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Titre : | Participation in Daily Activities Among Women 5 Years After Breast Cancer (2022) |
Auteurs : | Khawla Loubani ; Naomi Schreuer ; Rachel Kizony |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) |
Article en page(s) : | p. 1-8 |
Note générale : | 10.5014/ajot.2022.048736 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adaptation ; Ergothérapie ; Participation sociale ; Tumeurs du sein |
Résumé : | Importance: Understanding the long-term participation restrictions after breast cancer (BC) is crucial for developing occupation-based interventions. Objective: To (1) compare women's participation during the BC subacute phase (2 yr postdiagnosis) with the chronic (5 yr postdiagnosis) phase, (2) explore factors associated with participation in the chronic phase, and (3) describe strategies women use to overcome participation restrictions. Design: Descriptive longitudinal study. Setting: A community health service in Israel. Participants: A convenience sample of 30 women (M age = 53.9 yr, SD = 8.3) diagnosed with BC (Stages 13). Outcomes and Measures: Demographic and BCrelated symptom questionnaires; an adapted version of the Activity Card Sort, used to assess retained activity levels (RALs) compared with prediagnosis activity levels in sociocultural, physical, and instrumental domains; the Canadian Occupational Performance Measure; and one open-ended qualitative question, "How were you able to retain your participation in daily activities despite the long-term effects of BC?" Results: Significantly higher total RALs were found in most domains for women in the chronic (M = 0.93 RAL, SD = 0.27) compared with the subacute (M = 0.71, SD = 0.22) phase, t(29) = 4.72, p <.001. almost half the women achieved clinically significant change in their meaningful activities. lower levels of participation were significantly correlated with higher symptom severity. qualitative findings indicated that coping strategies such as positive thinking and changing priorities helped managing participation. conclusions relevance: restrictions residual bc-related symptoms yr postdiagnosis demonstrated need for a comprehensive evaluation early occupational therapy intervention to prevent long-term restrictions. what this article adds: study highlights value assessment daily various activity domains specific individual activities bc. combination quantitative analysis provided subjective perspective deeper understanding associations among strategies. breast cancer years after diagnosis provide> |
Disponible en ligne : | Oui |
En ligne : | https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412648&lang=fr&site=ehost-live |