Loubani Khawla, Schreuer Naomi, Kizony Rachel
Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel.
Clalit Health Services, Department of Occupational Therapy, Haifa & Western Galilee, Tel Aviv 62098, Israel.
J Clin Med. 2022 Feb 16;11(4):1022. doi: 10.3390/jcm11041022.
We aimed to examine the feasibility and impact of a short-term occupation-based telerehabilitation intervention (Managing Participation with Breast Cancer (MaP-BC)) on daily participation, health-related quality-of-life, and breast-cancer-related symptoms and understand women's perspectives regarding strategies to manage daily participation and symptoms during COVID-19 pandemic. A mixed-methods study (single-arm pre-post with a qualitative component) included 14 women after their primary medical treatment for breast cancer. Women received six weeks of occupation-based intervention using a video-communication. Sessions focused on identifying functional goals and training strategies to manage daily participation. The primary outcome was perceived performance and satisfaction with meaningful activities by the Canadian Occupational Performance Measure (COPM). Secondary outcomes were participation in the Activity Card Sort (ACS), upper-extremity functioning of Disability Arm Shoulder Hand, self-reported symptom severity, executive-functioning, health-related quality of life, and a question regarding strategies used to manage daily participation. Women significantly improved their daily participation in meaningful activities in the COPM, most ACS activity domains, self-reported executive functioning, and health-related-quality-of-life. Qualitative findings revealed three main themes: (1) daily life under the threats of breast cancer and COVID-19, (2) women's own strategies to overcome challenges, and (3) contribution of the MaP-BC. Providing telerehabilitation during the COVID-19 pandemic is feasible and successful in improving women's daily participation after breast cancer.
我们旨在研究基于职业的短期远程康复干预（乳腺癌参与管理（MaP-BC））对日常参与、健康相关生活质量和乳腺癌相关症状的可行性和影响，并了解女性在新冠疫情期间对管理日常参与和症状策略的看法。一项混合方法研究（单组前后测并带有定性成分）纳入了14名接受乳腺癌初次治疗后的女性。女性通过视频通讯接受了为期六周的基于职业的干预。课程重点在于确定功能目标和管理日常参与的训练策略。主要结局指标是通过加拿大职业表现测量法（COPM）对有意义活动的感知表现和满意度。次要结局指标包括参与活动卡片分类（ACS）、残疾手臂肩部手部的上肢功能、自我报告的症状严重程度、执行功能、健康相关生活质量，以及一个关于用于管理日常参与的策略的问题。女性在COPM中对有意义活动的日常参与、大多数ACS活动领域、自我报告的执行功能和健康相关生活质量方面均有显著改善。定性研究结果揭示了三个主要主题：（1）乳腺癌和新冠疫情威胁下的日常生活，（2）女性克服挑战的自身策略，（3）MaP-BC的贡献。在新冠疫情期间提供远程康复对改善乳腺癌后女性的日常参与是可行且成功的。
