Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2021 Jun 2;18(11):5966.
doi: 10.3390/ijerph18115966.

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

Khawla Loubani  1   2 , Rachel Kizony  1   3 , Uzi Milman  2 , Naomi Schreuer  1
Affiliations
Randomized Controlled Trial

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

Khawla Loubani et al. Int J Environ Res Public Health. .

Abstract

Background: Women after breast cancer (BC) cope with decreased daily participation and quality of life (QOL) due to physical, cognitive, and emotional symptoms. This study examined a hybrid occupation-based intervention, Managing Participation with Breast Cancer (MaP-BC), to improve daily participation in their meaningful activities.

Methods: Thirty-five women after BC phase were randomly allocated to the MaP-BC intervention (n = 18) or control (n = 17) group (standard care only). Assessments were administered at baseline (T1), 6-week (T2), and 12-week (T3) post-T1.

Main outcome: perceived performance and performance-satisfaction with meaningful activities according to the Canadian Occupational Performance Measure.

Secondary outcomes: retained activity levels (Activity Card Sort), QOL (Functional Assessment of Cancer Therapy-Breast), cognitive abilities (Montreal Cognitive Assessment and Behavior Rating Inventory of Executive Function), and upper-extremity functioning (Disability of Arm, Shoulder, Hand). Results showed significant interaction (group x time) effects for the primary outcome in performance, F(2,66) = 29.54, p = 0.001, ɳP2 = 0.472, and satisfaction, F(2,66) = 37.15, p = 0.000, ɳP2 = 0.530. The intervention group improved more in performance, t = 5.51, p = 0.0001, d = 1.298, and satisfaction, t = -5.32, p = 0.0001, d = 1.254, than the control group between T1 and T2. Secondary outcomes demonstrated within-group improvements.

Conclusion: MaP-BC, a comprehensive occupation-based hybrid intervention tailored to women's functional daily needs after BC, improved participation in meaningful activities within a short period.

Keywords: activities of daily living; breast cancer; hybrid intervention; occupational therapy; self-management; tele-rehabilitation.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Randomized control trial CONSORT diagram of the study. Abbreviations: T1 = Time 1; T2 = Time 2; T3 = Time 3; MaP-BC = Managing Participation with Breast Cancer; ITT = Intention-To-Treat analysis.
See this image and copyright information in PMC

References

    1. Runowicz C., Leach C., Lynn-Henry N. American Cancer Society/American Society of Clinical oncology breast cancer sur-vivorship care guideline. CA Cancer J. Clin. 2016;66:43–73. doi: 10.3322/caac.21319. - DOI - PubMed
    1. Keesing S., Rosenwax L., McNamara B. Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer. Br. J. Occup. Ther. 2018;81:402–412. doi: 10.1177/0308022618762080. - DOI
    1. Loubani-Hawaita K., Schreuer N., Milman U. Participation in Daily Activities among Working Women Following Breast Cancer. Open J. Ther. Rehabil. 2016;4:150–162. doi: 10.4236/ojtr.2016.43014. - DOI
    1. Von Blanckenburg P., Seifart U., Conrad N., Exner C., Rief W., Nestoriuc Y. Quality of life in cancer rehabilitation: The role of life goal adjustment. Psycho-Oncology. 2014;23:1149–1156. doi: 10.1002/pon.3538. - DOI - PubMed
    1. Sleight A.G., Duker L.I.S. Toward a Broader Role for Occupational Therapy in Supportive Oncology Care. Am. J. Occup. Ther. 2016;70:7004360030. doi: 10.5014/ajot.2016.018101. - DOI - PMC - PubMed

Publication types