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Article ; Online: Effectiveness of Symptom Management Intervention for Improving the QOL of Cancer Patients.

Nayak, Malathi G / George, Anice

Asian Pacific journal of cancer prevention : APJCP

2023 Volume 24, Issue 2, Page(s) 587–596

Abstract: Background: Managing the symptoms of cancer patients is challenging for health care providers and interventions individually designed are required to improve the quality of life (QOL) of cancer patients.: Objective: to assess the efficacy of symptom ... ...

Abstract	Background: Managing the symptoms of cancer patients is challenging for health care providers and interventions individually designed are required to improve the quality of life (QOL) of cancer patients. Objective: to assess the efficacy of symptom management intervention on symptom reduction and the QOL of cancer patients. Methods: A Quasi-experimental study using pre and post-test design was conducted among 200 cancer patients selected by a convenient sampling technique from the selected cancer hospitals. The intervention group received symptom management intervention and the control group received routine clinical care. The data were collected from individuals who had been diagnosed with breast/head and neck cancer and were in the third or fourth stages of cancer, using symptom assessment and Functional Assessment of Cancer Therapy (FACT) QOL tool. After the pre-test, symptom management intervention was provided, and a post-test was conducted at one month and three months after the intervention. Results: The mean age was 50.93 years among the participants. Fifty-two percent and 68% of them were in stage IV cancer in the intervention group and control group respectively. The mean QOL score of head and Neck cancers in the intervention group increased from 20.76 (1.82) to 97.03 (3.33) and the mean scores of QOL of breast cancer patients in the intervention group increased from 22.44 (2.92) to 94.39 (8.30). Repeated measure ANOVA showed that the intervention program was effective in enhancing symptom reduction and QOL among cancer patients (Head and Neck cancers F(1.3, 114) =391.62, p< 0.001 and Breast cancer F (1, 75) =177.41.41, p=.001). Conclusion: Nurses play a vital role in providing care to cancer patients and improving their quality of life since nurses are more involved in care.
MeSH term(s)	Humans ; Middle Aged ; Female ; Quality of Life ; Breast Neoplasms/therapy ; Behavior Therapy ; Breast ; Cancer Care Facilities
Language	English
Publishing date	2023-02-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	2218955-5
ISSN	2476-762X ; 1513-7368
ISSN (online)	2476-762X
ISSN	1513-7368
DOI	10.31557/APJCP.2023.24.2.587
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Article: Attributes of Psychosocial Distress from the Perspectives of Head-and-Neck Cancer Patients - A Thematic Analysis.

Nayak, Shalini Ganesh / Sharan, Krishna / George, Anice

Indian journal of palliative care

2023 Volume 29, Issue 2, Page(s) 181–185

Abstract: Objectives: Patients diagnosed with head-and-neck cancer (HNC) face unique challenges in comparison to other types of cancers. Sources of psychosocial distress (PSD) are multifactorial and recognising the key attributes would facilitate better ... ...

Abstract	Objectives: Patients diagnosed with head-and-neck cancer (HNC) face unique challenges in comparison to other types of cancers. Sources of psychosocial distress (PSD) are multifactorial and recognising the key attributes would facilitate better understanding of the experienced distress, potentially enabling directed intervention strategies. The present research was conducted to explore the key attributes of PSD from HNC patients' perspective to develop a tool. Material and methods: The study adopted a qualitative approach. The data were collected from nine HNC patients receiving radiotherapy through focus group discussion. Data were transcribed, read and reread through for searching the meanings and patterns, to familiarise with the data and obtain ideas on experiences related to PSD. Similar experiences identified across the dataset were sorted and then collated into themes. Detailed analysis of themes and related quotes of the participants are reported with each theme. Results: The codes generated from the study are grouped under four major themes; 'Irksome symptoms are distressing,' 'Distressing physical disability inflicted by the situation,' 'Social Curiosity - a distressing element' and 'Distressing uncertainty of future'. The attributes of PSD and the magnitude of psychosocial problems were reflected in the findings. Conclusion: Psychosocial health of HNC patients is greatly impacted due to disease and/or treatment. Dynamic patterns of attributes identified from the study contributed to developing a tool on PSD. The findings of this study also necessitate the need for constructing an intervention for reducing PSD based on the attributes from the HNC patient's perspective.
Language	English
Publishing date	2023-01-11
Publishing country	United States
Document type	Journal Article
ISSN	0973-1075
ISSN	0973-1075
DOI	10.25259/IJPC_185_2022
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Article ; Online: Effectiveness of interventions to contain out-of-pocket-expenditure in lower-middle income countries: A systematic review and synthesis.

