breast Cancer Rehabilitation: Understanding Patient Knowledge, Attitudes, and Practices
Table of Contents
- 1. breast Cancer Rehabilitation: Understanding Patient Knowledge, Attitudes, and Practices
- 2. The KAP Methodology: A Key to Understanding Patient Needs
- 3. Study Aims and Hypothesis
- 4. Materials and Methods
- 5. Study Design and Participants
- 6. Questionnaire Design
- 7. Data Collection and Analysis
- 8. Results
- 9. Participant Characteristics
- 10. KAP Dimension Scores
- 11. Correlations
- 12. Regression Analysis
- 13. SEM Model
- 14. Improving Breast Cancer Rehabilitation: A Focus on Knowledge, Attitude, and Practice
- 15. the Importance of Rehabilitation After breast Cancer Surgery
- 16. KAP Model: A Framework for Improving Rehabilitation Outcomes
- 17. Internet-based Interventions: A Promising Approach
- 18. Addressing Lymphedema: Targeted Interventions Needed
- 19. Designing Effective Rehabilitation Interventions
- 20. The Role of Multidisciplinary Care
- 21. Limitations and Future Directions
- 22. Conclusion
- 23. What specific resources or support systems do you think are most underutilized by breast cancer patients undergoing rehabilitation,and how can we improve access to them?
- 24. Interview: Understanding Patient Knowledge,Attitudes,and practices in Breast Cancer rehabilitation
- 25. Dr. Carter, thank you for joining us.Can you explain why focusing on patient KAP is so importent in breast cancer rehabilitation?
- 26. The KAP methodology seems crucial. How does it help in identifying gaps in understanding among breast cancer patients?
- 27. A recent study explored the KAP of breast cancer patients towards rehabilitation. What were some of the key findings?
- 28. That’s interesting. Were there any demographic factors that influenced KAP scores?
- 29. The study used a questionnaire to assess KAP. Can you elaborate on the design of the survey instrument?
- 30. Based on the findings, what practical steps can healthcare providers take to improve patient KAP regarding breast cancer rehabilitation?
- 31. Internet-based interventions were touched on in one of the source article. Could you elaborate on that point?
- 32. Lymphedema Prevention was another point mentioned in the source article. Could you elaborate on that?
- 33. What are some limitations of KAP surveys, and what future research is needed in this area?
- 34. what’s one thing you hope readers will take away from this discussion?
Breast cancer (BC) surgery, while often life-saving, can lead to complications like lymphedema and altered breast appearance. These issues can negatively impact a patient’s emotional well-being and bodily function. According to research, “BC surgery and its complications (like breast appearance, lymphedema, and limited arm movement) can have bodily issues and lead to negative emotions.” Therefore,physical rehabilitation is often a crucial component of post-operative care.
The World Health Organization emphasizes the importance of rehabilitation following BC treatment. Current guidelines advocate for “comprehensive, flexible rehabilitation after BC,” addressing the diverse needs of patients throughout their recovery process.
The KAP Methodology: A Key to Understanding Patient Needs
the Knowledge, Attitude, and Practice (KAP) methodology is a valuable tool for identifying gaps in understanding and misconceptions that may hinder the effective implementation of specific health practices. This approach combines quantitative and qualitative methods to gain a comprehensive view. In psychological research, the KAP model helps assess and improve knowledge, attitudes, and practices regarding mental health.
While numerous studies explore KAP related to breast cancer in general, there is a gap in research focusing specifically on patient KAP toward rehabilitation after BC surgery. Understanding a patient’s knowledge of available options after mastectomy is vital for optimizing survivorship and encouraging active participation in their rehabilitation journey.
Study Aims and Hypothesis
A recent study aimed to explore the KAP of BC patients toward rehabilitation, based on the hypothesis that many patients may have insufficient knowledge, hindering their attitudes and practices. Improving KAP could lead to significant psychological benefits for patients navigating post-surgical recovery.
