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Implementing a One-on-One Peer Support Program for Cancer Survivors Using a Motivational Interviewing Approach: Results and Lessons Learned

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Abstract

Peer Connect matches cancer survivors and caregivers (guides) with those currently experiencing cancer-related issues seeking support (partners). Motivational interviewing (MI)-based communication skills are taught to provide patient-centered support. There is little guidance about MI-based applications with cancer survivors who may have multiple coping needs. This paper addresses the results and lessons learned from implementing Peer Connect. Thirteen cancer survivors and two caregivers received a 2-day MI, DVD-based training along with six supplemental sessions. Nineteen partners were matched with guides and received telephone support. Evaluation included guide skill assessment (Motivational Interviewing Treatment Integrity Code) and 6-month follow-up surveys with guides and partners. Guides demonstrated MI proficiency and perceived their training as effective. Guides provided on average of five calls to each partner. Conversation topics included cancer fears, family support needs, coping and care issues, and cancer-related decisions. Partners reported that guides provided a listening ear, were supportive, and nonjudgmental. Limited time availability of some guides was a challenge. MI can provide support for cancer survivors and caregivers without specific behavioral concerns (e.g., weight and smoking). An MI support model was both feasible and effective and can provide additional support outside of the medical system.

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References

  1. Siegel R, Naishadham D, Jemal A (2012) Cancer statistics, 2012. CA Cancer J Clin 62(1):10–29

    Article  PubMed  Google Scholar 

  2. National Research Council (ed) (2005) From cancer patient to cancer survivor: lost in transition. The National Academy Press, Washington: DC

    Google Scholar 

  3. Oeffinger KC, McCabe MS (2006) Models for delivering survivorship care. J Clin Oncol 24(32):5117–5124

    Article  PubMed  Google Scholar 

  4. Shulman LN, Jacobs LA, Greenfield S, Jones B et al (2009) Cancer care and cancer survivorship care in the United States: will we be able to care for these patients in the future? J Oncol Prac 5(3):119–123

    Article  Google Scholar 

  5. Schaefer C, Coyne JC, Lazarus RS (1981) The health-related functions of social support. J Behav Med 4(4):381–406

    Article  CAS  PubMed  Google Scholar 

  6. Spiegel D (1986) A psychosocial intervention with cancer patients. J Psychosoc Oncol 3:83–95

    Article  Google Scholar 

  7. Plante WA, Lobato D, Engel R (2001) Review of group interventions for pediatric chronic conditions. J Pediatr Psychol 26(7):435–453

    Article  CAS  PubMed  Google Scholar 

  8. Dunn J, Steiginga SK, Rosoman N, Millichap D (2003) Review of peer support in the context of cancer. J Psychosoc Oncol 21:55–67

    Article  Google Scholar 

  9. Campbell HS, Phaneuf MR, Deane K (2004) Cancer peer support programs—do they work? Patient Educ Couns 55(1):3–15

    Article  PubMed  Google Scholar 

  10. Gray R, Fitch M, Davis C, Phillips C (1997) A qualitative study of breast cancer self-help groups. Psycho-oncology 6(4):279–289

    Article  CAS  PubMed  Google Scholar 

  11. Ashbury FD, Cameron C, Mercer SL, Fitch M et al (1998) One-on-one peer support and quality of life for breast cancer patients. Patient Educ Couns 35(2):89–100

    Article  CAS  PubMed  Google Scholar 

  12. Edgar LJ, Remmer J, Rosberger Z, Rapkin B (2003) Evaluating a volunteer cancer support service. J Psychosoc Oncol 21:53–72

    Article  Google Scholar 

  13. Ussher J, Kirsten L, Butow P, Sandoval M (2006) What do cancer support groups provide which other supportive relationships do not? The experience of peer support groups for people with cancer. Soc Sci Med 62(10):2565–2576

    Article  PubMed  Google Scholar 

  14. Dennis CL (2003) Peer support within a health care context: a concept analysis. Int J Nurs Stud 40:321–332

    Article  PubMed  Google Scholar 

  15. Barlow SH, Burlingame GM, Nebeker RS, Anderson E (2000) Meta-analysis of medical self-help groups. Int J Group Psychother 50(1):53–69

