Lung cancer: Challenges and solutions for supportive care intervention research

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Title Lung cancer: Challenges and solutions for supportive care intervention research
Author Schofield, Penelope; Ugalde, Anna; Carey, Mariko; Mileshkin, Linda; Duffy, Elaine; Ball, David; Aranda, Sanchia
Journal Name Palliative and Supportive Care
Year Published 2008
Place of publication United Kingdom
Publisher Cambridge University Press
Abstract Lung cancer is the leading cause of cancer death. It is associated with a high level of morbidity, particularly fatigue, pain, breathlessness, and coughing. These symptoms can have a substantial impact on psychosocial functioning. It is critical to have effective interventions demonstrated to improve quality of life particularly for those with advanced disease. However there is a paucity of high quality intervention research to guide practice in this area. This article discusses the challenges in conducting supportive care research in this group, including the patient's level of literacy in English, poor performance status, rapidly fluctuating health status, and familial or professional “gate-keeping.” Many of these challenges can be overcome by broadening eligibility criteria, permitting some flexibility in relation to recruitment and data collection procedures, working closely with the treatment team, involving the patient's family, minimizing practical difficulties associated with intervention delivery, and reducing study burden in other ways, such as limiting the amount of data collected from the patient and shortening follow-up time intervals. We explore these potential solutions drawing on the experience of conducting a randomized controlled trial of a support intervention for people with lung cancer and their family.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1017/S1478951508000424
Volume 6
Issue Number 3
Page from 281
Page to 287
ISSN 1478-9515
Date Accessioned 2012-03-14; 2012-03-28T22:54:38Z
Faculty Griffith Health Faculty
Subject Public Health and Health Services
URI http://hdl.handle.net/10072/44057
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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