Hostname: page-component-848d4c4894-ttngx Total loading time: 0 Render date: 2024-05-23T06:56:49.331Z Has data issue: false hasContentIssue false

A feasibility study of a peer discussion group intervention for patients with pancreatobiliary cancer and their caregivers

Published online by Cambridge University Press:  01 October 2021

Yuko Yanai*
Affiliation:
Department of Psycho-Oncology, National Cancer Center Hospital, Chuo-ku, Japan
Reiko Ando Makihara
Affiliation:
Department of Pharmacy, National Cancer Center Hospital, Chuo-ku, Japan
Naoko Matsunaga
Affiliation:
Consultation, Counseling and Support Service Center, National Cancer Center Hospital, Chuo-ku, Japan
Rieko Shimizu
Affiliation:
Consultation, Counseling and Support Service Center, National Cancer Center Hospital, Chuo-ku, Japan
Sayaka Tominaga
Affiliation:
Department of Nursing, National Cancer Center Hospital, Chuo-ku, Japan
Saki Hoshino
Affiliation:
Nutrition Management Office, National Hospital Organization Niigata National Hospital, Niigata, Japan
Yukiko Nishibuchi
Affiliation:
Department of Pharmacy, National Cancer Center Hospital, Chuo-ku, Japan
Yuta Maruki
Affiliation:
Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Chuo-ku, Japan
Akihiro Ohba
Affiliation:
Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Chuo-ku, Japan
Ken Shimizu
Affiliation:
Department of Psycho-Oncology, Cancer Institute Hospital of JFCR, Koto-ku, Japan
Takuji Okusaka
Affiliation:
Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Chuo-ku, Japan
*
Author for correspondence: Yuko Yanai, Department of Psycho-Oncology, National Cancer Center Hospital, Chuo-ku, Japan. E-mail: yyanai@ncc.go.jp

Abstract

Objectives

The purpose of this feasibility study was to examine the impacts of a peer discussion group intervention called “the pancreatobiliary cancer salon” on psychological distress among patients with pancreatobiliary cancer and their caregivers.

Methods

We recruited patients with pancreatic or biliary tract cancer and their caregivers. We conducted a within-group pre–post comparison study. Participants were grouped by the type of cancer and treatment. Each group consisted of four to five patients or caregivers. Hospital staff members facilitated group discussions where participants freely talked for 1 h. We evaluated participants’ psychological condition using the Profile of Mood States (POMS) and their impressions of the pancreatobiliary cancer salon.

Results

We analyzed data from 42 patients and 27 caregivers who joined the salon for the first time. Thirty-five patients (83.3%) had pancreatic cancer. Thirty-one patients (71.4%) had unresectable pancreatobiliary cancer and 14 patients (33.3%) were being treated with second-line or third-line chemotherapy at the time of the survey. Twenty-two patients (52.4%) participated in the salon within 6 months after diagnosis. Most participating caregivers were the patient's spouse/partner (51.9%) or child (34.6%). Both patients and caregivers experienced high levels of satisfaction with the pancreatobiliary cancer salon. Both patients and caregivers had significantly lower psychological distress as assessed by POMS after the salon.

Significance of results

A peer discussion group intervention might be well-received and has potential to benefit for patients with pancreatobiliary cancer and their caregivers.

