805 DOI: 10.1016/j.pec.2016.02.003] [Citation(s) in RCA: 100] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Revised: 02/02/2016] [Accepted: 02/05/2016] [Indexed: 05/10/2023]
Abstract
OBJECTIVE To explore the use of Motivational Interviewing (MI) interventions among cancer patients and survivors, and determine aspects of intervention design that are common across successful MI interventions for this population. METHODS We conducted a systematic review of studies addressing behavior change in cancer patients or survivors using Motivational Interviewing techniques. Studies were categorized into three groups based on behavioral outcome; lifestyle behaviors, psychosocial outcomes, and cancer-related symptom management. RESULTS We included 15 studies in our analysis. Studies addressed behaviors such as diet, exercise, smoking cessation, cancer-related stress, and fatigue management. Counseling sessions varied in frequency and method of delivery, although telephone-based interventions were common. Trained oncology nurses often delivered MI sessions, and the majority of interventions included quality assessment to verify fidelity of MI techniques. CONCLUSION Solid evidence exists for the efficacy of MI to address lifestyle behaviors as well as the psychosocial needs of cancer patients and survivors. More research is needed on the use of MI for self-management of cancer-related symptoms. PRACTICE IMPLICATIONS Motivational Interviewing is a promising technique for addressing many types of behavior change in cancer patients or survivors. Intervention design must be sensitive to cancer type, phase of care, and complexity of desired behavior.
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Affiliation(s)
- Jennifer C Spencer
- Department of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, CB #7411 McGavran Greenberg Hall, Chapel Hill, NC 27599-7411, United States.
| | - Stephanie B Wheeler
- Department of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, CB #7411 McGavran Greenberg Hall, Chapel Hill, NC 27599-7411, United States; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 450 West Drive CB #7295, Chapel Hill, NC 27599-7295, United States
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Allicock M, Carr C, Johnson LS, Smith R, Lawrence M, Kaye L, Gellin M, Manning M. Implementing a one-on-one peer support program for cancer survivors using a motivational interviewing approach: results and lessons learned. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2014; 29:91-8. [PMID: 24078346 PMCID: PMC4066630 DOI: 10.1007/s13187-013-0552-3] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Peer Connect matches cancer survivors and caregivers (guides) with those currently experiencing cancer-related issues seeking support (partners). Motivational interviewing (MI)-based communication skills are taught to provide patient-centered support. There is little guidance about MI-based applications with cancer survivors who may have multiple coping needs. This paper addresses the results and lessons learned from implementing Peer Connect. Thirteen cancer survivors and two caregivers received a 2-day MI, DVD-based training along with six supplemental sessions. Nineteen partners were matched with guides and received telephone support. Evaluation included guide skill assessment (Motivational Interviewing Treatment Integrity Code) and 6-month follow-up surveys with guides and partners. Guides demonstrated MI proficiency and perceived their training as effective. Guides provided on average of five calls to each partner. Conversation topics included cancer fears, family support needs, coping and care issues, and cancer-related decisions. Partners reported that guides provided a listening ear, were supportive, and nonjudgmental. Limited time availability of some guides was a challenge. MI can provide support for cancer survivors and caregivers without specific behavioral concerns (e.g., weight and smoking). An MI support model was both feasible and effective and can provide additional support outside of the medical system.
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Affiliation(s)
- Marlyn Allicock
- School of Public Health, Division of Health Promotion and Behavioral Sciences, The University of Texas, 5323 Harry Hines, V8.112, Dallas, TX 75390-9128, USA
| | - Carol Carr
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - La-Shell Johnson
- Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | | | | | - Leanne Kaye
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - Mindy Gellin
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - Michelle Manning
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
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Macdonald P, Hibbs R, Rhind C, Harrison A, Goddard E, Raenker S, Todd G, Treasure J. Disseminating skills to carers of people with eating disorders: an examination of treatment fidelity in lay and professional carer coaches. Health Psychol Behav Med 2014; 2:555-564. [PMID: 25750802 PMCID: PMC4346011 DOI: 10.1080/21642850.2014.908716] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2013] [Accepted: 03/19/2014] [Indexed: 11/03/2022] Open
Abstract
Family members of people with eating disorders (EDs) have high levels of stress and can use maladaptive methods of coping. We have developed an intervention, using motivational interviewing (MI) strategies that trains lay and professional carer coaches (CCs) to support carers of adolescents with EDs to use more adaptive coping procedures. The aim of this study is to measure treatment integrity in coaches with either academic or lived experience. Eleven coaches were trained and supervised by an expert trainer and an 'expert by experience' trainer. Six of the coaches had prior training in clinical work and/or psychology and five had personal experience of supporting a loved one with an ED. Two audio-taped sessions (Sessions 3 and 7) from each family coached (n = 22) were assessed for fidelity to MI. Half the sessions (50% n = 11) had a Motivational Interviewing Treatment Integrity global score above the suggested cut-off for recommended competency. Prior clinical training was related to higher treatment fidelity and experiential training (having coached a greater number of families) improved treatment fidelity in the lay carer group. These preliminary findings suggest that: "lay CCs" can be trained to deliver an intervention based on MI. Further exploration of a more effective means of training, monitoring and supervision is required to maximise the quality of the intervention.
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Affiliation(s)
- Pamela Macdonald
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Rebecca Hibbs
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Charlotte Rhind
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Amy Harrison
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Elizabeth Goddard
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Simone Raenker
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Gill Todd
- South London & Maudsley NHS Trust, London, UK
| | - Janet Treasure
- Eating Disorders Unit, Institute of Psychiatry, King's College London, The Basement, PO59, 103 Denmark Hill, LondonSE5 8AF, UK
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