Revie ⊕: Impact of a resource-based life review intervention on patients with advanced cancer: A waitlist controlled trial

Article Article scientifique Article Revie ⊕: Impact of a resource-based life review intervention on patients with advanced cancer: A waitlist controlled trial eng 2024-02 author Da Rocha Rodrigues Gora Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Switzerland; HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Switzerland. Electronic address: gora.darocha@hesav.ch. author Warne David W Academic Fellow of the Research Center for Statistics, Geneva School of Economics and Management, University of Geneva, Switzerland. Electronic address: david_w_warne@bluewin.ch. author Scuderi Luca HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Switzerland. Electronic address: luca.scuderi@hesav.ch. 701645 author Lilla Déborah HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Switzerland. Electronic address: deborah.lilla@hesav.ch. author Stanic Jelena HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Switzerland. Electronic address: jelena.stanic@hesav.ch. 977615 author Pautex Sophie Marie Palliative Medicine Division, Department of Readaptation and Geriatrics, University Hospitals of Geneva, University of Geneva, Switzerland. Electronic address: sophie.pautex@hcuge.ch. 37604 dept de réadaptation et gériatrie (MIGRG) 102506 10.1016/j.ejon.2024.102506 38301385 1462-3889 https://linkinghub.elsevier.com/retrieve/pii/S1462388924000048 Purpose: Life review interventions aim to support individuals facing an incurable disease accompanied by existential concerns and health-related challenges. Based on encouraging feasibility results, this study assessed the effects of Revie ⊕ life review intervention on the self-esteem of patients with advanced cancer, and the effects on well-being, post-traumatic growth, life satisfaction, symptom burden and interaction with nurses. Method: The study consisted of a two-arm parallel-group, waitlist-controlled trial (WCT) in the oncology division of a Swiss-French University Hospital. Revie ⊕ was composed of nurse-led meeting with the patient to address and document significant life events using a strengths-focused approach and targeting the life project. Results: Due to Covid-19 pandemic, adjustments were made regarding study duration and participant's allocation: Fifty-eight patients received Revie ⊕, 39 completed all the measurements. Self-esteem was high at baseline and maintained stability over time. The social well-being decreased in the intervention group before-after Revie ⊕ (-1.7 (3.9), p = 0.044) while emotional and functional well-being showed stability. The intensity of symptoms decreased in the intervention group before-after Revie ⊕: 4.9 (9.4), p = 0.020. Conclusions: This study suggests that patients living with an advanced cancer and who received Revie ⊕ intervention may have maintained their self-esteem high over time. Observed results are promising, particularly considering the influence of the pandemic. Nevertheless, these findings do not allow us to draw definitive conclusions regarding the efficacy of the intervention on self-esteem. WCT seems not to be the appropriate design to highlight the added value of Revie ⊕ for this particularly vulnerable population. Clinical trial registration number: <a href="http://clinicaltrials.gov/show/NCT04254926" rel="noopener noreferrer" target="_blank">NCT04254926</a>. Advanced cancer Life-review intervention Nurse-led intervention Self-esteem Strengths-focused approach COVID-19 Humans Neoplasms / psychology Pandemics Dewey 618.97 Swiss Cancer Research Foundation KFS-4390-02-2018 65 Département de réadaptation et gériatrie 22B false 436 Médecine palliative 709 https://clinicaltrials.gov/study/NCT04254926 European journal of oncology nursing 68 c0142980-b8e4-40d9-b80f-28eb018f1495 Article (Published version) Public PIIS1462388924000048.pdf 669213 application/pdf CC BY-4.0 818e11fcce0dbdd529f7b5648f3dd07d49de560a89f2ed9cae29040174423ca0 93dd1244-9c6b-43b2-9bf5-bb16aad1eac3 Supplemental data Public 1-s2.0-S1462388924000048-mmc1.docx 17601 application/vnd.openxmlformats-officedocument.wordprocessingml.document dff463be377f2a854f4710b96a9240934e43f1853aec89f3834f6c00df735a77 openAccess Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie

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Revie ⊕: Impact of a resource-based life review intervention on patients with advanced cancer: A waitlist controlled trial	European journal of oncology nursing			2024	49	264

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Scuderi, Luca