Type
Original Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Akizuki, N, Shimizu, K, Asai, M, et al. (2016) Prevalence and predictive factors of depression and anxiety in patients with pancreatic cancer: A longitudinal study. Japanese Journal of Clinical Oncology 46(1), 7177.CrossRefGoogle ScholarPubMed
Beck, AT, Rush, AJ, Shaw, BF, et al. (1979) Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Broadhead, WE and Kaplan, BH (1991) Social support and the cancer patient. Implications for future research and clinical care. Cancer 67(3 Suppl), 794799.3.0.CO;2-7>CrossRefGoogle ScholarPubMed
Center for Cancer Control and Information Services, N.C.C. (2020) Monitoring of Cancer Incidence in Japan – Survival 2009–2011 Report.Google Scholar
Clark, KL, Loscalzo, M, Trask, PC, et al. (2010) Psychological distress in patients with pancreatic cancer – An understudied group. Psycho-Oncology 19(12), 13131320.CrossRefGoogle ScholarPubMed
Cohen, J (1988) Statistical Power Analysis for the Behavioral Sciences, 2nd ed. Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
Cohen, S and Wills, TA (1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin 98(2), 310357.CrossRefGoogle ScholarPubMed
Conroy, T, Desseigne, F, Ychou, M, et al. (2011) FOLFIRINOX versus gemcitabine for metastatic pancreatic cancer. New England Journal of Medicine 364(19), 18171825.CrossRefGoogle ScholarPubMed
Dennis, CL (2003) Peer support within a health care context: A concept analysis. International Journal of Nursing Studies 40(3), 321332.CrossRefGoogle ScholarPubMed
DeVita, JV, Hellman, S and Rosenberg, S (1989) Cancer: Principles and Practice of Oncology, Vol. 1, 3rd ed. Philadelphia, PA: JP Lippincott.Google Scholar
Engebretson, A, Matrisian, L and Thompson, C (2015) Pancreatic cancer: Patient and caregiver perceptions on diagnosis, psychological impact, and importance of support. Pancreatology 15(6), 701707.CrossRefGoogle Scholar
Faul, F, Erdfelder, E, Lang, AG, et al. (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 39(2), 175191.CrossRefGoogle ScholarPubMed
Hagensen, A, London, AE, Phillips, JJ, et al. (2016) Using experience-based design to improve the care experience for patients with pancreatic cancer. Journal of Oncology Practice 12(12), e1035e1041.CrossRefGoogle ScholarPubMed
Helgeson, VS, Cohen, S, Schulz, R, et al. (2000) Group support interventions for women with breast cancer: Who benefits from what? Health Psychology 19(2), 107114.CrossRefGoogle Scholar
Heuchert, JP and McNair, DM (2012) Profile of Mood States 2. Toronto, ON: Multi-Health System.Google Scholar
Hoey, LM, Ieropoli, SC, White, VM, et al. (2008) Systematic review of peer-support programs for people with cancer. Patient Education and Counseling 70(3), 315337.CrossRefGoogle ScholarPubMed
Holland, JC, Korzun, AH, Tross, S, et al. (1986) Comparative psychological disturbance in patients with pancreatic and gastric cancer. American Journal of Psychiatry 143(8), 982986.Google ScholarPubMed
Janda, M, Neale, RE, Klein, K, et al. (2017) Anxiety, depression and quality of life in people with pancreatic cancer and their carers. Pancreatology 17(2), 321327.CrossRefGoogle ScholarPubMed
Lieberman, M (1993) Self-help Groups. Baltimore, MD: Williams & Wilkins.Google Scholar
Locher, JL, Robinson, CO, Bailey, FA, et al. (2010) Disruptions in the organization of meal preparation and consumption among older cancer patients and their family caregivers. Psycho-Oncology 19(9), 967974.CrossRefGoogle ScholarPubMed
Macvean, ML, White, VM and Sanson-Fisher, R (2008) One-to-one volunteer support programs for people with cancer: A review of the literature. Patient Education and Counseling 70(1), 1024.CrossRefGoogle ScholarPubMed
Massie, MJ (2004) Prevalence of depression in patients with cancer. Journal of the National Cancer Institute. Monographs 2004(32), 5771.CrossRefGoogle Scholar
McNair, DM and Heuchert, JWP (2005) Profile of Mood States Technical Update. North Tonawanda, NY: Multi-Health Systems.Google Scholar
Mori, M, Okusaka, T, Ooba, A, et al. (2020) A video to initiate advance care planning: The development of educational and supportive materials for patients with pancreatic and biliary tract cancer. Suizou (in Japanese) 35(2), 136144.Google Scholar
Ohnuki-Tierney, E (1984) Illness and Culture in Contemporary Japan. New York: Cambridge University Press.CrossRefGoogle Scholar
Park, HY, Kim, MJ, Kim, JY, et al. (2019) Could peer support programs be a good resource for managing the unmet needs of cancer patients? Journal of Cancer Education 34(5), 950957.CrossRefGoogle ScholarPubMed
Passik, SD and Breitbart, WS (1996) Depression in patients with pancreatic carcinoma. Diagnostic and treatment issues. Cancer 78(3 Suppl), 615626.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Rankin, NM, Butow, PN, Price, MA, et al. (2011) Views of psycho-oncology health professionals on priority psycho-oncology research questions. Supportive Care in Cancer 19(8), 11331141.CrossRefGoogle ScholarPubMed