Sugunan, Aswin / Rajasekharan Pillai, K / George, Anice

The International journal of health planning and management

2023 Volume 38, Issue 4, Page(s) 918–935

Abstract: The extant literature on myriad interventional strategies to contain the adverse financial impacts of soaring out-of-pocket expenditures commands systematic auditing and knowledge synthesis. The purpose of this study is to answer these specific questions. ...

Abstract	The extant literature on myriad interventional strategies to contain the adverse financial impacts of soaring out-of-pocket expenditures commands systematic auditing and knowledge synthesis. The purpose of this study is to answer these specific questions. What are the interventions present in lower-middle-income countries? How effective are those interventions in reducing the household's out-of-pocket expenditure? Are the studies suffering from any methodological bias? The imprints for this systematic review are obtained from Scopus, PubMed, Web of Science, ProQuest and CINAHL. These manuscripts are identified in full compliance with PRISMA guidelines. The documents identified have undergone quality assessment checks using the 'Effective Public Health Practice Project'. The review identified Interventions that are found to reduce out-of-pocket expenditure are patient educational programs, a combination of financial assistance, healthcare facility quality upgrade measures, and early disease detection strategies. However, these reductions represented marginal changes in the total health expenditure of patients. The role of non-health insurance interventions and the combination of health insurance and non-health insurance measures are highlighted. This review concludes by emphasising the need for further research to fill the knowledge gap by building on the suggestions put forward.
MeSH term(s)	Humans ; Health Expenditures ; Developing Countries ; Insurance, Health ; Health Facilities ; Quality of Health Care
Language	English
Publishing date	2023-04-18
Publishing country	England
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	632786-2
ISSN	1099-1751 ; 0749-6753
ISSN (online)	1099-1751
ISSN	0749-6753
DOI	10.1002/hpm.3642
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Article ; Online: Effectiveness of Multicomponent Intervention on Quality of Life of Family Caregivers of Cancer Patients.

Nayak, Malathi G / George, Anice

Asian Pacific journal of cancer prevention : APJCP

2021 Volume 22, Issue 9, Page(s) 2789–2795

Abstract: Objective: The study aimed to determine the effectiveness of the multicomponent intervention on Quality of life (QOL) of family caregivers of cancer patients.: Methodology: A Quasi-experimental study with pre and post-test measures was conducted ... ...

Abstract	Objective: The study aimed to determine the effectiveness of the multicomponent intervention on Quality of life (QOL) of family caregivers of cancer patients. Methodology: A Quasi-experimental study with pre and post-test measures was conducted among 200 caregivers of cancer patients selected by convenient sampling technique. The experimental group received the intervention, and no intervention was given for the control group during the study period. The data were collected from family members looking after the cancer patients diagnosed with breast/head & neck cancers and who were in the third and fourth stages of cancer. After the pre-test, provided multicomponent intervention (Pranayama, yogic relaxation, counselling and Education) and a post-test was conducted at the first month & third month. The obtained data were analysed and inferred using descriptive and inferential statistics to compare the outcomes among the groups. Result: Most of the caregivers belong to the age group of 31 to 40 years in the intervention group (31%) and in the control group (35%), 31% of them had their education up to a primary level in both the groups and most of the caregivers were spouses (49%). Regarding the QOL of family members, improvement was noted from baseline 66.66 to 126.82 (3 months) among the intervention group, and in the control group, mean QOL enhanced from 59.77 to 81.97. Repeated measure ANOVA was computed to analyse difference within and between the groups and it showed that the intervention program was efficacious in enhancing the QOL of family caregivers of cancer patients (F (1, 191) =639.02, p=.001). Conclusion: Nurses play a vibrant role in improving the Quality of life of family members of cancer patients since they are mostly involved in providing care. Health care system must ensure that the family members who provide care to the cancer patients receive appropriate teaching programmes on reducing their burden.
MeSH term(s)	Adult ; Caregivers/statistics & numerical data ; Female ; Health Promotion/methods ; Humans ; Male ; Middle Aged ; Neoplasms/therapy ; Program Evaluation ; Quality of Life ; Young Adult
Language	English
Publishing date	2021-09-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	2218955-5
ISSN	2476-762X ; 1513-7368
ISSN (online)	2476-762X
ISSN	1513-7368
DOI	10.31557/APJCP.2021.22.9.2789
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Article ; Online: Effect of Exercises on Clinical Outcomes of Patients With Hand Osteoarthritis.

