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Hybrid Tele and In-Clinic Occupation Based Intervention to Improve Women’s Daily Participation after Breast Cancer: A Pilot Randomized Controlled Trial

Author

Listed:
  • Khawla Loubani

    (Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, Haifa 31905, Israel
    Clalit Health Services, Haifa and Western Galilee, Tel Aviv 62098, Israel)

  • Rachel Kizony

    (Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, Haifa 31905, Israel
    Sheba Medical Center, Department of Occupational Therapy, Tel Hashomer, Ramat Gan 52621, Israel
    They contributed equally to this article.)

  • Uzi Milman

    (Clalit Health Services, Haifa and Western Galilee, Tel Aviv 62098, Israel)

  • Naomi Schreuer

    (Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, Haifa 31905, Israel
    They contributed equally to this article.)

Abstract

Background: Women after breast cancer (BC) cope with decreased daily participation and quality of life (QOL) due to physical, cognitive, and emotional symptoms. This study examined a hybrid occupation-based intervention, Managing Participation with Breast Cancer (MaP-BC), to improve daily participation in their meaningful activities. Methods: Thirty-five women after BC phase were randomly allocated to the MaP-BC intervention ( n = 18) or control ( n = 17) group (standard care only). Assessments were administered at baseline (T1), 6-week (T2), and 12-week (T3) post-T1. Main outcome: perceived performance and performance-satisfaction with meaningful activities according to the Canadian Occupational Performance Measure. Secondary outcomes: retained activity levels (Activity Card Sort), QOL (Functional Assessment of Cancer Therapy-Breast), cognitive abilities (Montreal Cognitive Assessment and Behavior Rating Inventory of Executive Function), and upper-extremity functioning (Disability of Arm, Shoulder, Hand). Results showed significant interaction (group x time) effects for the primary outcome in performance, F(2,66) = 29.54, p = 0.001, ɳ P 2 = 0.472, and satisfaction, F(2,66) = 37.15, p = 0.000, ɳ P 2 = 0.530. The intervention group improved more in performance, t = 5.51, p = 0.0001, d = 1.298, and satisfaction, t = −5.32, p = 0.0001, d = 1.254, than the control group between T1 and T2. Secondary outcomes demonstrated within-group improvements. Conclusion: MaP-BC, a comprehensive occupation-based hybrid intervention tailored to women’s functional daily needs after BC, improved participation in meaningful activities within a short period.

Suggested Citation

  • Khawla Loubani & Rachel Kizony & Uzi Milman & Naomi Schreuer, 2021. "Hybrid Tele and In-Clinic Occupation Based Intervention to Improve Women’s Daily Participation after Breast Cancer: A Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5966-:d:567511
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    References listed on IDEAS

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    1. de Belvis, Antonio Giulio & Ferrè, Francesca & Specchia, Maria Lucia & Valerio, Luca & Fattore, Giovanni & Ricciardi, Walter, 2012. "The financial crisis in Italy: Implications for the healthcare sector," Health Policy, Elsevier, vol. 106(1), pages 10-16.
    2. Genevieve Lambert & Nathalie Alos & Pascal Bernier & Caroline Laverdière & Kenneth Drummond & Noémi Dahan-Oliel & Martin Lemay & Louis-Nicolas Veilleux & Dahlia Kairy, 2021. "Patient and Parent Experiences with Group Telerehabilitation for Child Survivors of Acute Lymphoblastic Leukemia," IJERPH, MDPI, vol. 18(7), pages 1-17, March.
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    1. Susan Magasi & Hilary K. Marshall & Cassandra Winters & David Victorson, 2022. "Cancer Survivors’ Disability Experiences and Identities: A Qualitative Exploration to Advance Cancer Equity," IJERPH, MDPI, vol. 19(5), pages 1-17, March.

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