Download RESULT: at post intervention

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts
no text concepts found
Transcript
HEALTH LITERACY
QUALITY OF LIFE IN WOMEN
WITH BREAST CANCER
AND
A FOCUS ON BASIC ESSENTIALS
BACKGROUND
Poor access to complete and accurate information continues to pose a
challenge for women in developing countries to make decision about
treatment.
Low health literacy has been associated with poor health status in
many diverse populations, (even when education and other wellestablished predictors of health status are controlled) (Sentell et al., 2011).
Aim:
Examine the differences in knowledge (in a control versus experimental group), and
examine if I) knowledge ii)QOL improves (after a 4week self-mx program.
(US Department of Health and Human Services, 2000)
Hawai'i.Sentell T, Baker KK, Onaka A, Braun K 2011 Low health literacy and poor health status in Asian Americans and Pacific Islanders J Health Commun. 16 Suppl 3():279-94
METHODS
Examination of secondary data collected (from a
clinical controlled trial) on women newly diagnosed
with breast cancer (n=147) who were allocated to a
4 weeks Self mx intervention
Between group, we compared between the exp
(n=69) vs control group (n=78)
Within experimental group, we compared the
baseline (T0) versus post intervention (T1)
- for changes in the level of basic essential
knowledge over time
Intervention (n= 68)
Control
group =
usual care
(n=78)
RESULT:
AT BASELINE…….
At baseline, the percentages of women who were unaware of their cancer
profiles were quite similar.
There were no statistical sig differences between the experimental and
control groups
HER_2 status
: 84% (exp) versus 82 % (control).. unaware
Grade
: 62 % (exp) versus 65 % (control)..
Type
: 67 versus 69 % (control)..
Hormonal Receptor Status: 57 versus 54 % (control).
Stage
Size
Less than 20 %%
RESULT: at post intervention
N=68 exp
Sig differences at baseline and post ix for
experiment group BUT not for control
Table 2 Control group BC profile(n=78)
Knowledge of 6 basic info. of cancer = zero)
83 % -- unaware of HER2 status.
68 % ---unaware of BC TYPE
64 % __unaware of GRADE of cancer cell
55 %__ unaware of HORMONAL receptor status
18 % __unaware of SIZE of breast cancer
13% __unaware of STAGE of breast cancer
For control:
At baseline, BC literacy were very poor .
At post-intervention, no significant improvement
Most women do not know their 1. type, 2. Herceptin status, 3. grade
RESULT: at post intervention - visual
RESULT:
QOL OF WOMEN WITH BC ON A 4-WEEK SM
Quality of Life in Breast Cancer Survivors: 2 Years Post
Self-management Intervention. Article in Asian Pacific journal of
cancer prevention: APJCP · January 2011
RESULT: BSE practice and etc
Experiment (n=68)
80% of the breast cancer survivors selfdetected the breast lumps, despite a high
85% of these women reporting they were
never taught about BSE.
70% of the women maintained that lack of
knowledge on how to do a BSE was the
key barrier to a more regular BSE
practice.
After the educational intervention,
an increase from 17% (at baseline) to 67%
(at post-test) of self reported monthly BSE
practices.
DISCUSSION
This is a simple secondary analyses from data gathered from a CCT
It is critical that the cognitive and social skills that determine a person’s
motivation and ability to gain access, to understand, and to use
information in ways that promote and maintain good health [Nutbeam, 2011]
needs to be consciously addressed.
Basic fundamental information should not be taken for
granted
1.Nielsen-Bohlman L, Panzer AM, Kindig DA. Institute of Medicine Committee on Health Literacy. In: Health Literacy: A Prescription to End Confusion. Washington, DC: National Academies Press; 2004.Google Scholar
2.U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. In: National Action Plan to Improve Health Literacy. Washington, DC: National Institutes of Health; 2010.Google Scholar
3.U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. In: Healthy People 2020. Washington, DC: National Institutes of Health; 2011.Google Scholar
4.. D. Nutbeam, “Health promotion glossary,” Health Promotion, vol. 1, no. 1, pp. 113–127, 1986
CONCLUSION
Majority Women had very low Breast cancer literacy at
baseline. Knowledge improves after 4 weeks for
experimental group but remain the same for women in the
control group, who also had lower QOL.
Multi-modal efforts including patient self management to
improve health literacy of women with breast cancer can
narrow the gap of health disparity, and improves their
QOL.
Recommendation
Future study examining health literacy of cancer survivors with validated
measures of health literacy tools to examine its direct relationship to
several health-promoting behaviors and QOL is warranted
References
THANK YOU
SY loh & SY Chew . Awareness and practice of bSE in malaysian women with breast
cancer . Asia Pacific Journal of cancer prevention 2, 199-202
SY Loh et al . Effect of patients self managemnt for breast cancer as a chronic illnessjournal of caancer survivorship 2013 sept 7(3) 331-42
SY Loh et al Quality of life in breast cancer survivors – two years post self management .
Asia pacific journal of cancer prvention 2011 12(6) 1497-501
SY Loh & H jonsson Cancer survivorship Care –a perspective from an occupational
partipation. Journal of cancer science & thrapy 2016
Title: Breast cancer literacy and quality of life in Cancer Survivors - a focus on basic essentials
Author: Siew Yim, Loh (PhD), Faculty of Medicine/ 2. Cancer survivorship division, CEPH
Intro: Poor access to complete and accurate information continues to pose a challenge for women in developing countries to make
decision about treatment. Objectives: Examine the disparity in cancer knowledge in a control versus experimental group, and
examine if I) knowledge ii)QOL improves (after a 4week self-mx program.
Method: Examination of secondary data collected (from a clinical controlled trial) on women newly diagnosed with breast cancer
(n=147) was performed, on the baseline versus post intervention knowledge of basic breast cancer profile. Knowledge levels of
women in both arms [experimental (n=69) attending a self-management program; control group (n=78)] were compared for
change in the level of knowledge over time
Results: In the experiemental group, breast cancer literacy were very poor at baseline. Not a single woman had knowledge of all
six basic characteristics of cancer profile. A high percentage (83%) were totally unaware of HER2 status. Majority had low literacy
on types of breast cancer (68%), grade of cancer cell (64%), status of hormonal receptor (55%), size of breast cancer (18%) stage
of breast cancer (13%). At post-intervention, there were significantly improves literacy in the experimental group, and experimental
group had better QOL.
Conclusion: Overall, women in this study had very low cancer literacy. Intervention group with higher quality of life were also
having better QOL and lower distress, compared to the control group.. Multi-modal efforts including patient self management to
improve health literacy of women with breast cancer can narrow the gap of health disparity, and improves their QOL.
Keyword:
Knowledge
disparity,
cancer
literacy,
patient
self-management,
intervention,
QOL,
distress,