Renjith, Vishnu / George, Anice

Orthopedic nursing

2021 Volume 40, Issue 1, Page(s) 44–45

MeSH term(s)	Exercise Therapy/methods ; Exercise Therapy/standards ; Hand/physiology ; Hand/physiopathology ; Humans ; Osteoarthritis/therapy
Language	English
Publishing date	2021-01-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	632639-0
ISSN	1542-538X ; 0744-6020
ISSN (online)	1542-538X
ISSN	0744-6020
DOI	10.1097/NOR.0000000000000729
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Article ; Online: Effectiveness of Comprehensive Intervention Programme on Quality of life, fatigue, self-efficacy, and psychosocial distress among head and neck cancer patients receiving radiotherapy.

Nayak, Shalini Ganesh / George, Anice / Sharan, Krishna / Nayak, Baby S / Ravishankar, N

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2024 Volume 32, Issue 4, Page(s) 216

Abstract: Purpose: The study aimed at evaluating the Effectiveness of Comprehensive Intervention Programme (CIP) on Quality of life (QOL), fatigue, self-efficacy, and psychosocial distress among Head and Neck Cancer (HNC) patients receiving radiotherapy treatment. ...

Abstract	Purpose: The study aimed at evaluating the Effectiveness of Comprehensive Intervention Programme (CIP) on Quality of life (QOL), fatigue, self-efficacy, and psychosocial distress among Head and Neck Cancer (HNC) patients receiving radiotherapy treatment. Methods: Single-centre non-RCT time series study was conducted among 134 HNC patients (67 observed, followed by 67 subjected to CIP). FACT- H&N, FACT-F, Cancer Behavior Inventory and psychosocial distress scales were used to assess QOL, fatigue, self-efficacy, and psychosocial distress respectively. CIP was provided to the intervention arm twice a week during the course of radiation therapy along with the standard care; the control arm received only standard care. Data were collected before commencing radiotherapy, and post-test assessments were carried out at the end of radiotherapy treatment, and at 3 and 6 months after completion of radiotherapy. Results: Repeated measures ANOVA revealed a statistically significant improvement with CIP in QOL (F (1.917) = 454.103, p = 0.001), fatigue (F (2.106) = 183.775, p = 0.001), self-efficacy (F (2.429) = 190.861, p = 0.001), and psychosocial distress (F (2.288) = 290.105, p = 0.001) in the intervention arm. Conclusion: The CIP implemented to address multitude of issues in HNC patients receiving radiotherapy, proved to be effective in reducing the impact of treatment on QOL, fatigue, self-efficacy and psychosocial distress in HNC patients receiving radiotherapy.
MeSH term(s)	Humans ; Quality of Life ; Self Efficacy ; Radiation Oncology ; Head and Neck Neoplasms/radiotherapy ; Fatigue/etiology
Language	English
Publishing date	2024-03-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-024-08381-x
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Article ; Online: Design and validation of an interprofessional education module to enhance interprofessional competencies among students from healthcare professions.

Nagelli, Sunitha S / Mohammed, Ciraj A / Nayak, Baby S / George, Anice

Journal of Taibah University Medical Sciences

2023 Volume 18, Issue 6, Page(s) 1662–1671

Abstract: Objective: This article describes the process of developing an interprofessional education (IPE) module in autism spectrum disorder, which incorporates the interprofessional competencies and their applications among selected healthcare professional ... ...

Abstract	Objective: This article describes the process of developing an interprofessional education (IPE) module in autism spectrum disorder, which incorporates the interprofessional competencies and their applications among selected healthcare professional students. Method: The paper adapted the "Research and Development method for education research" by Borg and Gall as a basis for the study. The methods used were semi-structured interviews, focus group discussion, and a needs assessment questionnaire. Results: An interview guide, group discussion guide, and needs assessment questionnaire were validated with validity indices of 0.92, 0.98, and 1.00, respectively. A needs assessment questionnaire was tested for reliability (r = 0.96). The IPE module and evaluation tools to evaluate its effectiveness were prepared on the basis of the findings. Validity indices for module, simulation videos, case scenarios and the evaluation tools, Interprofessional Competency Assessment Test (IPCAT) and IPCAT-Observation Checklist (IPCAT-OC), were 0.98, 0.97, 1.00, 0.98, and 1.00, respectively. Reliability scores for IPCAT and IPCAT-OC were 0.87 and 0.90, respectively. Conclusion: This module will assist in providing data and necessary information for those researchers who undertake similar educational interventions that focus on the competencies of IPE and collaborative practice, specifically from this region.
Language	English
Publishing date	2023-09-07
Publishing country	Saudi Arabia
Document type	Journal Article
ZDB-ID	2817396-X
ISSN	1658-3612 ; 1658-3612
ISSN (online)	1658-3612
ISSN	1658-3612
DOI	10.1016/j.jtumed.2023.08.007
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Article ; Online: Effectiveness of Gatekeeper Training Program (GTP) on awareness, attitude, mental help seeking intention and gatekeeper behavior among Koraga tribe: A study protocol.

