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    Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation

    118392_Loh, Siew full.pdf (5.536Mb)
    Access Status
    Open access
    Authors
    Loh, Siew Yim
    Date
    2008
    Supervisor
    Prof. Dr. Yip Cheng Har
    Assoc. Prof. Anne Passmore
    Prof. Tanya Packer
    Type
    Thesis
    Award
    PhD
    
    Metadata
    Show full item record
    School
    Centre for Research into Disability and Society
    URI
    http://hdl.handle.net/20.500.11937/1509
    Collection
    • Curtin Theses
    Abstract

    Study on self-management intervention has shown enhanced quality of life in the chronic 'non-oncology‘ population, but has yet to make an impact in the field of oncology. The aim of this study was to explore, develop and evaluate the 4-week self-management intervention for women with breast cancer. The study, based on robust phased-model of a complex intervention, demonstrated an increasing research evidence from a qualitative need-assessment to a pilot study and finally to a definitive Clinical Controlled Trial. Insights and findings from the preclinical phase aided the development of the 4-week “Staying Abreast, Moving Ahead” (SAMA) program which was piloted, refined and tested using a CCT on Malaysian women (n=147) with breast cancer. The results from the robust intent-to-treat multivariate analyses of co-variances and the univariate repeated measure analyses of variances supported the efficacy of the 4-week self-management intervention. There were significant between-group differences on Quality of life (p=0.005), Social Relationship (0.015), Psychological symptoms (p=0.001) at post test, and self-efficacy and proactive coping for both Post-test and Follow-up (p<0.001).There were significant differences over time within the experimental group for Quality of life (p<0.001), Participation, (p=0.04), Psychological outcomes (p<0.001), as well as the Cancer self-efficacy scales (p<0.001 to p=0.02) and Proactive coping (p<0.001). A key implication of this study is that the theory-led SAMA program (which was developed based on the perspectives from the fields of Psychosocial oncology and Patient self-management for chronic conditions) can be disseminated to enable better Quality of life. SAMA is a potential blueprint for a feasible, timely and effective self management program for women diagnosed with breast cancer.

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