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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex intervention development study
Author(s): Gray, Nicola M
Allan, Julia L
Murchie, Peter
Browne, Susan
Hall, Susan
Hubbard, Gill
Johnston, Marie
Lee, Amanda J
McKinley, Aileen
Macleod, Una
Presseau, Justin
Samuel, Leslie
Wyke, Sally
Campbell, Neil C
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Keywords: colorectal cancer
quality of life
cancer survivor
Issue Date: Apr-2013
Date Deposited: 13-May-2013
Citation: Gray NM, Allan JL, Murchie P, Browne S, Hall S, Hubbard G, Johnston M, Lee AJ, McKinley A, Macleod U, Presseau J, Samuel L, Wyke S & Campbell NC (2013) Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex intervention development study. BMJ Open, 3 (4), Art. No.: e002596.;
Abstract: Objectives: To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer.Design: A complex intervention development study.Setting: North East Scotland and Glasgow.Participants: Semistructured interviews with people with colorectal cancer (n=28), cancer specialists (n=16) and primary care health professionals (n=14) and pilot testing with patients (n=12).Interventions: A single, 1 h nurse home visit 6-12 weeks after diagnosis, and telephone follow-up 1 week later (with a view to ongoing follow-up in future).Primary and secondary outcome measures: Qualitative assessment of intervention feasibility and acceptability.Results: Modifiable predictors of QoL identified previously were symptoms (fatigue, pain, diarrhoea, shortness of breath, insomnia, anorexia/cachexia, poor psychological well-being, sexual problems) and impaired activities. To modify these symptoms and activities, an intervention based on Control Theory was developed to help participants identify personally important symptoms and activities; set appropriate goals; use action planning to progress towards goals; self-monitor progress and identify (and tackle) barriers limiting progress. Interview responses were generally favourable and included recommendations about timing and style of delivery that were incorporated into the intervention. The pilot study demonstrated the feasibility of intervention delivery.Conclusions: Through multidisciplinary collaboration, a theory-based, acceptable and feasible intervention to improve QoL in colorectal cancer patients was developed, and can now be evaluated.
DOI Link: 10.1136/bmjopen-2013-002596
Rights: This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: and
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