Treffer: Goal Satisfaction, Not Attainment, Predicted Occupational Performance Improvement During Behavioral Activation/Problem-Solving Rehabilitation After Breast Cancer.
Original Publication: Thorofare, NJ : Slack, Inc., c2002-
Local Abstract: [plain-language-summary] In an Occupational Therapy Intervention for Women Post-Treatment for Breast Cancer, Satisfaction With Short-Term Goal Outcomes Better Predicted Long-Term Activity Engagement Compared With Short-Term Goal Focus or Achievement Women often have difficulty performing valued activities after treatment for breast cancer. These challenges can persist and are associated with higher levels of depression and lower quality of life. To support women to engage in valued activities in the year following treatment for breast cancer, we developed and tested a telephone-based occupational therapy coaching intervention. The intervention helps women identify activities they want to improve engagement in and set weekly goals for these activities. In a recent study, women who received the intervention reported greater improvement in performance and satisfaction with valued activities compared with women who only received education. We analyzed data from our study’s intervention sessions to better understand what types of activities women prioritized and to examine what short-term (i.e., weekly) goal characteristics (i.e., focus) and outcomes (i.e., attainment, satisfaction) may have predicted longer-term improvements in activity engagement. We found that exercise was the most common activity that women wanted to improve engagement in. How satisfied a woman felt with the outcomes of her weekly goals was the strongest predictor of long-term improvement in activity engagement, regardless of whether the weekly goals were met or if the focus of those weekly goals was related to the woman’s long-term goals. Our results illustrate how an intervention that shifts the power of decision-making, goal setting, and evaluation to the patient while providing support from a trained clinician, can support women to improve activity engagement after treatment for breast cancer.
Weitere Informationen
Occupational performance challenges are common among breast cancer survivors (BCS). In a recent randomized controlled trial (RCT), our rehabilitation intervention catalyzed significantly greater improvements in occupational performance compared to an education-based control condition. To describe BCS' activity priorities and examine what short-term goal characteristics (i.e., focus) and outcomes (i.e., attainment, satisfaction) predicted long-term occupational performance improvement. Post hoc analysis of intervention session data from an RCT. Content analysis was used to summarize participants' short-term and long-term goals. Linear regressions were conducted to examine associations between weekly goal characteristics and outcomes and occupational performance improvement. Among 138 BCS, 119 (86.2%) set long-term goals focused on exercise. Self-reported satisfaction with weekly goal outcomes was the strongest predictor of occupational performance improvement (η <subscript>p</subscript><sup>2</sup> = 0.14-0.17, p < .001). Satisfaction with short-term goal outcomes, regardless of goal focus or attainment, predicts long-term occupational performance improvement in the year following breast cancer treatment.
Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.