Materials and Methods
Study Design and Participants
A cross-sectional survey was conducted between August 2022 and February 2023 across eight hospitals in Yixing City, Jiangsu Province, china. The study included BC patients who had undergone surgical treatment and were at least six months post-operative. Key inclusion criteria were a diagnosis of BC,surgical treatment,and postoperative survival exceeding six months. Exclusion criteria included severe cognitive impairment, inability to communicate effectively, or refusal to participate.
Questionnaire Design
The KAP survey instrument was developed based on existing literature and refined through expert consultation. Two rounds of consultations with breast oncologists and rehabilitation specialists led to clarifications in demographic data collection and the growth of specific KAP-related questions. A reliability test involving 36 patients resulted in a Cronbach’s α of 0.756.
The final survey assessed patient characteristics, knowledge (14 questions), attitude (7 questions using a 5-point likert scale), and practice (7 questions using a 5-point Likert scale). A score exceeding 70% in each dimension was deemed indicative of adequate knowledge, positive attitude, and proactive practice.
Data Collection and Analysis
The survey was administered electronically using a QR code, with trained research assistants providing support to participants. Statistical analysis was performed using SPSS 22, and multivariable logistic regression was used to analyse factors associated with knowledge, attitude, and practice. Structural equation modeling (SEM) was employed to examine the relationships between knowledge, attitude, and practice, based on the hypothesis that knowledge influences attitude and practice, while attitude drives practice. P-values < 0.05 were considered statistically significant.
Results
Participant Characteristics
Out of 588 initial surveys, 578 were deemed valid. The majority of participants were between 45 and 55 years old (41.87%), had a middle school education or below (55.19%), were retired (37.89%), had a history of childbirth (97.23%), were menopausal (67.65%),and did not have a family history of BC (66.44%).
KAP Dimension Scores
the mean knowledge score was 71.43%, indicating adequate knowledge overall. Higher knowledge scores were observed in younger women (PTable 1). Specific knowledge gaps were identified, with lower correctness rates for questions related to the impact of psychological care on survival rate (43.77%), and the potential for respiratory system diseases (53.29%) or hyperlipidemia (60.21%) due to estrogen level reduction post-surgery and during radiotherapy. High correctness rates were found for items addressing the components of post-operative rehabilitation (95.58%), the importance of psychological care (89.46%), and the benefits of functional exercises (89.46%).
The mean attitude score was 77.69%, indicating a positive attitude. Younger women demonstrated better attitude scores (PTable 1).
The mean practice score was 79.46%, suggesting active engagement in rehabilitation practices. Again, younger women had higher practice scores (PTable 1).
Correlations
A significant correlation was found between knowledge and attitude scores (r=0.265, PTable 2).
Regression Analysis
Multivariable logistic regression analysis revealed that knowledge scores were considerably associated with practice (OR=1.42, 95% CI: 1.28–1.58, PTable 3).
SEM Model
the SEM model, which showed good fit (Supplementary Table 2), indicated a positive direct effect of knowledge on both attitude (β = 1.715, P
Improving Breast Cancer Rehabilitation: A Focus on Knowledge, Attitude, and Practice
Breast cancer survival rates are increasing, leading to a growing population of breast cancer survivors. This highlights the critical need for improved post-surgical care and rehabilitation strategies. Recent research emphasizes the importance of enhancing patients’ Knowledge, Attitude, and practice (KAP) regarding rehabilitation to improve outcomes and reduce complications like lymphedema.
the Importance of Rehabilitation After breast Cancer Surgery
Rehabilitation plays a vital role in the recovery process after breast cancer surgery. It addresses physical and psychological challenges, helping patients regain function and improve their quality of life. According to the World Health Organization, rehabilitation is essential for individuals with health conditions to “reduce disability, optimize physical and mental functioning.”
Axillary lymph node dissection, a common procedure in breast cancer treatment, can lead to complications such as lymphedema. Studies show that understanding and adhering to rehabilitation guidelines can significantly mitigate these risks. As one study indicated, patient interventions should focus on “the importance of rehabilitation after radical surgery, explaining the concept of self-image after surgery, and providing general data on BC survivorship.”
