The study will access whether breast cancer patients and oncologists can become more hopeful after participating in a "hope enhancement workshop." Several validated tools, Adult Hope Scale (AHS), Herth Hope Index (HHI), Maslach Burnout Inventory (MBI)" and other quality of life parameter surveys, will be administered at specified intervals.
The aim of the proposed research is to study the impact of hope interventions on the coping behavior of women with advanced breast cancer and physicians who provide care to patients with cancer. It is the investigator's contention, that improved hopefulness among cancer patients can be manifest in improved Quality of Life (QOL). The challenge is to find specific interventions that can optimize hopefulness and thereby direct individuals to adopt behavior styles that contribute to a positive effect on QOL. Two separate single-day interventions and hope applications will be developed for patients and oncologists, respectively. What will be common for each workshop is that there will be an experienced counselor designated as "coordinator" who will be in charge of implementing the program and monitoring group dynamics. The interventions will be structured with the program advancing from the identification of goals to the development of directions reasonable pathways for achieving the delineated goals. In addition to goal-directed exercises, the workshop will employ narrative techniques which utilize literary triggers as a springboard for reflective writing. The smartphone-based application will prompt study participants on a daily basis to engage in additional, short activities designed to augment hopefulness, assess progress in achieving goals, and identifying challenges. In addition, the application will allow sustained interaction of workshop participants through social media exchange. Course materials will be sent to study participants one week prior to the conduct of the workshop. Baseline assessment of hopefulness will be carried out via the aforementioned validated scales on the day of the workshop. Re-assessment of hopefulness will occur at the end of the day and at the 3- month interval visits.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
120
Participants in the workshops will be prompted and guided through exercises that help them get in touch with goals that are not explicitly related to cure of disease. These goals will include symptom relief and other personal and or professional objectives.
Johns Hopkins University School of Medicine
Baltimore, Maryland, United States
Tel Aviv Sourasky Medical Center
Tel Aviv, Israel
Measurement of the change in Hope Enhancement
Enhancement of hopefulness as measured by Adult Hope Scale
Time frame: The primary measurement will be carried out prior to and 3 months following the workshop
Measurement of the change in Hopefulness
Enhancement of hopefulness as measured by Herth Hope Index.
Time frame: The primary measurement will be carried out prior to and 3 months following the workshop
Measurement of the change in Quality of Life and Emotional Stress Anxiety
The study will measure QOL and emotional stress anxiety prior to and 3 months following the intervention. Towards these ends, we will use the Patient-Reported Outcomes Measurement Information System (PROMIS) scale (10-point version).
Time frame: The primary measurement will be carried out prior to and 3 months following the workshop
Measurement of the change in Quality of Life and Well Being
The study will measure QOL and well-being prior to and 3 months following the intervention. Towards these ends, we will use the Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being (FACIT-Sp-12) scale.
Time frame: The primary measurement will be carried out prior to and 3 months following the workshop
Measurement of the change in burnout among oncologists
The study will measure burnout among oncologists using the Maslach Burnout Inventory Scale (MBI) to gauge the willingness of oncologists to incorporate hope enhancement techniques to their clinical routine with patients following the workshop intervention.
Time frame: The measurement will be carried out prior to and 3 months following the workshop.
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