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Every year, funding from The Shoppers Drug Mart Weekend to End
Women’s Cancers is put towards The Walkers Innovation Program. These grants
support researchers and new ideas that have the potential for advancing
scientific knowledge of women’s cancers, that otherwise might not receive
funding.
Through the Walkers Innovation Program, Dr. Jennifer Jones, a scientist with the
Breast Cancer Survivorship Program at The Princess Margaret, received funding
to study the importance of providing support to women who have completed
treatment, and who are transitioning to what is often called the “survivor”
phase. This period of time in the cancer journey can often be a stressful one
for patients – just one reason why The Princess Margaret gives focus to this stage.
Dr. Jones recently evaluated a two-hour
psychoeducational group session, called Getting
Back on Track (GBOT). The purpose of the session was to assist women in
making the transition from being an active cancer patient to a survivor and to
provide information on topics such as what their new health care team will look
like, self management of common side effects, healthy eating, dealing with
emotions and finding survivorship resources in their community.
Led by a multi-disciplinary team, Dr. Jones
recruited and studied two groups of breast cancer survivors—one group was given
a Getting Back on Track: Life after
Treatment booklet and the other group received the same booklet and also
attended the two-hour group GBOT session. Participants in both groups were
asked to complete a questionnaire package at the beginning of the study and
then again after three months and after six months following completion of
their cancer treatment.
Through this research, Dr. Jones and her team recently
published a paper describing the women in this study in which they explored the
relationship between preparedness and self-efficacy along with personal and
clinical factors with feelings of distress at this transition time. What Dr.
Jones and her team found was that women who did not feel that their team had
prepared them for the post-treatment follow-up period and who did not feel a
sense of control or confidence in their ability to mange the tasks and challenges,
faced higher levels of distress. In addition, women who were younger and who
had received more aggressive forms of treatment also reported higher levels of
distress and may be in need of additional support. The team concluded that this
stage of the cancer journey needs to be recognized by medical professionals as
a challenging transition period requiring routine screening for mood disorders as
part of the standard of care. Further, the development of targeted and
effective interventions and programs to support and meet the needs of women
during this time, is also required.
“Interventions aimed at increasing women’s sense
of control over their recovery through the promotion of self-efficacy and
feelings of preparedness, have the potential to result in better psychological
adjustment at the end of treatment for breast cancer,” says Dr. Jones. “In
this regard, we have recently completed a large randomized controlled trial, funded
by the Walkers Innovation Program, to evaluate the acceptability and effectiveness
of Getting Back on Track (GBOT) offered at PMH.”
The
results of this evaluation are encouraging and the plan moving forward is to
adapt GBOT so that it can be a sustainable intervention offered to all women
completing treatment. The detailed results from the full GBOT trial will be
available shortly.
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