KAP Model: A Framework for Improving Rehabilitation Outcomes
The Knowledge, Attitude, and Practice (KAP) model is a widely recognized framework for understanding and influencing health behaviors. This model posits that improving individuals’ knowledge about a health condition, fostering positive attitudes towards recommended practices, and promoting the adoption of beneficial behaviors can lead to better health outcomes.
A study highlighted the efficacy of the KAP model in enhancing compliance with rehabilitation among breast cancer patients. The findings suggest that a KAP intervention could improve patient awareness and adherence to rehabilitation programs. The study revealed that “a KAP intervention could improve the KAP toward rehabilitation in patients with BC.” Furthermore, multivariable analysis can help pinpoint primary targets for such interventions.
Internet-based Interventions: A Promising Approach
with the increasing accessibility of technology, internet-based interventions have emerged as a valuable tool for delivering health information and support.these interventions can provide convenient and cost-effective ways to educate patients about rehabilitation and promote adherence to recommended practices. As the text states, “Such an intervention could even be internet-based since such interventions appear beneficial.”
Addressing Lymphedema: Targeted Interventions Needed
Lymphedema, a chronic condition characterized by swelling in the arm or hand, is a significant concern for breast cancer survivors. While improving KAP can enhance overall well-being and functional outcomes, targeted interventions are crucial for lymphedema prevention.
A randomized controlled trial showed that a KAP-based rehabilitation program improved arm function and quality of life but did not reduce the incidence of lymphedema.This suggests that “more targeted interventions specifically addressing lymphedema prevention, such as specialized exercises and early interventions, are necessary to effectively reduce the risk of this condition.” Healthcare providers should focus on strengthening lymphedema prevention and management strategies.
Designing Effective Rehabilitation Interventions
Rehabilitation interventions after breast cancer surgery should be carefully designed to encompass all aspects of post-surgical care, including lymphedema prevention and management. A review underscored the need for effective and rigorous rehabilitation intervention studies for breast cancer survivors, noting “that there was a lack of effective and rigorous rehabilitation intervention studies for breast cancer survivors.”
Prospective lymphedema surveillance and early detection and intervention are associated with a decreased risk of chronic lymphedema. A systemic review of self-management strategies revealed that exercises and complete decongestive therapy (including compression garments/bandages, exercises, and skin care) effectively prevented lymphedema. These findings highlight the importance of cultivating a proper KAP toward rehabilitation in women with breast cancer.
The Role of Multidisciplinary Care
The multidisciplinary care of breast cancer patients is essential, especially for those at risk of lymphedema.Patients facing this risk frequently enough have challenges in self-management and balancing internal and external resources to cope with negative emotions. Multidisciplinary teams can provide comprehensive support, addressing physical, psychological, and social needs.
Structural equation modeling analysis supports the significant impact of knowledge on both attitude and practice, thereby reinforcing the interconnectedness of these dimensions and emphasizes the need for interventions targeting attitude improvement to enhance practical engagement, stating, “a positive direct effect of knowledge on both attitude and practice.”
Limitations and Future Directions
While KAP surveys provide valuable insights, they are subject to limitations. Response biases, such as social desirability bias, can influence participants’ answers. Also, the information obtained represents a specific moment, preventing causative analysis, such as those obtained during surveys.
Future research should focus on developing and evaluating targeted interventions that address specific needs of breast cancer survivors, including lymphedema prevention and management. These interventions should be evidence-based, culturally sensitive, and tailored to individual patient characteristics.
Conclusion
Improving knowledge, attitudes, and practices related to rehabilitation is crucial for enhancing the well-being of breast cancer survivors. By implementing targeted interventions and promoting multidisciplinary care, healthcare professionals can empower women to take an active role in their recovery and improve their quality of life.
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What specific resources or support systems do you think are most underutilized by breast cancer patients undergoing rehabilitation,and how can we improve access to them?
Interview: Understanding Patient Knowledge,Attitudes,and practices in Breast Cancer rehabilitation
Today,we’re speaking with Dr. Emily Carter, a leading rehabilitation specialist at the National Cancer Institute, about a critical aspect of breast cancer recovery: patient knowledge, attitudes, and practices (KAP) regarding rehabilitation.
