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Efficacy of a Training Program for Long-Term Disease-Free Cancer Survivors as Health Partners: A Randomized Controlled Trial in Korea

  • Yun, Young Ho (Cancer Research Institute, Seoul National University Hospital and College of Medicine) ;
  • Lee, Myung Kyung (Department of Nursing, Dong-A University) ;
  • Bae, Yeonmin (Research Institute and Hospital, National Cancer Center) ;
  • Shon, Eun-Jung (Research Institute and Hospital, National Cancer Center) ;
  • Shin, Bo-Ram (Research Institute and Hospital, National Cancer Center) ;
  • Ko, Hyonsook (Coaching Management Institute, Seoul National University College of Medicine) ;
  • Lee, Eun Sook (Research Institute and Hospital, National Cancer Center) ;
  • Noh, Dong-Young (Cancer Research Institute, Department of Surgery, Seoul National University College of Medicine) ;
  • Lim, Jae-Young (Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Sung (Department of Surgery, Sungkyunkwan University School of Medicine) ;
  • Kim, Si-Young (Department of Internal Medicine, Kyung Hee University Hospital) ;
  • Cho, Chi-Heum (Department of Obstetrics and Gynecology, Keimyung University School of Medicine) ;
  • Jung, Kyung Hae (Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chun, Mison (Department of Radiation Oncology, Ajou University School of Medicine) ;
  • Lee, Soon Nam (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Park, Kyong Hwa (Division of Medical Oncology, Department of Internal Medicine, Korea University College of Medicine) ;
  • Chang, Yoon Jung (Research Institute and Hospital, National Cancer Center)
  • Published : 2013.12.31

Abstract

Background: To determine whether the Health Partner Program is effective in training long-term cancer survivors to be health coaches. Materials and Methods: We randomly assigned cancer survivors who were selected through a rigorous screening process to either the Health Partner Program or the waiting-list control group. The program consisted of 8 weeks of training in health management, leadership, and coaching. At baseline, 8, and 16 weeks, we measured primary outcomes using the Seven Habit Profile (SHP), the Korean Leadership Coaching Competency Inventory (KCCI), Ed Diner's Satisfaction with Life Scale (SWLS), and the Posttraumatic Growth inventory (PTGI) and secondary outcomes using the Hospital Anxiety and Depression Scale (HADS), the Impact of Event Scale-Revised (IES-R), and the Medical Outcomes Study (MOS) short form 36-item questionnaire (SF-36). Results: We recruited 70 subjects and randomly assigned 34 to the intervention group. The Sharpen the Saw habit of the SHP increased significantly more in intervention group than in the control group (p=0.049), as did most PTGI factors. The intervention group also showed a significantly greater enhancement of vitality (p=0.015) and mental health (p=0.049) SF-36 scores but no improvement in KCCI, SWLS, HADS, or IES-R scores. The intervention group also showed a greater clinically meaningful improvement in the "Think Win-Win" of SHP (p=0.043) and in the personal strength score (p=0.025) and total score (p=0.015) of the PTGI. Conclusions: Long-term cancer survivors can benefit from the Health Partner Program to become health coaches.

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