, Helen Millward

Mills, Emma

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Emotional Well-being for Patientswith Chronic Illness Emma Mills & Helen Millward for The Landuu CompanyAims• Project brief:  to explore the evidence base of effectiveness for interventions resulting in increases in emotional well-being or emotional resilience for interventions currently offered by The Landuu Company• Project Definition Document set terms for scope of project:– Emotional well-being / resilience– Cancer or Depression or Anxiety as base conditions● Depression and / or anxiety often co-occur with cancerProject design• Two reviews– Charity sector information– Peer-reviewed articles• Synthesis of the two for recommendationsCHARITY SECTOR REVIEW UK Top 5 Cancer Charities• Charities were identified via information produced by The Guardian Newspaper• Top 5 UK charities were found to be:• Cancer Research UK• Macmillan Cancer Support• Marie Curie Cancer Care• The Royal Marsden Cancer Charity• Bloodwise (formally Leukemia & Lymphoma Research Society)Search...•  Use website search bar to search for web pages in relation to key search criteria:• Depression • Anxiety• Therapy • Emotional well-being• Emotional resilience•  De-duplicate returned web pagesResults & initial coding• This produced 75 relevant web pages results• The content of each of the identified web pages was reviewed, with relevant information being coded using the key search terms• A web page identified using the search term ‘depression’ may have content related to depression, anxiety and therapy Analysis• Once results had been coded using key terms, clear similarities between materials/resources provided by the top five cancer charities became apparent. • These similarities were then used to identify sections to be covered within the charity sector review Key Findings (1)• It may be possible for The Landuu Company to offer similar services (e.g. talking therapies) to people caring for someone with cancer• Complementary therapies are not advocated by all of the charities reviewed • Cross-over between the advice offered with relation to anxiety and depression Key findings (2)• Little information provided in specific reference to emotional well-being or emotional resilience • Strong awareness of patient background may be beneficial in suiting complementary therapies to patient requirements (e.g. Consideration of spiritual beliefs) • Further attempts to normalize terminology (particularly in relation to the talking therapies) may be beneficial in increasing patient understanding and therefore use of these options LITERATURE REVIEW Which databases• Meeting with practising librarian for advice• EBSCOhost– Academic Search Ultimate– CINAHL– MEDLINE Complete– PsychARTICLES• EMBASESearch...• Use database dictionary and thesaurus for key search terms and synonyms for an initial wide scoping search in 3 phases:• Cancer  +• Therapy +• Emotional well-being  OR Depression OR Anxiety• Search results combined and de-duplicated• Filtered for English language, adults only, within the last 15 years, pre- & post measurements includedResults: Title and Abstract sift• 60 articles• Title and abstract sift evaluated against pre-defined criteria for inclusion– 16 articles eligible for full text review and data extraction– Citation search produced further five articles– 1 article excluded: primer for running a study• 20 articles eligible for full text review Analysis• Two stages: – Application of CONSORT checklist for Non-Pharmacological Trials– Data extraction for study characteristics•  Use of pre- and post treatment measurement data to calculate effect sizes to enable cross-study evaluationsKey Findings (1)• A mixture of study designs, with randomised controlled trials providing the best quality design to isolate effects due to interventions• Author evaluation that small to null effects is the appropriate summary of intervention effects • Interventions of Yoga, Qigong and relaxation all appear to yield small effectsKey findings (2)• Emotional well-being as a concept is nested within the construct of ‘Quality of Life’ for measurement purposes in research• Predominantly, trials were run as a group-based design • As with charity sector review, many studies investigated two outcomes: an intervention could affect multiple outcomes  Limitations of Literature Review• Search method truncated due to size of initial returns and time-bounded nature of project in the following ways:– EBSCOhost database only– Emotional well-being only – emotional resilience search term not conducted– Citation search for first round of full text review documents only• Formal synthesis of two sections is contained within Business Report Recommendations  Recommendations• Extend interventions / therapies to include carers / supporting individuals of clients• Explore group-based interventions as modeled by research papers• Explore measurement indices for use with clients to be able to measure efficacy of interventions for emotional well-being offered by The Landuu Company • Explore local businesses for other practitioners and potential for supporting  extensions to any provision  Side note:• 2 hours of practice / week with NHS entitles a practitioner access to peer-reviewed articles through NHS subscriptions to journals • A cancer charity recently spoke on the Today programme, Radio 4, about re-framing cancer as a chronic lifelong condition, rather than a disease against which to battle, fight and survive• Palliative care, normally associated with end-of-life treatment, is slowly changing to become an option for treatment at earlier stages of disease

Emotional well-being for patients with chronic illness

https://eprints.lancs.ac.uk/id/eprint/139376/1/The_Landuu_Company_EWB_Slides.pdf

Emotional well-being for patients with chronic illness

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