Dr. Carter, thank you for joining us.Can you explain why focusing on patient KAP is so importent in breast cancer rehabilitation?
Absolutely. Breast cancer surgery,while often life-saving,can lead to complications like lymphedema and changes in breast appearance. these can substantially impact a patient’s physical and emotional well-being.The World Health Association emphasizes complete rehabilitation after breast cancer treatment. Understanding a patient’s KAP helps us tailor interventions to address their specific needs and improve their recovery journey.
The KAP methodology seems crucial. How does it help in identifying gaps in understanding among breast cancer patients?
The Knowledge, Attitude, and Practice (KAP) methodology is a valuable tool. It combines quantitative and qualitative methods to identify what patients know, how they feel about rehabilitation, and what they actually do in terms of adhering to recommended practices. By understanding these three elements, we can identify gaps and misconceptions that may hinder effective rehabilitation.
A recent study explored the KAP of breast cancer patients towards rehabilitation. What were some of the key findings?
The study,conducted across several hospitals,revealed that while many patients have adequate knowledge there are specific knowledge gaps. For example, some patients were less aware of the impact of psychological care on survival rates or the potential for respiratory or metabolic conditions due to hormone level changes after surgery. The study also found a positive correlation between knowledge, attitude, and practice, suggesting that improving knowledge can positively influence attitudes and practices.
That’s interesting. Were there any demographic factors that influenced KAP scores?
Yes, the study indicated that younger women tended to have higher knowledge, attitude, and practice scores compared to older women.This highlights the need for tailored interventions that address the specific needs and learning styles of different age groups.
The study used a questionnaire to assess KAP. Can you elaborate on the design of the survey instrument?
The KAP survey instrument was carefully developed based on existing literature and refined through expert consultation with breast oncologists and rehabilitation specialists. It included questions assessing patient characteristics, knowledge (14 questions), attitude (7 questions using a Likert scale), and practice (7 questions using a Likert scale).A rigorous reliability test ensured the instrument was valid and reliable.
Based on the findings, what practical steps can healthcare providers take to improve patient KAP regarding breast cancer rehabilitation?
firstly, we need to focus on patient education to address specific knowledge gaps. This could involve providing clear and concise information about the benefits of rehabilitation, the importance of psychological care, and potential long-term effects of treatment. secondly, we should encourage open interaction and address any misconceptions or fears patients may have about rehabilitation.promoting active engagement in rehabilitation practices through personalized exercise programs and support groups can significantly improve outcomes.
Internet-based interventions were touched on in one of the source article. Could you elaborate on that point?
With the increasing accessibility of technology, internet-based interventions provide convenient and cost-effective ways to educate patients about rehabilitation and promote adherence to recommended practices. Interventions of this nature ensure health information and support can be delivered remotely and on-demand.
Lymphedema Prevention was another point mentioned in the source article. Could you elaborate on that?
With lymphedema being a chronic condition characterized by swelling in the arm or hand and a significant concern for many breast cancer survivors, healthcare providers should focus on strengthening lymphedema prevention and management strategies. In doing this, this highlights the importance of cultivating a proper KAP toward rehabilitation in women with breast cancer.
What are some limitations of KAP surveys, and what future research is needed in this area?
KAP surveys, while valuable, are subject to limitations such as response biases. Also, information obtained is representative of a moment, preventing causative analysis and a deeper understanding. Future research should focus on developing targeted interventions addressing specific needs of breast cancer survivors, including lymphedema prevention and management. These interventions should be evidence-based, culturally sensitive, and tailored to individual patient characteristics.
what’s one thing you hope readers will take away from this discussion?
That improving knowledge, attitudes, and practices related to rehabilitation is crucial for enhancing the well-being of breast cancer survivors. By empowering women to take an active role in their recovery, we can significantly improve their quality of life. What specific resources or support systems do you think are most underutilized by breast cancer patients undergoing rehabilitation, and how can we improve access to them?
