The adjusted Cancer Thriving and Surviving Program (CTS) for women with breast cancer living in Switzerland (CTS-BC-CH) is a course of 7 weekly sessions of 2.5 - 3 hours led by trained peer-leaders (women with breast cancer experience). This pilot study aims to explore the reach of the CTS-BC-CH program (integrated into the clinical pathway) and to investigate its preliminary effectiveness with regard to Swiss breast cancer patients' self-efficacy and self-management.
In 2016/17, the self-management program for cancer survivors, the Cancer Thriving and Surviving Program (CTS) was translated into German. The content of the CTS was adapted to breast cancer specific needs in three interdisciplinary workshops based on a participatory approach including active patient engagement. Additional disease-specific topics were developed and confirmed applying a multi-stakeholder e-rating approach. After a consensus meeting with the participation of breast cancer survivors, health care professional and international experts in the field of self-management, consensus on the program was reached in June 2017, resulting in the CTS-BC-CH program, i.e. a standardized manual for course leaders. This pilot study aims to explore the reach of the CTS-BC-CH program (integrated into the clinical pathway) and to investigate its preliminary effectiveness for female Swiss breast cancer patients. The CTS-BC-CH is delivered in two breast cancer centers in in the German-speaking part of Switzerland as a group-based program with seven weekly sessions of 2.5 - 3 hours led by trained peer-leaders. Course leaders have to complete a 4-days training provided by certified master trainers. First, participants are enrolled for usual care, followed by participants who will attend the CTS-BC-CH course. Participants will complete self-reported questionnaires at three time points over a period of 6 months.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
39
CTS-BC-CH is a standardized program with 7 weekly group sessions (2.5. to 3 hours). The CTS-BC-CH focuses on building skills, sharing experiences, and support among the participants. Program elements are: Brainstorming, action plan formulation, action plan feedback, problem solving, and decision making.
University Hospital Basel
Basel, Switzerland
University Inselspital Bern
Bern, Switzerland
Reach of intervention assessed by ratio of eligible patients vs. participating patients
Time frame: 21 weeks after baseline
Changes in self-management skills assessed by heiQ
Assessed by the Health Education Impact Questionnaire (heiQ)
Time frame: Change from baseline to 20 weeks after baseline
Change in patient-reported self-efficacy assessed by SES6G
Assessed by the Self-Efficacy for Managing Chronic Disease Scale (SES6G)
Time frame: Change from baseline to 20 weeks after baseline
Change in patient-reported health literacy assessed by HLS-EU-Q6
Assessed by the Health Literacy Scale Europe (HLS-EU-Q6)
Time frame: Change from baseline to 20 weeks after baseline
Change in patient-reported symptom burden assessed by BCPT Symptom Scales
Assessed by the Breast Cancer Prevention Trial (BCPT) Symptom Scales
Time frame: Change from baseline to 20 weeks after baseline
Change in patient-reported health service navigation assessed by heiQ
Assessed by a subscale of the Health Education Impact Questionnaire (heiQ)
Time frame: Change from baseline to 20 weeks after baseline
Change in nurse-reported self-efficacy and self-management support practices assessed by SEPSS
Assessed by the Self-Efficacy and Performance in Self-management Support (SEPSS) measure
Time frame: Change from baseline to 30 weeks after baseline
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