Can group education improve adherence and enhance breast cancer rehabilitation after axillary dissection? A randomized clinical trial

Research output: Contribution to journalArticle

Abstract

The objective of this study was to explore the effectiveness of an early-onset, self-administered rehabilitation protocol supported by a group-based educational program and visual material (GRV) in patients who had undergone axillary lymph node dissection (ALND). A total of 186 patients were randomly assigned either to the GRV (n = 93) or to the usual rehabilitation (UR) (n = 93). Patients in the GRV program received group education supported by visual information while the UR program was conducted on an individual basis, and it was not supported by visual information. Primary endpoint was adherence to treatment. Secondary endpoints were shoulder range of motion, lymphedema, disability, pain, quality of life, patient satisfaction, and time devoted to each patient. They were measured at baseline and at post-intervention. The groups did not significantly differ in any outcome measure at post-intervention. While both GRV and UR programs yielded similar high improvements, the average time devoted to each patient was significantly lower in the GRV program. The findings in this study suggest that the usual one-to-one education approach is not superior to a group approach in rehabilitation for breast surgery involving ALND. GRV may constitute a time-efficient alternative to traditional one-to-one approaches.

Original languageEnglish
Pages (from-to)1-22
Number of pages22
JournalJournal of Evidence-Based Psychotherapies
Volume17
Issue number2
Publication statusPublished - Sep 1 2017

Fingerprint

Dissection
Rehabilitation
Randomized Controlled Trials
Breast Neoplasms
Education
Lymph Node Excision
Lymphedema
Articular Range of Motion
Patient Satisfaction
Breast
Quality of Life
Outcome Assessment (Health Care)
Pain
Therapeutics

Keywords

  • Axillary lymph node dissection
  • Breast neoplasm
  • Group interventions
  • Psychoeducation
  • Rehabilitation

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology

Cite this

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abstract = "The objective of this study was to explore the effectiveness of an early-onset, self-administered rehabilitation protocol supported by a group-based educational program and visual material (GRV) in patients who had undergone axillary lymph node dissection (ALND). A total of 186 patients were randomly assigned either to the GRV (n = 93) or to the usual rehabilitation (UR) (n = 93). Patients in the GRV program received group education supported by visual information while the UR program was conducted on an individual basis, and it was not supported by visual information. Primary endpoint was adherence to treatment. Secondary endpoints were shoulder range of motion, lymphedema, disability, pain, quality of life, patient satisfaction, and time devoted to each patient. They were measured at baseline and at post-intervention. The groups did not significantly differ in any outcome measure at post-intervention. While both GRV and UR programs yielded similar high improvements, the average time devoted to each patient was significantly lower in the GRV program. The findings in this study suggest that the usual one-to-one education approach is not superior to a group approach in rehabilitation for breast surgery involving ALND. GRV may constitute a time-efficient alternative to traditional one-to-one approaches.",
keywords = "Axillary lymph node dissection, Breast neoplasm, Group interventions, Psychoeducation, Rehabilitation",
author = "Simoncini, {Maria C.} and Luigi Santoro and Federica Baggi and {Nevola Teixeira}, {Luiz Felipe} and {Sciotto Marotta}, Michele and Fabio Sandrin and Emilio Bonacossa and Gabriella Lanni and Massaro, {Maria A.} and Mattia Intra and Carmen Berrocal",
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AU - Santoro, Luigi

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AU - Nevola Teixeira, Luiz Felipe

AU - Sciotto Marotta, Michele

AU - Sandrin, Fabio

AU - Bonacossa, Emilio

AU - Lanni, Gabriella

AU - Massaro, Maria A.

AU - Intra, Mattia

AU - Berrocal, Carmen

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