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The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
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Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
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J Korean Acad Nurs 2019;49(4):472-485. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.4.472
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- Abstract
Purpose
This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy.
Methods
The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants’ health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0.
Results
Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group.
Conclusion
The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.
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Citations
Citations to this article as recorded by  - Effectiveness of Self‐Management Education for Deaf Individuals With Hypertension: A Quasi‐Experimental Study
Gi Won Choi, Hee Jung Kim, Yujin Park, Ha Na Jeong, Sun Ju Chang
Research in Nursing & Health.2025;[Epub] CrossRef - The Effect of Group Education Reflecting Unmet Needs on Knowledge of Chemotherapy for Patients and Their Families Undergoing Chemotherapy: A One Group Pre-Post Design
Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
Asian Oncology Nursing.2024; 24(1): 42. CrossRef - Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef - The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee
Asian Oncology Nursing.2024; 24(3): 103. CrossRef - Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review
Hemamali M. H. Jagodage, Amanda McGuire, Charrlotte Seib, Ann Bonner
Journal of Renal Care.2024; 50(2): 92. CrossRef - Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
Boyeon Lee, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216. CrossRef - Analysis of Telephone Counseling of Patients in Chemotherapy Using Text Mining Technique
Seoyeon Kim, Jihyun Jung, Heiyoung Kang, Jeehye Bae, Kayoung Sim, Miyoung Yoo, Eunyoung, E. Suh
Asian Oncology Nursing.2022; 22(1): 46. CrossRef - Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
BMC Geriatrics.2022;[Epub] CrossRef - Effects of the teach-back method among cancer patients: a systematic review of the literature
Seonhwa Choi, Jahyun Choi
Supportive Care in Cancer.2021; 29(12): 7259. CrossRef
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Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients
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Min Joo Hong, Young Sook Tae
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J Korean Acad Nurs 2013;43(6):812-820. Published online December 31, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.6.812
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Abstract
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Purpose
The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958).
Methods
Data were collected from July 10 to September 30, 2012 through direct interviews and a self-report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout).
Results
Goodness of fit in the hypothetical model was χ2=174.07, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout.
Conclusion
The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).
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Citations
Citations to this article as recorded by - Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers
Hee Moon, Songjah Journ, Seonah Lee
Cancer Nursing.2024; 47(1): 3. CrossRef - Structural Equation Model for Psychosocial Adjustment of Breast Cancer Survivors Based on Family Resilience Model
Jiyoung Seo, Myungsun Yi
Korean Journal of Adult Nursing.2022; 34(2): 178. CrossRef - The Mediating Effect of Depression on the Relationship between Social Support, Spirituality and Burnout in Family Members of Patients with Cancer
Won-Hee Jun, Kyung-Sook Cha, Kee-Lyong Lee
International Journal of Environmental Research and Public Health.2021; 18(4): 1727. CrossRef - Factors Influencing Depression of the Cancer Patient’s Family Caregivers
Min-joo Hong, Young-suk Kim, Bu-kyeong Bang, Ick-Jee Kim
The Korean Journal of Health Service Management.2019; 13(3): 163. CrossRef - Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients
Ju Ok Yang, Hye Kyung Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(1): 54. CrossRef - Factors Affecting Caregivers' Burnout Caring for a Family Member in an Intensive Care Unit
Min-Jeong Park, So-Hee Park, Mi Young Chung
Korean Journal of Adult Nursing.2017; 29(5): 517. CrossRef - Factors Influencing Burden among Family Caregivers of Elderly Cancer Patients
Yooun Sook Choi, Joo Hee Bae, Nam Hee Kim, Young Sook Tae
Asian Oncology Nursing.2016; 16(1): 20. CrossRef - Relation of Compassionate Competence to Burnout, Job Stress, Turnover Intention, Job Satisfaction and Organizational Commitment for Oncology Nurses in Korea
Sun-A Park, Seung-Hee Ahn
Asian Pacific Journal of Cancer Prevention.2015; 16(13): 5463. CrossRef
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Psychosocial Adjustment of Low-Income Koreans with Cancer
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Myungsun Yi, Eun Young Park, Dal Sook Kim, Young Sook Tae, Bok Yae Chung, Hyang Sook So
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J Korean Acad Nurs 2011;41(2):225-235. Published online April 30, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.2.225
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Abstract
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Purpose
To describe psychosocial adjustment of low-income Koreans who have cancer.
Methods
Data were collected during 2008 using individual in-depth interviews with 18 Korean people with cancer. The income status of the participants was low, 11 were recipients of the National Basic Livelihood Protection program. Mean age was 58.3 yr and 11 were female. Five participants had stomach cancer, five, colorectal cancer, and four, breast cancer. Data were analyzed using grounded theory methodology.
