Feasibility and Acceptability of Social Prescribing for Cancer Survivors.

IF 2.8 4区 医学 Q2 ONCOLOGY
Deirdre Connolly, Chloe O'Hara, Catherine O'Brien, Adrienne Dempsey
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Abstract

Following cancer treatment, individuals experience a range of physical, mental and social health difficulties that interfere with their ability to resume participation in pre-cancer activities. In Ireland, the National Cancer Strategy recommends community-based services to address post-treatment difficulties. Social prescribing is a community-based, non-medical service that links individuals with health-related activities and supports in their community. This study explored the feasibility and acceptability of social prescribing for cancer survivors. A mixed methods study was undertaken with individuals who had completed curative treatment for any cancer type. Recruitment was carried out in a national cancer centre. Quantitative outcomes included feasibility metrics (recruitment, intervention adherence and retention), the Frenchay Activities Index (FAI), the Hospital Depression and Anxiety Scale (HADS), the Multidimensional Assessment of Fatigue (MAF), and EORTC QLQ-C30. Qualitative interviews explored acceptability of social prescribing. Data were analysed using descriptive statistics (quantitative data) and content analysis (qualitative data). Out of 131 individuals identified as eligible to participate, 43 agreed to participate (32.8% recruitment) and 27 met a link worker and were connected to a local activity (62.7% adherence) and completed follow-up outcome measures (62.7% retention). Improvements were observed in all health-related outcomes and those interviewed identified the intervention as acceptable. Study participants attended a range of community-based activities as a result of link worker support. They also reported increased confidence, improved mental health and reduction in fatigue following attendance at community-based activities. The findings of this study indicate that social prescribing is a feasible and acceptable community-based intervention to improve the physical, mental and social health of individuals living with and beyond cancer. A pilot randomised trial is indicated to inform a definitive intervention trial.

癌症治疗后,患者会遇到一系列生理、心理和社会健康方面的困难,影响他们恢复参与癌症前活动的能力。在爱尔兰,《国家癌症战略》建议提供基于社区的服务,以解决治疗后的困难。社会处方是一种基于社区的非医疗服务,它将个人与社区中与健康相关的活动和支持联系起来。本研究探讨了为癌症幸存者开具社会处方的可行性和可接受性。研究采用混合方法,对象是已完成任何癌症类型的治愈性治疗的患者。招募工作在一家国家癌症中心进行。定量结果包括可行性指标(招募、干预坚持率和保留率)、法国活动指数(FAI)、医院抑郁焦虑量表(HADS)、疲劳多维评估(MAF)和 EORTC QLQ-C30。定性访谈探讨了社会处方的可接受性。数据分析采用描述性统计(定量数据)和内容分析(定性数据)。在确定符合参与条件的 131 人中,有 43 人同意参与(招募率为 32.8%),27 人与联系工作者会面并与当地活动建立联系(坚持率为 62.7%),并完成了后续结果测量(保留率为 62.7%)。所有与健康相关的结果都有所改善,受访者认为干预措施可以接受。在联系工作者的支持下,研究参与者参加了一系列社区活动。他们还表示,参加社区活动后,自信心增强了,心理健康改善了,疲劳感减轻了。本研究结果表明,社会处方是一种可行且可接受的社区干预措施,可改善癌症患者及癌症后患者的身体、精神和社会健康状况。建议进行试点随机试验,为最终干预试验提供依据。
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来源期刊
Current oncology
Current oncology ONCOLOGY-
CiteScore
3.30
自引率
7.70%
发文量
664
审稿时长
1 months
期刊介绍: Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.
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