Health Behavior Clinical Trial
Official title:
Effectiveness of Tailored Rehabilitation Education on Health Literacy and Health Status of Postoperative Patients With Breast Cancer: a Randomized Controlled Trial
For the past few years, the survival rate of breast cancer improved due to the advancement of
surgery techniques and popularization of cancer screening. However, prolonged survival rate
is definitely not equal to achieving a sound quality of life among breast cancer survivors.
The health status of cancer survivors might deteriorate according to the severe side effect
of multiple therapies.
Health literacy is the ability to access, understand, evaluate and communication information
as a way to promote and maintain health. Therefore, good health literacy raise the quality of
life of breast cancer survivors by a good competence in searching and using medical
resources. Moreover, how to improve health literacy after cancer surgery becomes an important
part recently. Even if the most fundamental concept has promoted for decades, the clinical
workers still use the identical education of medical care after surgery for breast cancer
survivors. However, the identical education is not appropriate for each of patients. In fact,
each of breast cancer survivors has the different cancer stage leading to accept different
therapy and producing different side effect. Besides, the background and the role of life are
very different from each other. Because of the above reasons, the aim of the study is going
to develop a tailored rehabilitated education, which fit for each breast cancer patients
after surgery in clinic. At the same time, the health literacy ability might be improved by
tailored rehabilitated education. When health literacy level is raised, the breast cancer
survivors have a good quality of life and beautiful health status.
This evaluator-blinded, randomized, prospective, controlled trial enrolled consecutive
patients who fulfilled the inclusion criteria. Patients were stratified into four strata
according to the side of the lesion and the surgical approach. A set of numbered envelopes
containing cards indicating the allocated group was prepared for each stratum. When a new
eligible participant was registered, an envelope was randomly drawn, and the therapist was
informed of group allocation.
To ensure consistent intervention, two certified occupational therapists were trained by two
primary investigators to administer the intervention and control group protocols
independently. The two trained occupational therapists recorded outcome measurements at the
baseline and immediately after the intervention. The evaluators were blinded to group
allocation, and participants were blinded to the study hypotheses.
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