Rosenberg, P (1984) Support groups: A special therapeutic entity. Small Group Behavior 15(2), 173186.CrossRefGoogle Scholar
Rosenthal, RH (1994) Parametric Measures of Effect Size. New York: Russell Sage Foundation.Google Scholar
Sakamoto, N, Takiguchi, S, Komatsu, H, et al. (2017) Supportive care needs and psychological distress and/or quality of life in ambulatory advanced colorectal cancer patients receiving chemotherapy: A cross-sectional study. Japanese Journal of Clinical Oncology 47(12), 11571161.CrossRefGoogle ScholarPubMed
Sakamoto, H, Ikeda, M, Ozaka, M, et al. (2020) Evaluation of the ideal pancreatic cancer classroom: Report on the status of activities at nine major institutions. Suizo (in Japanese) 35(2), 107114.Google Scholar
Saluja, AK, Dudeja, V and Banerjee, S (2016) Evolution of novel therapeutic options for pancreatic cancer. Current Opinion in Gastroenterology 32(5), 401407.CrossRefGoogle ScholarPubMed
Schaefer, C, Coyne, JC and Lazarus, RS (1981) The health-related functions of social support. Journal of Behavioral Medicine 4(4), 381406.CrossRefGoogle ScholarPubMed
Schover, LR, Jenkins, R, Sui, D, et al. (2006) Randomized trial of peer counseling on reproductive health in African American breast cancer survivors. Journal of Clinical Oncology 24(10), 16201626.CrossRefGoogle ScholarPubMed
Sherman, DW, McGuire, DB, Free, D, et al. (2014) A pilot study of the experience of family caregivers of patients with advanced pancreatic cancer using a mixed methods approach. Journal of Pain and Symptom Management 48(3), 385399, e381–382.CrossRefGoogle ScholarPubMed
Sohal, DP, Mangu, PB, Khorana, AA, et al. (2016) Metastatic pancreatic cancer: American society of clinical oncology clinical practice guideline. Journal of Clinical Oncology 34(23), 27842796.CrossRefGoogle ScholarPubMed
Spiegel, D and Yalom, ID (1978) A support group for dying patients. International Journal of Group Psychotherapy 28(2), 233245.CrossRefGoogle ScholarPubMed
Spiegel, D, Bloom, JR, Kraemer, HC, et al. (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet 2(8668), 888891.CrossRefGoogle ScholarPubMed
Stenberg, U, Ruland, CM and Miaskowski, C (2010) Review of the literature on the effects of caring for a patient with cancer. Psycho-Oncology 19(10), 10131025.CrossRefGoogle ScholarPubMed
Sumita, M (2015) The presence state of advance care planning in Japan: Literature review and content analysis in advance care planning. The Journal of the Japan Association for Bioethics 25(1), 5768.Google Scholar
Treanor, CJ, Santin, O, Prue, G, et al. (2019) Psychosocial interventions for informal caregivers of people living with cancer. Cochrane Database of Systematic Reviews 6, CD009912.Google ScholarPubMed
Uchida, M, Akechi, T, Okuyama, T, et al. (2011) Patients’ supportive care needs and psychological distress in advanced breast cancer patients in Japan. Japanese Journal of Clinical Oncology 41(4), 530536.CrossRefGoogle ScholarPubMed
Umezawa, S, Fujisawa, D, Fujimori, M, et al. (2015) Prevalence, associated factors and source of support concerning supportive care needs among Japanese cancer survivors. Psycho-Oncology 24(6), 635642.CrossRefGoogle ScholarPubMed
Ussher, J, Kirsten, L, Butow, P, et al. (2006) What do cancer support groups provide which other supportive relationships do not? The experience of peer support groups for people with cancer. Social Science & Medicine 62(10), 25652576.CrossRefGoogle ScholarPubMed
Vogel, A, Römmler-Zehrer, J, Li, JS, et al. (2016) Efficacy and safety profile of nab-paclitaxel plus gemcitabine in patients with metastatic pancreatic cancer treated to disease progression: A subanalysis from a phase 3 trial (MPACT). BMC Cancer 16(1), 817.CrossRefGoogle Scholar
Walshe, C and Roberts, D (2018) Peer support for people with advanced cancer: A systematically constructed scoping review of quantitative and qualitative evidence. Current Opinion in Supportive and Palliative Care 12(3), 308322.CrossRefGoogle ScholarPubMed
Walton, KG, Pugh, ND, Gelderloos, P, et al. (1995) Stress reduction and preventing hypertension: Preliminary support for a psychoneuroendocrine mechanism. Journal of Alternative and Complementary Medicine 1(3), 263283.CrossRefGoogle ScholarPubMed
Weber, BA, Roberts, BL, Yarandi, H, et al. (2007) The impact of dyadic social support on self-efficacy and depression after radical prostatectomy. Journal of Aging and Health 19(4), 630645.CrossRefGoogle ScholarPubMed
Yokoyama, K and Watanabe, K (2015) Japanese Translation of POMS 2: Profile of Mood States, 2nd ed. Tokyo: Kaneko Shobo.Google Scholar
Zabora, J, BrintzenhofeSzoc, K, Curbow, B, et al. (2001) The prevalence of psychological distress by cancer site. Psycho-Oncology 10(1), 1928.3.0.CO;2-6>CrossRefGoogle ScholarPubMed