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Attendees on the course report that they: Feel reassured and able to recognise own potential for making changes to enhance quality of life, confidence and happiness. Feel more able to support and share with others. Experience reduced isolation. Feel more confident in dealing with emotional issues, depression, anxiety, anger and frustration. Understand and use positive communication skills and reflective listening. Know how to achieve long and short term plans for change by using the goal setting and problem solving steps. Are able to address difficult problems using the problem solving techniques of the course, which is designed to analyse and find solutions. Are able to use the relaxation techniques practiced on the course to refresh both mind and body. Can share the course experience and knowledge with family and friends. Goal Setting “Just starting small and simple makes you realise that there’s things you can do, you don’t have to wait until you’re fantastically healthy. It makes you realise “I can do that, I have got the ability to do that.”” Not feeling alone “Things got very emotional at times, but knowing that I wasn’t alone and it was OK to feel like that was very helpful.” Positive and negative emotions “We all supported each other throughout, sharing tears of sadness, tears of joy, times of seriousness and times of laughter. I’d recommend it to anyone.” HOPE has developed further in partnership with Macmillan Cancer Support and Coventry University, and is a successful self-management programme for cancer patients across the country. It is becoming increasingly embedded within cancer patients’ post-treatment pathways across the country. Ongoing support “There is light at the end of the tunnel. I met some lovely people and I know I can phone anyone of them anytime.” Macmillan Next Steps For further information on training as a HOPE facilitator or about where courses are being run please contact: Coventry University originally developed the Help to Overcome Problems Effectively (HOPE) programme. This is a health and lifestyle coaching programme for cancer patients that uses cognitive behavioural principles and techniques underpinned by hope theory (Snyder et al., 1994), self-efficacy theory (Bandura, 1991), and motivational interviewing (Miller & Rollnick, 2002). HOPE is a self-management programme for patients who have completed their cancer treatment. It is a group programme delivered by health or social care professionals and trained lay facilitators or volunteers: in self-management, Lorig et al. (1986) has shown that lay facilitators achieve similar participant outcomes to health professionals. CBT research (Lambert, 2005) has similarly shown that untrained paraprofessionals chosen for their warmth and empathy can promote client improvement equal to that obtained by trained therapists. Phone - 0300 421 6586 Fax - 0300 421 6814 Email [email protected] There are currently 2.5 million people living with cancer today, with this number set to reach over 4 million by 2030. Using population projections from national statistics and studies of cancer prevalence in the UK, J Maddox reports growing demands on clinical time and that cancer services are set to be under strain. The Cancer Reform strategy states that the current health care system will struggle to meet the existing needs of the growing numbers of cancer survivors, and highlights the need to commission services to support patients who may be dealing with long-term and enduring effects from cancer treatment. Those living with and beyond cancer face a number of challenges following primary treatment and can feel lost and abandoned during the transition from patient to survivor. Many struggle with those consequences of treatment that may be avoided or self-managed, such as fatigue, fear of recurrence and depression. The recent studies of Michael Sharpe and colleagues in the Lancet Oncology show that a rigorous approach to the interventions to alleviate depression in people with cancer or after cancer treatment is needed. The risks of depression in patients with cancer is two to three times higher than the general population. High quality cancer survivorship can improve outcomes in all domains of the NHS Outcomes framework (2013–2014), and supporting cancer patients to self-manage could save a number of outpatient appointments a year. HOPE self-management courses are for all cancer types, and recognise the commonality of unmet psychological and emotional needs (fear of recurrence, reduced confidence), physical needs (fatigue and need for physical exercise), and social needs (such as social isolation). HOPE is a licensed and accredited self-management programme and Macmillan Cancer Support run a strong and well-evaluated HOPE Facilitator Training Programme. This programme trains health and social care professionals, lay facilitators and volunteers (who have either had a cancer experience, cared for someone with cancer or volunteer with cancer patients). They are selected to attend a two-day intensive training programme, with an assessment of competence on the second day. The programme emphasises the importance of relationship/trust building, focusing on participants’ strengths, collaboration as equals and providing solidarity and encouragement. HOPE training also covers low intensity CBT competences, such as shared agenda setting, activity scheduling, identifying and challenging automatic unhelpful thoughts and setting and reviewing goals. When the trained facilitator runs their first patient course they are assessed on the second or third week by a registered HOPE Assessor, using a clear marking and assessment criteria. Once passed they are accredited to run further courses, with a monitoring visit within two years. Macmillan Cancer Support are committed to provide a high level of training, with learning and development support for trained HOPE facilitators, ensuring quality and positive outcomes for patients attending the programme. The HOPE programme for cancer patients is generally delivered in six consecutive weekly sessions, each of 2.5 hours duration, although some areas over a 2 day HOPE programme with a follow up session within 3 months. There is a mix of psycho education, skills practice and reviewing self-management goals. The delivery and design of the programme is set within the training manual, to ensure quality and consistency whilst allowing flexibility to discuss in-depth issues that participants find most relevant and helpful. HOPE course content: