Developing a community-based intervention to improve quality of life in people with colorectal cancer: A complex intervention development study

Nicola M. Gray, Julia L. Allan, Peter Murchie, Susan Browne, Susan Hall, Gill Hubbard, Marie Johnston, Amanda J Lee, Aileen McKinley, Macleod Una, Justin Presseau, Leslie Samuel, Sally Wyke, Neil C Campbell

Research output: Contribution to journalArticle

7 Citations (Scopus)
4 Downloads (Pure)

Abstract


Objectives To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer.

Design A complex intervention development study.

Setting North East Scotland and Glasgow.

Participants Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12).

Interventions A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future).

Primary and secondary outcome measures Qualitative assessment of intervention feasibility and acceptability.

Results Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery.

Conclusions Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated.
Original languageEnglish
Article numbere002596
Number of pages8
JournalBMJ Open
Volume3
Issue number4
DOIs
Publication statusPublished - 11 Apr 2013

Fingerprint

Colorectal Neoplasms
Quality of Life
Interviews
Cachexia
House Calls
Sleep Initiation and Maintenance Disorders
Scotland
Anorexia
Telephone
Dyspnea
Fatigue
Diarrhea
Primary Health Care
Nurses
Outcome Assessment (Health Care)
Psychology
Pain
Neoplasms

Cite this

Developing a community-based intervention to improve quality of life in people with colorectal cancer : A complex intervention development study. / Gray, Nicola M.; Allan, Julia L.; Murchie, Peter; Browne, Susan; Hall, Susan; Hubbard, Gill; Johnston, Marie; Lee, Amanda J; McKinley, Aileen; Una, Macleod; Presseau, Justin; Samuel, Leslie; Wyke, Sally; Campbell, Neil C.

In: BMJ Open, Vol. 3, No. 4, e002596, 11.04.2013.

Research output: Contribution to journalArticle

Gray, Nicola M. ; Allan, Julia L. ; Murchie, Peter ; Browne, Susan ; Hall, Susan ; Hubbard, Gill ; Johnston, Marie ; Lee, Amanda J ; McKinley, Aileen ; Una, Macleod ; Presseau, Justin ; Samuel, Leslie ; Wyke, Sally ; Campbell, Neil C. / Developing a community-based intervention to improve quality of life in people with colorectal cancer : A complex intervention development study. In: BMJ Open. 2013 ; Vol. 3, No. 4.
@article{c83862bc26f946abb8cf6ecc403e98b3,
title = "Developing a community-based intervention to improve quality of life in people with colorectal cancer: A complex intervention development study",
abstract = "Objectives To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design A complex intervention development study. Setting North East Scotland and Glasgow. Participants Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12). Interventions A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future). Primary and secondary outcome measures Qualitative assessment of intervention feasibility and acceptability. Results Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery. Conclusions Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated.",
author = "Gray, {Nicola M.} and Allan, {Julia L.} and Peter Murchie and Susan Browne and Susan Hall and Gill Hubbard and Marie Johnston and Lee, {Amanda J} and Aileen McKinley and Macleod Una and Justin Presseau and Leslie Samuel and Sally Wyke and Campbell, {Neil C}",
year = "2013",
month = "4",
day = "11",
doi = "10.1136/bmjopen-2013-002596",
language = "English",
volume = "3",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "4",

}

TY - JOUR

T1 - Developing a community-based intervention to improve quality of life in people with colorectal cancer

T2 - A complex intervention development study

AU - Gray, Nicola M.

AU - Allan, Julia L.

AU - Murchie, Peter

AU - Browne, Susan

AU - Hall, Susan

AU - Hubbard, Gill

AU - Johnston, Marie

AU - Lee, Amanda J

AU - McKinley, Aileen

AU - Una, Macleod

AU - Presseau, Justin

AU - Samuel, Leslie

AU - Wyke, Sally

AU - Campbell, Neil C

PY - 2013/4/11

Y1 - 2013/4/11

N2 - Objectives To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design A complex intervention development study. Setting North East Scotland and Glasgow. Participants Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12). Interventions A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future). Primary and secondary outcome measures Qualitative assessment of intervention feasibility and acceptability. Results Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery. Conclusions Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated.

AB - Objectives To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design A complex intervention development study. Setting North East Scotland and Glasgow. Participants Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12). Interventions A single, 1 h nurse home visit 6–12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future). Primary and secondary outcome measures Qualitative assessment of intervention feasibility and acceptability. Results Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery. Conclusions Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated.

U2 - 10.1136/bmjopen-2013-002596

DO - 10.1136/bmjopen-2013-002596

M3 - Article

VL - 3

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 4

M1 - e002596

ER -