The Effect of a Health Literacy Enhancement Program on Self-Management Among Older Persons with Breast Cancer Receiving Radiation Therapy
Keywords:
Health literacy enhancement program, Self-management, Older persons with breast cancer receiving radiation therapyAbstract
Health literacy is an essential factor for more effective self-management among older persons with breast cancer who receive radiation therapy. The purpose of this experimental research was to study the effect of a health literacy enhancement program on self-management among elderly patients with breast cancer receiving radiation therapy. The subjects consisted of 54 elderly patients with breast cancer who received services at the radiation therapy outpatient department of Lampang Cancer Hospital in Lampang Province. Simple random sampling was used, and participants were divided into 2 groups, an experimental group and a control group, with 27 patients in each. The experimental group participated in the health literacy enhancement program for a duration of 3 weeks, while the control group received usual care. The research instruments included the health literacy enhancement program, a personal data and illness questionnaire, and a questionnaire on self-management behavior for older breast cancer patients receiving radiotherapy. Research tools passed quality checks. The health literacy enhancement program obtaining a content validity index of 0.99, and the self-management behavior questionnaire’s internal consistency had a Pearson’s correlation coefficient of 0.97. Data were analyzed using descriptive statistics, independent t-test statistics, and paired t-test statistics.
The results showed that mean self-management scores of radiotherapy-treated older persons with breast cancer who received the health literacy enhancement program were significantly higher than those who received usual care (p < .001) and greater than before receiving the health literacy enhancement program (p < .001).
The results of this research showed that the health literacy enhancement programed resulted in better self-management, and could, therefore, be applied to promote continued self-management in older persons with breast cancer who have received radiation therapy.
References
American Cancer Society. (2019). Types of breast cancer. Retrieved from https://www.cancer.org/ cancer/ breast-cancer
Auttama, N., & Seangpraw, K. (2019). Factors predictor health literacy among older adults with risk hypertension disease, Phayao Province. Journal of Health Education, 42(2), 76-85. (in Thai)
Bozkurt, H., & Demirci, H. (2019). Health literacy among older persons in Turkey. The Aging Male, 22(4), 272–277. doi: 10.1080/13685538.2018.1437901
Champarnaud, M., Villars, H., Girard, P., Brechemier, D., Balardy, L., & Nourhashemi, F. (2020). Effectiveness of therapeutic patient education interventions for older adults with cancer: A systematic review. The Journal of Nutrition, Health and Aging, 24(7), 772-782. doi: 10.1007/s12603-020-1395-3
Chang, L., Weiner, L. S., Hartman, S. J., Horvath, S., Jeste, D., Mischel, P. S., … Kado, D. M. (2019). Breast cancer treatment and its effects on aging. Journal of Geriatric Oncology, 10(2), 346-355. doi: 10.1016/j.jgo.2018.07.010
Chiu, H. T., Tsai, H. W., Kuo, K. N., Leung, A. Y. M., Chang, Y. M., Lee, P. H., … Hou, W. H. (2020). Exploring the influencing factors of health literacy among older adults: A cross-sectional survey. Medicina (Kaunas), 56(7). doi: 10.3390/medicina56070330
Cooray, B. P. R., Morrissey, H., Waidyarathnec, E. I., & Ball, P. A. (2018). The impact of individual health education on health literacy: Evaluation of the translated version (Sinhala) of health education impact questionnaire in type 2 diabetes. International Journal of Diabetes Research, 5(2), 1-8.
Estape, T. (2018). Cancer in the elderly: Challenges and barriers. Asia Pacific Journal of Oncology Nursing, 5(1), 40-42. doi: 10.4103/apjon.apjon_52_17
Gysels, M., & Higginson, I. J. (2007). Interactive technologies and videotapes for patient education in cancer care: Systematic review and meta-analysis of randomised trials. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 15(1), 7–20. doi: 10.1007/s00520-006-0112-z
Hoffman, A. J., Von Eye, A., Audrey, G. G., Given, B. A., Given, C. W., & Rothert, M. (2011). The development and testing of an instrument for perceived self-efficacy for fatigue self-management. Cancer Nursing, 34(3), 167.
Honchai, T., Soivong, P., & Lukkahatai, N. (2013). Effects of a self-management support on self-management behaviors and symptom distress among breast cancer patients receiving chemotherapy. Nursing Journal, 40(special), 14-22. (in Thai)
Hou, W. H., Huang, Y. J., Lee, Y., Chen, C. T., Lin, G. H., & Hsieh, C. L. (2018). Validation of the integrated model of health literacy in patients with breast cancer. Cancer Nursing, 41(6), 498-505. doi: 10.1097/NCC.0000000000000540
Kim, S. H., Park, S., Kim, S. J., Hur, M. H., Lee, B. G., & Han, M. S. (2020). Self-management needs of breast cancer survivors after treatment: Results from a focus group interview. Cancer Nursing, 43(1), 78-85.
Lee, R., Lee, K. S., Oh, E. G., & Kim, S. H. (2013). A randomized trial of dyadic peer support intervention for newly diagnosed breast cancer patients in Korea. Cancer Nursing, 36(3), E15-22. doi: 10.1097/NCC.0b013e3182642d7c
Lorig, K. R., & Holman, H. R. (2003). Self-management education: History, definition, outcomes, and mechanisms. Self-Management Education, 26(1), 1-7.
National cancer institute, Department of Medical Services. (2020). Hospital-based cancer registry. Retrieved from https://www.nci.go.th/th/cancer_record/cancer_rec1.html (in Thai)
National Comprehensive Cancer Network. (2020). Breast cancer invasive. Retrieved from https://www.nccn.org/patients/guidelines/content/PDF/breast-invasive-patient.pdf
Nophakroh, J., Chintanawat, R., & Khampolsiri, T. (2017). Health Literacy and self-management in older persons with type 2 diabetes mellitus. Nursing Journal, 47(2), 251-261. (in Thai)
Nutbeam, D. (2015). Defining, measuring, and improving health literacy. Health Evaluation and Promotion, 42(4), 450-455. doi: 10.7143/jhep.42.450
Pongnikorn, D., Daoprasert, K., Wongkaew, B., Saengkham, S., Pradit Khai, M., & Mimak, R. (2020). Trends in cancer incidence and mortality in Northern Thailand, 1993-2017: Effects of the development of a population-level cancer registry network. Chiang Mai: Ngandee Printing. (in Thai)
Stewart, M., N. (2012). Practical patient literacy: The Medagogy model. New York, NY: McGrawHill Medical.
Stewart, M., N. (2020). The art and science of patient education for health literacy. New York, NY: McGraw-Hill Medical.
Stueber, T. N., Diessner, J., Bartmann, C., Leinert, E., Janni, W., Herr, D., ... Wischnewsky, M. (2020). Effect of adjuvant radiotherapy in elderly patients with breast cancer. PLoS One, 15(5), e0229518. doi: 10.1371/journal.pone.0229518
Tesarova, P. (2013). Breast cancer in the elderly-should it be treated differently. Journal of Great Poland Cancer Center in Poznan and Polish Society of Radiation Oncology, 18(1), 26-33. doi: 10.1016/j.rpor.2012.05.005
Trinathawan, W., Wirojratana, V., & Watanakukrilert, D. (2019). Factors influencing health literacy among older adults. Journal of Health Science Research, 13(2), 41-51. (in Thai)
World Cancer Research Fund International. (2020). Global cancer data by country. Retrieved form https://www.wcrf.org/cancer-trends/global-cancer-data-by-country/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Nursing Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