Results
The core category emerged as 'bearing up alone with double suffering'. 'Poverty and cancer: A double suffering' emerged as a causal condition. The adjustment process consisted of three stages: 'forming a treatment will to live' ,'practicing for the cure',and 'restructuring self and repaying favors'. Each stage indicated action-interaction strategies which were employed to bear up alone with double suffering during the illness process. Self-reflection, parental responsibility, and support from the public sector played important roles in overcoming the double suffering. Two types of consequences were identified: Transcended life and strained life suppressed by poverty and cancer.
Conclusion
The results provide insights into the psychosocial adjustment process for low income Korean with cancer and can be used in developing and implementing efficient home-care services for these people.
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Citations
Citations to this article as recorded by - A Systematic Review of the Influence of Social Determinants of Health on Mental Health Service Utilization and Outcomes Among Asian American Cancer Survivors
Yi-Ping Wen, Eden R. Brauer, Kristen Choi
Journal of Racial and Ethnic Health Disparities.2025;[Epub] CrossRef - Relationships between Canadian adult cancer survivors’ annual household income and emotional/practical concerns, help‐seeking and unmet needs
Irene Nicoll, Gina Lockwood, Christopher J. Longo, Carmen G. Loiselle, Margaret I. Fitch
Health & Social Care in the Community.2022;[Epub] CrossRef - Illness Experiences of Adolescents with Type 1 Diabetes
Ji Eun Kim, Ilaria Campesi
Journal of Diabetes Research.2022; 2022: 1. CrossRef - A Decision Tree Model for Breast Reconstruction of Women with Breast Cancer: A Mixed Method Approach
Eun Young Park, Myungsun Yi, Hye Sook Kim, Haejin Kim
International Journal of Environmental Research and Public Health.2021; 18(7): 3579. CrossRef - The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty
Ae-Kyung Kim
Korean Journal of Adult Nursing.2017; 29(5): 472. CrossRef - Cancer Survivorship Care among Oncology Nurses in Korea
Hye Sook Kim, Hye-Young Jang, Myungsun Yi, Hye Yeon Seo
Asian Oncology Nursing.2017; 17(2): 124. CrossRef - Qualitative study on experience of health behavior among Korean low-income breast cancer survivors
Young-Sun Rhee
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3188. CrossRef - The Effectiveness of a Forest-experience-integration Intervention for Community Dwelling Cancer Patients' Depression and Resilience
Yeon Hee Choi, Young Sun Ha
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 109. CrossRef - Psychosocial needs of low-income people with cancer in Korea
Myungsun Yi, Keeho Park, Eun Young Park
European Journal of Oncology Nursing.2014; 18(6): 549. CrossRef - An Analysis of Cancer Survival Narratives Using Computerized Text Analysis Program
Dal Sook Kim, Ah Hyun Park, Nam Jun Kang
Journal of Korean Academy of Nursing.2014; 44(3): 328. CrossRef - The Identification of the Characteristics of Cancer Patients Who Defected to Other Medical Institutions
Jae-Bin Cha, Jung-He Nam, Sung-Sik Ahn
The Korean Journal of Health Service Management.2013; 7(1): 1. CrossRef
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An Ethnographic Study on Eating Styles of Adult Diabetics in Korea
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Yong Hae Hong, Myung Ok Cho, Young Sook Tae
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Journal of Korean Academy of Nursing 2005;35(2):313-322. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.2.313
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Abstract
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Purpose
The purpose of this study was to explore adult diabetics' eating styles and factors which influence them.
Method
The study adopted an ethnographic method based on a perspective which views the eating style as a cultural phenomenon. Data was collected through a personal interview, participant observation, and documented materials from Oct.2001 to Sept. 2002. In this study, fifteen adult diabetics, with an average age of 57, participated. Data analysis was done by the Spradley's taxonomic analysis technique.
Result
The patients' eating styles were rooted in their viewpoint on illness as well as the meaning of food. Eating styles were classified into 4 types: Pathology-centered, symptom-centered, need-centered, and role-centered.
Conclusion
A conventional approach to the treatment and management of diabetes did not consider the patient's inner world which may play an important role in the successful management of the disease. We found that it was critical for health care personnel to understand patients' values, beliefs and their way of life in order to facilitate the most successful self-care diet.
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Citations
Citations to this article as recorded by - Nutritional patterns of Korean diabetic patients: an exploratory study
H. Lee, M. Kim, B.J. Daly
International Nursing Review.2008; 55(4): 442. CrossRef
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454
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The Illness Experience of Women in Advanced Uterine Cancer
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Young Sook Tae, Moung Ock Cho, Yong Hae Hong
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Journal of Korean Academy of Nursing 2003;33(7):917-927. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.7.917
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Abstract
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Purpose
This hermeneutical inquiry was aimed at understanding the experience of women with advanced uterine cancer and providing sociocultural data on hospice nursing for these Korean women. We adopted hermeneutic phenomenological approach of van Manen. The research question was “What do women with advanced uterine cancer experience in their life?”.
