Hybrid Tele and In-Clinic Occupation Based Intervention to Improve Women's Daily Participation after Breast Cancer: A...

Area of Science:

• Oncology
• Rehabilitation Science
• Occupational Therapy

Background:

• Breast cancer survivors often experience reduced daily participation and quality of life (QOL) due to physical, cognitive, and emotional symptoms.
• The Managing Participation with Breast Cancer (MaP-BC) intervention was developed to address these challenges.
• This study evaluated the effectiveness of MaP-BC in improving daily participation in meaningful activities.

Purpose of the Study:

• To assess the impact of the MaP-BC intervention on the daily participation and QOL of women after breast cancer.
• To determine if MaP-BC improves perceived performance and satisfaction in meaningful activities.

Main Methods:

• A randomized controlled trial involving 35 women post-breast cancer.
• Participants were assigned to either the MaP-BC intervention group (n=18) or a control group (n=17) receiving standard care.
• Assessments were conducted at baseline, 6 weeks, and 12 weeks post-intervention.

Main Results:

• Significant group x time interaction effects were observed for performance (p=0.001) and satisfaction (p=0.000) in meaningful activities.
• The MaP-BC group showed greater improvements in performance (d=1.298) and satisfaction (d=1.254) compared to the control group.
• Secondary outcomes, including activity levels, QOL, cognitive abilities, and upper-extremity functioning, demonstrated within-group improvements.

Conclusions:

• The MaP-BC intervention is an effective occupation-based program for women after breast cancer.
• MaP-BC significantly improves participation in meaningful activities and related satisfaction.
• The intervention addresses the functional daily needs of breast cancer survivors, leading to enhanced daily functioning.