Using a Whole Person Approach to Support People with Cancer : A Longitudinal, Mixed-Methods Service Evaluation. / Polley, Marie; Jolliffe, Rachel ; Boxell, Emily; Zollman, Catherine; Jackson, Sarah; Seers, Helen .

In: Integrative Cancer Therapies, Vol. 15, No. 4, 01.12.2016, p. 435-445.

Research output: Contribution to journalArticle

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Using a Whole Person Approach to Support People with Cancer : A Longitudinal, Mixed-Methods Service Evaluation. / Polley, Marie; Jolliffe, Rachel ; Boxell, Emily; Zollman, Catherine; Jackson, Sarah; Seers, Helen .

In: Integrative Cancer Therapies, Vol. 15, No. 4, 01.12.2016, p. 435-445.

Research output: Contribution to journalArticle

Harvard

Polley, M, Jolliffe, R, Boxell, E, Zollman, C, Jackson, S & Seers, H 2016, 'Using a Whole Person Approach to Support People with Cancer: A Longitudinal, Mixed-Methods Service Evaluation', Integrative Cancer Therapies, vol. 15, no. 4, pp. 435-445. https://doi.org/10.1177/1534735416632060

APA

Polley, M., Jolliffe, R., Boxell, E., Zollman, C., Jackson, S., & Seers, H. (2016). Using a Whole Person Approach to Support People with Cancer: A Longitudinal, Mixed-Methods Service Evaluation. Integrative Cancer Therapies, 15(4), 435-445. https://doi.org/10.1177/1534735416632060

Vancouver

Polley M, Jolliffe R, Boxell E, Zollman C, Jackson S, Seers H. Using a Whole Person Approach to Support People with Cancer: A Longitudinal, Mixed-Methods Service Evaluation. Integrative Cancer Therapies. 2016 Dec 1;15(4):435-445. https://doi.org/10.1177/1534735416632060

Author

Polley, Marie ; Jolliffe, Rachel ; Boxell, Emily ; Zollman, Catherine ; Jackson, Sarah ; Seers, Helen . / Using a Whole Person Approach to Support People with Cancer : A Longitudinal, Mixed-Methods Service Evaluation. In: Integrative Cancer Therapies. 2016 ; Vol. 15, No. 4. pp. 435-445.

BibTeX

@article{82212964abc74e828223d7dc95aebf0e,
title = "Using a Whole Person Approach to Support People with Cancer: A Longitudinal, Mixed-Methods Service Evaluation",
abstract = "Introduction. Improved models of care are needed to meet all the support needs of people with cancer, which encompass psychological, emotional, physical, spiritual, sexual, occupational, social and existential needs. The aim of this article is to (a) evaluate short- and long-term impacts of using a whole person approach to support people with cancer on the Living Well with the Impact of Cancer Course (LWC) and (b) use these data to inform strategic decisions about future service provision at Penny Brohn UK. Methods. Longitudinal mixed-methods service evaluation (n = 135). Data collected included health-related quality of life (HRQoL) (FACIT-SpEx); Concerns (types and severity–MYCaW); lifestyle behavior (bespoke questionnaire), and participants{\textquoteright} experiences over 12 months postcourse. Results. Statistically and clinically significant improvements from baseline to 12 months in severity of MYCaW Concerns (n = 64; P < .000) and mean total HRQoL (n = 66; P < .000). The majority of MYCaW concerns were “psychological and emotional” and about participants{\textquoteright} well-being. Spiritual, emotional, and functional well-being contributed most to HRQoL improvements at 12 months. Barriers to maintaining healthy lifestyle changes included lack of support from family and friends, time constraints, and returning to work. Three to 6 months postcourse was identified as the time when more support was most likely to be needed. Conclusions. Using a whole person approach for the LWC enabled the needs of participants to be met, and statistically and clinically significant improvements in HRQoL and MYCaW Concerns were reported. Qualitative data analysis explored how experiencing whole person support enabled participants to make and sustain healthy lifestyle changes associated with improved survivorship. Barriers experienced to making health behavior change were also identified. These data then informed wider and more person-centered clinical provision to increase the maintenance of positive long-term behavior changes. Comparison of whole person approaches to cancer treatment and support and standard care are now urgently needed.",
author = "Marie Polley and Rachel Jolliffe and Emily Boxell and Catherine Zollman and Sarah Jackson and Helen Seers",
year = "2016",
month = dec,
day = "1",
doi = "10.1177/1534735416632060",
language = "English",
volume = "15",
pages = "435--445",
journal = "Integrative Cancer Therapies",
issn = "1534-7354",
publisher = "SAGE Publications Inc.",
number = "4",

