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"Pathways": A hope‐enhancing intervention for patients undergoing treatment for advanced lung cancer.

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Title: "Pathways": A hope‐enhancing intervention for patients undergoing treatment for advanced lung cancer.
Authors: McLouth, Laurie E. (AUTHOR), Shelton, Brent J. (AUTHOR), Bursac, Vilma (AUTHOR), Burris, Jessica L. (AUTHOR), Cheavens, Jennifer S. (AUTHOR), Weyman, Kaitlyn (AUTHOR), Peterman, Amy H. (AUTHOR), Corum, Lauren (AUTHOR), Studts, Jamie L. (AUTHOR), Arnold, Susanne M. (AUTHOR)
Source: Psycho-Oncology. Mar2024, Vol. 33 Issue 3, p1-11. 11p.
Subjects: Lung cancer, Occupational therapists, Cancer patients, Telephone calls, Educational attainment, Despair
Abstract: Objective: Observational data suggest hope is associated with the quality of life and survival of people with cancer. This trial examined the feasibility, acceptability, and preliminary outcomes of "Pathways," a hope intervention for people in treatment for advanced lung cancer. Methods: Between 2020 and 2022, we conducted a single‐arm trial of Pathways among participants who were 3–12 weeks into systemic treatment. Pathways consisted of two individual sessions delivered during infusions and three phone calls in which participants discussed their values, goals, and goal strategies with a nurse or occupational therapist. Participants completed standardized measures of hope and goal interference pre‐ and post‐intervention. Feasibility was defined as ≥60% of eligible patients enrolling, ≥70% of participants completing three or more sessions, ≥70% of participants completing post‐assessments, and mean acceptability ratings ≥7 out of 10 on intervention relevance, helpfulness, and convenience. Linear regression fixed effects models with covariates modeled pre–post changes in complete case analysis and multiple imputation models. Results: Fifty two participants enrolled: female (59.6%), non‐Hispanic White (84.6%), rural (75.0%), and with low educational attainment (51.9% high school degree or less). Except for enrollment (54%), feasibility and acceptability markers were surpassed (77% adherence, 77% retention, acceptability ratings ≥8/10). There was moderate improvement in hope and goal interference from pre‐to post‐intervention (d = 0.51, p < 0.05 for hope; d = −0.70, p < 0.005 for goal interference). Conclusions: Strong feasibility, acceptability, and patient‐reported outcome data suggest Pathways is a promising intervention to increase hope and reduce cancer‐related goal interference during advanced lung cancer treatment. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: &quot;Pathways&quot;: A hope‐enhancing intervention for patients undergoing treatment for advanced lung cancer.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McLouth%2C+Laurie+E%2E%22&quot;&gt;McLouth, Laurie E.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shelton%2C+Brent+J%2E%22&quot;&gt;Shelton, Brent J.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bursac%2C+Vilma%22&quot;&gt;Bursac, Vilma&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burris%2C+Jessica+L%2E%22&quot;&gt;Burris, Jessica L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cheavens%2C+Jennifer+S%2E%22&quot;&gt;Cheavens, Jennifer S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Weyman%2C+Kaitlyn%22&quot;&gt;Weyman, Kaitlyn&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Peterman%2C+Amy+H%2E%22&quot;&gt;Peterman, Amy H.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Corum%2C+Lauren%22&quot;&gt;Corum, Lauren&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Studts%2C+Jamie+L%2E%22&quot;&gt;Studts, Jamie L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arnold%2C+Susanne+M%2E%22&quot;&gt;Arnold, Susanne M.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Mar2024, Vol. 33 Issue 3, p1-11. 11p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Lung+cancer%22&quot;&gt;Lung cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Occupational+therapists%22&quot;&gt;Occupational therapists&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+patients%22&quot;&gt;Cancer patients&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Telephone+calls%22&quot;&gt;Telephone calls&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Educational+attainment%22&quot;&gt;Educational attainment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Despair%22&quot;&gt;Despair&lt;/searchLink&gt;
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  Label: Abstract
  Group: Ab
  Data: Objective: Observational data suggest hope is associated with the quality of life and survival of people with cancer. This trial examined the feasibility, acceptability, and preliminary outcomes of &quot;Pathways,&quot; a hope intervention for people in treatment for advanced lung cancer. Methods: Between 2020 and 2022, we conducted a single‐arm trial of Pathways among participants who were 3–12 weeks into systemic treatment. Pathways consisted of two individual sessions delivered during infusions and three phone calls in which participants discussed their values, goals, and goal strategies with a nurse or occupational therapist. Participants completed standardized measures of hope and goal interference pre‐ and post‐intervention. Feasibility was defined as ≥60% of eligible patients enrolling, ≥70% of participants completing three or more sessions, ≥70% of participants completing post‐assessments, and mean acceptability ratings ≥7 out of 10 on intervention relevance, helpfulness, and convenience. Linear regression fixed effects models with covariates modeled pre–post changes in complete case analysis and multiple imputation models. Results: Fifty two participants enrolled: female (59.6%), non‐Hispanic White (84.6%), rural (75.0%), and with low educational attainment (51.9% high school degree or less). Except for enrollment (54%), feasibility and acceptability markers were surpassed (77% adherence, 77% retention, acceptability ratings ≥8/10). There was moderate improvement in hope and goal interference from pre‐to post‐intervention (d = 0.51, p &lt; 0.05 for hope; d = −0.70, p &lt; 0.005 for goal interference). Conclusions: Strong feasibility, acceptability, and patient‐reported outcome data suggest Pathways is a promising intervention to increase hope and reduce cancer‐related goal interference during advanced lung cancer treatment. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6316
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        Text: English
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      – SubjectFull: Lung cancer
        Type: general
      – SubjectFull: Occupational therapists
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      – SubjectFull: Cancer patients
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      – SubjectFull: Telephone calls
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      – SubjectFull: Educational attainment
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              Text: Mar2024
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