    CAS  PubMed  Google Scholar 

  16. Miller WR, Rollnick S (1991) Motivational interviewing: preparing people to change addictive behavior. Guilford Press, New York

    Google Scholar 

  17. Allicock M, Campbell M, Valle CG, Barlow JN et al (2010) Evaluating the implementation of peer counseling in a church-based dietary intervention for African Americans. Patient Educ Couns 81(1):37–42

    Article  PubMed  Google Scholar 

  18. Park ER, Puleo E, Butterfield RM, Zorn M et al (2006) A process evaluation of a telephone-based peer-delivered smoking cessation intervention for adult survivors of childhood cancer: the partnership for health study. Prev Med 42(6):435–442

    Article  PubMed  Google Scholar 

  19. Naar-King S, Outlaw A, Green-Jones M, Wright K et al (2009) Motivational interviewing by peer outreach workers: a pilot randomized clinical trial to retain adolescents and young adults in HIV care. AIDS Care 21(7):868–873

    Article  PubMed  Google Scholar 

  20. Campbell MK, Carr C, Devellis B, Switzer B et al (2009) A randomized trial of tailoring and motivational interviewing to promote fruit and vegetable consumption for cancer prevention and control. Ann Behav Med 38(2):71–85

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Bennett JA, Lyons KS, Winters-Stone K, Nail LM et al (2007) Motivational interviewing to increase physical activity in long-term cancer survivors: a randomized controlled trial. Nurs Res 56:18–27

    Article  PubMed  Google Scholar 

  22. Wahab S, Menon U, Szalacha L (2008) Motivational interviewing and colorectal cancer screening: a peek from the inside out. Patient EducCouns 72(2):210–217

    Article  Google Scholar 

  23. Allicock M, Kaye L, Johnson LS, Carr C et al (2012) The use of motivational interviewing to promote peer-to-peer support for cancer survivors. Clin J Oncol Nurs 16(5):E156–E163

    Article  PubMed  Google Scholar 

  24. Campbell MK, Resnicow K, Carr C, Wang T et al (2007) Process evaluation of an effective church-based diet intervention: body & soul. Health Educ Behav 34(96):864–880

    PubMed  Google Scholar 

  25. Weiner BJ, Haynes-Maslow L, Kahwati LC, Kinsinger LS et al (2012) Implementing the MOVE! weight-management program in the Veterans Health Administration, 2007–2010: a qualitative study. Prev Chronic Dis 9:E16

    PubMed Central  PubMed  Google Scholar 

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Acknowledgments

In memory of our dear colleague, Dr. Marci K. Campbell, a brilliant scholar, researcher, teacher, and friend, who passed after living with cancer with grace and caring for almost 2 years.

Funding Source

This research was supported by funding from the LIVESTRONG Foundation and the Lineberger Comprehensive Cancer Center’s University Cancer Research Fund, University of North Carolina at Chapel Hill. We would like to thank the study participants and the Cornucopia Cancer Support Center (http://www.cancersupport4u.org) for their assistance in advertising the study, matching partners to trained guides, and for hosting the guide gatherings.

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Authors and Affiliations

  1. School of Public Health, Division of Health Promotion and Behavioral Sciences, The University of Texas, 5323 Harry Hines, V8.112, Dallas, TX, 75390-9128, USA

    Marlyn Allicock

  2. Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Carol Carr, Mindy Gellin & Michelle Manning

  3. Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, USA

    La-Shell Johnson

  4. Cornucopia Support Center, Durham, USA

    Rosie Smith & Mary Lawrence

  5. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Leanne Kaye

Authors
  1. Marlyn Allicock
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  2. Carol Carr
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  3. La-Shell Johnson
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  4. Rosie Smith
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  5. Mary Lawrence
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  6. Leanne Kaye
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  7. Mindy Gellin
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  8. Michelle Manning
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Correspondence to Marlyn Allicock.

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Allicock, M., Carr, C., Johnson, LS. et al. Implementing a One-on-One Peer Support Program for Cancer Survivors Using a Motivational Interviewing Approach: Results and Lessons Learned. J Canc Educ 29, 91–98 (2014). https://doi.org/10.1007/s13187-013-0552-3

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  • DOI: https://doi.org/10.1007/s13187-013-0552-3

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