Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results

Oncology Nursing Forum
Virgina LeeAnita J Gagnon

Abstract

To develop an intervention that uniquely addresses the existential impact of cancer through meaning-making coping strategies and to explore the intervention's impact on psychological adjustment. Descriptive, qualitative approach to develop the intervention; one-group pre- and post-test design to pilot test the intervention. Patients' homes or ambulatory oncology clinics affiliated with a university health center in eastern Canada. 18 participants who were newly diagnosed in the past three months (n = 14), had completed treatment (n = 1), or were facing recurrence (n = 3) of breast (n = 10) or colorectal (n = 8) cancer. Data were collected during interviews using a prototype intervention for trauma patients, and content was analyzed on an ongoing basis to fit the needs of the cancer population. Pretest and post-test questionnaires were administered to determine the intervention's effect. Meaning-making intervention (MMI), patients' background variables, disease- or treatment-related symptoms, and psychological adjustment. The MMI for patients with cancer consisted of as many as four two-hour, individualized sessions and involved the acknowledgment of losses and life threat, the examination of critical past challenges, and plans ...Continue Reading

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