Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation
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 can...
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| Format: | Thesis |
| Language: | English |
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Curtin University
2008
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| Online Access: | http://hdl.handle.net/20.500.11937/1509 |
| _version_ | 1848743687571374080 |
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| author | Loh, Siew Yim |
| author_facet | Loh, Siew Yim |
| author_sort | Loh, Siew Yim |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T05:49:32Z |
| format | Thesis |
| id | curtin-20.500.11937-1509 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T05:49:32Z |
| publishDate | 2008 |
| publisher | Curtin University |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-15092021-01-22T08:01:39Z Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation Loh, Siew Yim clinical controlled trial women with breast cancer Malaysian women Staying Abreast Moving Ahead (SAMA) self-management intervention 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. 2008 Thesis http://hdl.handle.net/20.500.11937/1509 en Curtin University fulltext |
| spellingShingle | clinical controlled trial women with breast cancer Malaysian women Staying Abreast Moving Ahead (SAMA) self-management intervention Loh, Siew Yim Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation |
| title | Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation |
| title_full | Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation |
| title_fullStr | Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation |
| title_full_unstemmed | Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation |
| title_short | Self management intervention for Malaysian women with breast cancer : enabling quality of life and participation |
| title_sort | self management intervention for malaysian women with breast cancer : enabling quality of life and participation |
| topic | clinical controlled trial women with breast cancer Malaysian women Staying Abreast Moving Ahead (SAMA) self-management intervention |
| url | http://hdl.handle.net/20.500.11937/1509 |