Noronha, Flavia Sharlet / Jose, Tessy Treesa / George, Anice / George, Linu Sara

F1000Research

2022 Volume 11, Page(s) 291

Abstract: Aim: ...

Abstract	Aim:
MeSH term(s)	Humans ; Intention ; Cross-Sectional Studies ; Mental Disorders/therapy ; Mental Health ; Guanosine Triphosphate
Chemical Substances	Guanosine Triphosphate (86-01-1)
Language	English
Publishing date	2022-03-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2699932-8
ISSN	2046-1402 ; 2046-1402
ISSN (online)	2046-1402
ISSN	2046-1402
DOI	10.12688/f1000research.109497.2
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Article ; Online: The effectiveness of a sexual assault nurse examiner-grounding program (SANE-GP) on knowledge, skill and practice regarding sexual assault examination (SAE) among nurses working in a tertiary care hospital in Udupi district, India: A study protocol.

Yesodharan, Renjulal / Nayak, Vinod / Jose, Tessy / Palimar, Vikram / George, Anice

F1000Research

2022 Volume 11, Page(s) 134

Abstract: The medico-legal care of victims of sexual assault is very challenging, and requires specific knowledge and skills. Professionals in the emergency departments of hospitals might not have specialised training in forensic science. Nurses have a very ... ...

Abstract	The medico-legal care of victims of sexual assault is very challenging, and requires specific knowledge and skills. Professionals in the emergency departments of hospitals might not have specialised training in forensic science. Nurses have a very significant role in these settings, but they lack any formal forensic training. This study aims to develop a sexual assault nurse examiner-grounding program (SANE-GP) for Indian nurses to inculcate knowledge and skill regarding sexual assault examination. The study adopts a three-stage Delphi technique to develop the training module and uses a time-series design to evaluate the effectiveness of the program. A questionnaire on nurses' knowledge on sexual assault examination (KQSANE-I) will be developed in phase-I and subsequently used in phase-II. The protocol of SANE-GP will help the medical community to implement the program across India. The implementation of SANE-GP can also help to start a sexual assault nurse examiner network.
MeSH term(s)	Humans ; Clinical Competence ; Tertiary Care Centers ; Sex Offenses ; India ; Nurses
Language	English
Publishing date	2022-02-02
Publishing country	England
Document type	Journal Article
ZDB-ID	2699932-8
ISSN	2046-1402 ; 2046-1402
ISSN (online)	2046-1402
ISSN	2046-1402
DOI	10.12688/f1000research.74978.2
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Article ; Online: Effect of a Home Safety Supervisory Program on Occurrence of Childhood Injuries: A Cluster Randomized Controlled Trial.

George, Anice / Renu, G / Shetty, Sheela

Indian pediatrics

2021 Volume 58, Issue 6, Page(s) 548–552

Abstract: Objectives: To evaluate the effect of home safety supervisory program on improvement in childhood safety, self-reported home hazard of caregivers, and caregivers' supervisory attitude.: Design: Randomized controlled trial.: Setting and subject: ... ...

Abstract	Objectives: To evaluate the effect of home safety supervisory program on improvement in childhood safety, self-reported home hazard of caregivers, and caregivers' supervisory attitude. Design: Randomized controlled trial. Setting and subject: Caregivers of children between 2 to 5 years of age residing in selected villages in Karnataka. Intervention: Intervention group was administered Home safety supervisory program (HSSP), whereas the control group received teaching on child care. Results: The intervention group had a significant reduction in the frequency of childhood injuries when compared with the control group [MD (95% CI) 8.96 vs 3.37], after the administration of Home safety supervisory program. There was a significant difference in the mean baseline scores of caregivers self-reported home hazard practices between the two groups (P<0.001), and improvement in the supervisory attitudes of caregivers in the intervention group (P<0.001). Conclusions: Appropriate and effective home hazard reduction teaching reduces home injuries in children. The improved awareness of caregivers in child safety, and child supervision emphasizes the importance of this program.
MeSH term(s)	Caregivers ; Female ; Humans ; India/epidemiology ; Pregnancy ; Safety Management
Language	English
Publishing date	2021-05-15
Publishing country	India
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	402594-5
ISSN	0974-7559 ; 0019-6061
ISSN (online)	0974-7559
ISSN	0019-6061
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