TY - JOUR
T1 - Effectiveness of Tailored Rehabilitation Education in Improving the Health Literacy and Health Status of Postoperative Patients With Breast Cancer
T2 - A Randomized Controlled Trial
AU - Huang, Szu Chi
AU - Kuo, Shu Fen
AU - Tsai, Pei Shan
AU - Tsai, Chia Yin
AU - Chen, Sheng Shiung
AU - Lin, Chia Yun
AU - Lin, Pi Chu
AU - Hou, Wen Hsuan
N1 - Funding Information:
Szu-Chi Huang and Shu-Fen Kuo, as well as Pi-Chu Lin and Wen-Hsuan Hou, contributed equally to this paper. This work was funded by Taipei Medical University (TMUTOP103004-1), Taipei Medical University Hospital (104TMU-TMUH-24), and E-Da Hospital (EDCHT-106011). The funders had no role in conducting or submitting this work. The authors have no conflicts of interest to disclose. Correspondence: Wen-Hsuan Hou, MD, PhD, School of Gerontology Health Management, College of Nursing, Taipei Medical University, No. 250 Wuxing St, Xinyi District, Taipei City, Taiwan 11031 ([email protected]). Accepted for publication August 22, 2018. DOI: 10.1097/NCC.0000000000000665
Publisher Copyright:
© 2020 Wolters Kluwer Health, Inc. All rights reserved.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - BACKGROUND: The improvement of breast cancer treatment and the extension of survivorship have led to the development of postoperative complications among cancer survivors. Health literacy (HL), defined as patients' capability of using health information to maintain their health status, can enable breast cancer patients to manage postoperative complications. OBJECTIVE: The aims of this study were to develop a tailored rehabilitation education (TRE) program and examine the effectiveness of this program in improving the HL and health status with breast cancer. METHODS: This randomized controlled trial recruited 99 breast cancer patients (49 and 50 in the intervention and control groups, respectively) within 1 week after surgery. Four-week individualized TRE programs were implemented to improve their HL and health status. RESULTS: Our results showed that the TRE program produced significant improvements in HL and health status in the components of the International Classification of Functioning, Disability and Health. However, no significant difference was observed in the activity scores obtained using the Barthel Index between the 2 groups. CONCLUSION: Our finding supports the effectiveness of 1-month TRE in improving HL and all components of the International Classification of Functioning, Disability and Health status, except the activity component among breast cancer in Taiwan. IMPLICATIONS FOR PRACTICE: Clinicians could incorporate the TRE techniques in the rehabilitation sessions according to the healthcare, disease prevention, and health promotion domains to improve the clinical outcomes as well as change their health behaviors and attitudes of patients with breast cancer.
AB - BACKGROUND: The improvement of breast cancer treatment and the extension of survivorship have led to the development of postoperative complications among cancer survivors. Health literacy (HL), defined as patients' capability of using health information to maintain their health status, can enable breast cancer patients to manage postoperative complications. OBJECTIVE: The aims of this study were to develop a tailored rehabilitation education (TRE) program and examine the effectiveness of this program in improving the HL and health status with breast cancer. METHODS: This randomized controlled trial recruited 99 breast cancer patients (49 and 50 in the intervention and control groups, respectively) within 1 week after surgery. Four-week individualized TRE programs were implemented to improve their HL and health status. RESULTS: Our results showed that the TRE program produced significant improvements in HL and health status in the components of the International Classification of Functioning, Disability and Health. However, no significant difference was observed in the activity scores obtained using the Barthel Index between the 2 groups. CONCLUSION: Our finding supports the effectiveness of 1-month TRE in improving HL and all components of the International Classification of Functioning, Disability and Health status, except the activity component among breast cancer in Taiwan. IMPLICATIONS FOR PRACTICE: Clinicians could incorporate the TRE techniques in the rehabilitation sessions according to the healthcare, disease prevention, and health promotion domains to improve the clinical outcomes as well as change their health behaviors and attitudes of patients with breast cancer.
KW - Breast cancer
KW - Health literacy
KW - International Classification of Functioning Disability and Health
KW - Rehabilitation
KW - Tailored education
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U2 - 10.1097/NCC.0000000000000665
DO - 10.1097/NCC.0000000000000665
M3 - Article
C2 - 31805025
AN - SCOPUS:85076284748
SN - 0162-220X
VL - 43
SP - E38-E46
JO - Cancer Nursing
JF - Cancer Nursing
IS - 1
ER -
