Peer support to maintain psychological wellbeing in people with advanced cancer: findings from a feasibility study for a randomised controlled trial

BMC Palliative Care - Tập 19 Số 1 - 2020
Catherine Walshe1, Diane Roberts2, Lynn Calman3, Lynda Appleton4, Robert Croft5, Suzanne M. Skevington6, Mari Lloyd‐Williams7, Gunn Grande2, Guillermo Pérez Algorta8
1International Observatory on End of Life Care, Division of Health Research, Lancaster University, Bailrigg, Lancaster, UK
2Division of Nursing, Midwifery and Social Work, Manchester University, Manchester, UK
3Macmillan Survivorship Research Group, School of Health Sciences, Southampton University, Southampton, UK
4Clatterbridge Cancer Centre NHS Foundation Trust, Wirral, UK
5Liverpool, UK
6Manchester Centre for Health Psychology, School of Psychological Sciences, Manchester University, Manchester, UK
7APSCSG, Institute of Population and Health Sciences, Liverpool, UK
8Division of Health Research, Lancaster University, Lancaster, UK

Tóm tắt

Abstract Background Advanced cancer affects people’s lives, often causing stress, anxiety and depression. Peer mentor interventions are used to address psychosocial concerns, but their outcomes and effect are not known. Our objective was to determine the feasibility of delivering and investigating a novel peer mentor intervention to promote and maintain psychological wellbeing in people with advanced cancer. Methods A mixed methods design incorporating a two-armed controlled trial (random allocation ratio 1:1) of a proactive peer mentor intervention plus usual care, vs. usual care alone, and a qualitative process evaluation. Peer mentors were recruited, trained, and matched with people with advanced cancer. Quantitative data assessed quality of life, coping styles, depression, social support and use of healthcare and other supports. Qualitative interviews probed experiences of the study and intervention. Results Peer mentor training and numbers (n = 12) met feasibility targets. Patient participants (n = 12, from 181 eligible who received an information pack) were not recruited to feasibility targets. Those who entered the study demonstrated that intervention delivery and data collection were feasible. Outcome data must be treated with extreme caution due to small numbers, but indicate that the intervention may have a positive effect on quality of life. Conclusions Peer mentor interventions are worthy of further study and researchers can learn from these feasibility data in planning participant recruitment and data collection strategies. Pragmatic trials, where the effectiveness of an intervention is tested in real-world routine practice, may be most appropriate. Peer mentor interventions may have merit in enabling survivors with advanced cancer cope with their disease. Trial Registration The trial was prospectively registered 13.6.2016: ISRCTN10276684.

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Tập 19 Số 1

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