Method
The data for this paper came from interviews with 11 participants between February, 2000 and May, 2001 and reviews of secondary text of essay and drama, poet, memorandum. Each informant was interviewed three or more times for 30 min.-2 hours. In the process of analysis we did reflective thinking and used line-by-line and highlighting analysis techniques.
Result
The substantial themes of illness experience of women in advanced uterine cancer were ‘Endless suffering’, ‘In the midst of chaos and darkness,’ ‘on the wish of new possibility’, ‘finding new transformed self.
Conclusion
Women with Advanced uterine cancer suffer with complex problems and wonder in the midst of chaos and darkness, but they find a new transformed self by the wish of new possibility and experience human becoming.
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Citations
Citations to this article as recorded by - The Actual Experiences of the Living World among Cancer Patients
Jin-Hyang Yang
Journal of Korean Academy of Nursing.2008; 38(1): 140. CrossRef
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Effects of a Program to Promote Self-Efficacy and Hope on the Self: Care Behaviors and the Quality of Life in Patients with Leukemia
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Pok Ja Oh, Eun Ok Lee, Young Sook Tae, Dong Choon Um
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Journal of Nurses Academic Society 1997;27(3):627-638. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1997.27.3.627
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Abstract
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Most patients having leukemia suffer severely from emotional turmoil due to the generalized perception that cancer will be fatal. The conventional chemotherapy results in side effects such as severe bone marrow depression which interfere with self-care management, vital for improvement in their condition. Bandura's theory of the self-efficacy suggests that self-efficacy can be enforced by performance attainments, vicarious experiences, verbal persuasion and the release of emotional arousal. Self-efficacy can be enforced by a program of vicarious experiences and verbal persuasion, while the emotional arousal can be relieved through a hope promotion program. If once self-efficacy increases, the patient's self-care behaviors and the quality of life will also increase. The purpose of this study was to empirically test the effects of a program, to promote self-efficacy and hope, on self-care behaviors and quality of life in patients having leukemia. In this study, three types of approaches to enhance self-efficacy and hope were used : 1) a 20-minute long slide/tape for vagarious experiences ; 2) a 10-minute long telephone call coaching for verbal persuasion ; and 3)two booklets for information about the symptoms of leukemia and treatment modalities and hope promotion. Thirsty one patients were recruited in the experimental group and 29 in the control group with a nonequivalent pretest-posttest design. The subjects were patients with leukemia undergoing chemotherapy. Sherer and Maddux's self-efficacy scale, Nowotny's hope scale, and Padilla's quality of life scale were employed with some modifications. A self-care behavior scale was developed by the researchers. Statistical analyses including paired t-test, Chi-square, ANCOVA and ANOVA, were used. The results are as follows : The levels of self-efficacy, self-care behavior and quality of life were higher in the experimental group than in the control group after four weeks of intervention(F=28.71, P=.0001 ; F=63.35, P=.0001 ; F=16.57, P=.0001). After ten weeks of intervention, all of the dependent variables(self-efficacy, self-care behavior, hope and quality of life) in the experimental group were higher than in the control group(F=74.12, P=.0001 ; F=108.34, P=.0001 ; F=13.11, P=.001 ; F=43.52, P=.0001). In conclusion, self-care behavior and quality of life increased mainly through an increase an increase in self-efficacy, while increases in hope took more time and effort.
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Citations
Citations to this article as recorded by - The development and initial validation of the self-care belief and behavior questionnaire
Julia A. Najm, Diana M. Morelen
Journal of Human Behavior in the Social Environment.2025; 35(6): 936. CrossRef - The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee
Asian Oncology Nursing.2024; 24(3): 103. CrossRef - Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors
Hyun-E Yeom, Jungmin Lee, Young-Joo Kim
Healthcare.2024; 12(3): 323. CrossRef - Relationship between Health Literacy and Self-care Behavior in Patients with Stomach Cancer after Gastrectomy: Mediating Effects of Subjective Health Status and Specific Self-efficacy
Min Jung Kim, Yong Soon Shin
Korean Journal of Adult Nursing.2021; 33(3): 259. CrossRef - The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
Journal of Korean Academy of Nursing.2019; 49(4): 472. CrossRef - Factors Influencing Quality of Life of Cancer Patients Hospitalized in Long-term Care Hospitals
A Young Jang, Jeong Sook Park
Journal of Korean Gerontological Nursing.2018; 20(1): 35. CrossRef - The Effect of Patient Education Interventions on Distress, Self-Care Knowledge and Self-Care Behavior of Oncology Patients: A Meta-Analysis
Pok-Ja Oh, Hyeong-Ji Choi
Asian Oncology Nursing.2012; 12(4): 257. CrossRef - Effects of Self-Efficacy Promotion Program on Self-Efficacy, Self-Care Behavior, and Quality of Life in Breast Cancer Patients Receiving Radiotherapy
Hea-Kyoung Ko, Geum Ja Park
Journal of Korean Oncology Nursing.2011; 11(2): 136. CrossRef
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