Improvement in Stress, General Self-Efficacy, and Health Related Quality of Life following Patient Education for Patients with Neuroendocrine Tumors: A Pilot Study
Table 1
Description of the 26-week intervention.
Intervention topic (numbers × minutes)
Content
Facilitated by
Phase 1 week 1
Introduction (1 × 45)
(i) Study protocol, information about goal setting and information about principles of self-efficacy. The patients received a booklet with the intervention protocol to take home
(i) The principle investigator
Lectures (16 × 45)
(i) Disease-specific knowledge (ii) Psychological reactions on severe illness (iii) Social rights (iv) Physical activity (v) Nutrition
(i) Physician (ii) Psychologist (iii) Social worker (iv) Physiotherapist (v) Nutritionists
Group sessions (4 × 60)
Discussions based on the principles of self-efficacy in order to enhance problem-solving strategies (i) Mastery experiences: utilize previous, optimistic, and positive experiences and evaluate their written goals (ii) Vicarious experiences: utilize significant other’s optimistic and positive experiences in the coping process (iii) Verbal persuasion: encouraged in believing that they could achieve their goals and in sharing experiences as well as supporting other’s coping strategies (iv) Strengthening physical and psychological state: utilize disease-specific knowledge and enable the patients to recognize disease-specific symptoms and when to contact health care for assistance
(i) Nurse
Phase 2 week 2–6
Group sessions (6 × 90)
(i) Discussions based on the principles of self-efficacy in order to enhance problem-solving strategies
(i) Nurse
Individual telephone calls (18 × 30)
(i) Individual support based on the principles of self-efficacy: follow up of weekly goals and reflective notes