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Related Experiment Video

Updated: May 29, 2025

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Pilot Testing a Peer-Led Self-Management Program for Women After Breast Cancer.

Karin Ribi1, Franziska Schmidt2, Jörg Haslbeck1

  • 1Careum School of Health Part of the Kalaidos University of Applied Sciences, Zurich, Switzerland.

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|February 6, 2025
PubMed
Summary
This summary is machine-generated.

A co-created peer-led program for breast cancer (BC) survivors in Switzerland showed no significant differences in self-management skills compared to a control group. Further program modifications, including e-health integration, are recommended for better feasibility and effectiveness.

Keywords:
Breast cancerhealth literacypeersself-efficacyself-managementsymptom burden

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Area of Science:

  • Oncology
  • Health Services Research
  • Patient Support Programs

Background:

  • Breast cancer (BC) survivorship requires effective self-management support.
  • Existing peer-led programs need adaptation to meet specific survivor needs.
  • A pilot study aimed to co-create and assess a modified peer-led program in Switzerland.

Purpose of the Study:

  • To co-create an adapted peer-led program for BC survivors in Switzerland.
  • To evaluate the preliminary efficacy of the adapted program on self-management skills and symptom burden.
  • To assess the feasibility of implementing the program in Swiss university hospitals.

Main Methods:

  • Prospective nonequivalent pretest-posttest control group design.
  • Early-stage BC survivors participated in a 7-week peer-led small-group intervention.
  • Outcomes included self-management skills, self-efficacy, symptom burden, and health literacy; feasibility assessed qualitatively.

Main Results:

  • No significant between-group differences were observed for primary or secondary outcomes.
  • Individual improvements in self-management skills were noted in both intervention and control groups.
  • Challenges in program delivery and implementation feasibility were identified.

Conclusions:

  • The current iteration of the peer-led program did not fully meet BC survivors' needs.
  • Clinical implementation of the program faced challenges.
  • Future versions should incorporate spontaneous interaction and consider e-health components.