}

RIS

TY - JOUR

T1 - Using a Whole Person Approach to Support People with Cancer

T2 - A Longitudinal, Mixed-Methods Service Evaluation

AU - Polley, Marie

AU - Jolliffe, Rachel

AU - Boxell, Emily

AU - Zollman, Catherine

AU - Jackson, Sarah

AU - Seers, Helen

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Introduction. Improved models of care are needed to meet all the support needs of people with cancer, which encompass psychological, emotional, physical, spiritual, sexual, occupational, social and existential needs. The aim of this article is to (a) evaluate short- and long-term impacts of using a whole person approach to support people with cancer on the Living Well with the Impact of Cancer Course (LWC) and (b) use these data to inform strategic decisions about future service provision at Penny Brohn UK. Methods. Longitudinal mixed-methods service evaluation (n = 135). Data collected included health-related quality of life (HRQoL) (FACIT-SpEx); Concerns (types and severity–MYCaW); lifestyle behavior (bespoke questionnaire), and participants’ experiences over 12 months postcourse. Results. Statistically and clinically significant improvements from baseline to 12 months in severity of MYCaW Concerns (n = 64; P < .000) and mean total HRQoL (n = 66; P < .000). The majority of MYCaW concerns were “psychological and emotional” and about participants’ well-being. Spiritual, emotional, and functional well-being contributed most to HRQoL improvements at 12 months. Barriers to maintaining healthy lifestyle changes included lack of support from family and friends, time constraints, and returning to work. Three to 6 months postcourse was identified as the time when more support was most likely to be needed. Conclusions. Using a whole person approach for the LWC enabled the needs of participants to be met, and statistically and clinically significant improvements in HRQoL and MYCaW Concerns were reported. Qualitative data analysis explored how experiencing whole person support enabled participants to make and sustain healthy lifestyle changes associated with improved survivorship. Barriers experienced to making health behavior change were also identified. These data then informed wider and more person-centered clinical provision to increase the maintenance of positive long-term behavior changes. Comparison of whole person approaches to cancer treatment and support and standard care are now urgently needed.

AB - Introduction. Improved models of care are needed to meet all the support needs of people with cancer, which encompass psychological, emotional, physical, spiritual, sexual, occupational, social and existential needs. The aim of this article is to (a) evaluate short- and long-term impacts of using a whole person approach to support people with cancer on the Living Well with the Impact of Cancer Course (LWC) and (b) use these data to inform strategic decisions about future service provision at Penny Brohn UK. Methods. Longitudinal mixed-methods service evaluation (n = 135). Data collected included health-related quality of life (HRQoL) (FACIT-SpEx); Concerns (types and severity–MYCaW); lifestyle behavior (bespoke questionnaire), and participants’ experiences over 12 months postcourse. Results. Statistically and clinically significant improvements from baseline to 12 months in severity of MYCaW Concerns (n = 64; P < .000) and mean total HRQoL (n = 66; P < .000). The majority of MYCaW concerns were “psychological and emotional” and about participants’ well-being. Spiritual, emotional, and functional well-being contributed most to HRQoL improvements at 12 months. Barriers to maintaining healthy lifestyle changes included lack of support from family and friends, time constraints, and returning to work. Three to 6 months postcourse was identified as the time when more support was most likely to be needed. Conclusions. Using a whole person approach for the LWC enabled the needs of participants to be met, and statistically and clinically significant improvements in HRQoL and MYCaW Concerns were reported. Qualitative data analysis explored how experiencing whole person support enabled participants to make and sustain healthy lifestyle changes associated with improved survivorship. Barriers experienced to making health behavior change were also identified. These data then informed wider and more person-centered clinical provision to increase the maintenance of positive long-term behavior changes. Comparison of whole person approaches to cancer treatment and support and standard care are now urgently needed.

U2 - 10.1177/1534735416632060

DO - 10.1177/1534735416632060

M3 - Article

VL - 15

SP - 435

EP - 445

JO - Integrative Cancer Therapies

JF - Integrative Cancer Therapies

SN - 1534-7354

IS - 4

ER -