Adapting a peer-led self-management program for breast cancer survivors in Switzerland using a co-creative approach

Schmidt, Franziska; Ribi, Karin; Haslbeck, Joerg; Urech, Corinne; Holm, Karin; Eicher, Manuela (2020). Adapting a peer-led self-management program for breast cancer survivors in Switzerland using a co-creative approach Patient Education and Counseling, 103(9), pp. 1780-1789. Elsevier 10.1016/j.pec.2020.03.028

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Objective: The peer-led Cancer Thriving and Surviving Program (CTS) has demonstrated improved health outcomes for cancer survivors. We describe a co-creative process for adapting the CTS for breast cancer survivors in Switzerland and integrating the program into the clinical pathway of Swiss breast centers. Methods: A co-creative approach was employed. Breast cancer survivors and health care professionals (total n = 81) participated in three workshops, an online rating, and a consensus conference. An iterative cycle (evidence, ideas, refining, rating, and synthesis) guided the adaptation process. Results: Survivors involvement in the adaptation process allowed to tailor the self-management program to the psychosocial needs identified as the highest priority. New contents "Being a woman", "Breast cancer and my (working) life" and "My exercise" were added to the CTS. Program duration was expanded from 6 to 7 weeks. Transition to follow-up care was considered as the optimal time point for program integration into the clinical pathway. Conclusion: The co-creative process may serve as a model in adapting supportive interventions for cancer. A subsequent pilot testing examined the feasibility and preliminary efficacy. Practice implications: Combining expertise of health care professionals and patients to co-create a peer-led breast cancer self-management program may enhance acceptability and adoption.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Nursing
Name:	Schmidt, Franziska; Ribi, Karin; Haslbeck, Joerg; Urech, Corinne; Holm, Karin and Eicher, Manuela
Subjects:	R Medicine > RT Nursing
ISSN:	07383991
Publisher:	Elsevier
Language:	English
Submitter:	Franziska Schmidt
Date Deposited:	23 Apr 2024 15:25
Last Modified:	23 Apr 2024 15:25
Publisher DOI:	10.1016/j.pec.2020.03.028
ARBOR DOI:	10.24451/arbor.21781
URI:	https://arbor.bfh.ch/id/eprint/21781