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  P2.15 - Treatment in the Real World - Support, Survivorship, Systems Research (Not CME Accredited Session) (ID 964)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall

  • 27230

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    P2.15-08 - Impact and Feasibility of a Support Group for Women with Lung Cancer (ID 12647)

    16:45 - 18:00  |  Author(s): Joanna Gotfrit
    • Abstract
    • Slides

    Background
    

    Patients with lung cancer have limited psychosocial supports in the community. Participation in support groups provides emotional, social and educational support and may be beneficial for cancer patients. In our city there are no support groups for patients with lung cancer. We assessed the impact and feasibility of a lung cancer support group for women.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    We conducted a weekly, 1.5-hour psycho-education support group for 6 sessions in 2017. Sessions were facilitated by a trained social worker with long experience in psychosocial oncology. Pre- and post-intervention quality of life tools were administered: the Canadian Problem Checklist (CPC), Functional Assessment of Cancer Therapy-Lung (FACT-L), Impact of Events Scale (IES), and the Hospital Anxiety and Depression Scale (HADS). Median changes in scores were calculated. A negative (-) change represents improvement in the domain.

    4c3880bb027f159e801041b1021e88e8 Result
    

    10 women were enrolled, 60% completed the program. Demographics were available for 8 participants: median age 68 (range 26-80); median diagnosis year 2016 (range 2000-2017); 3 vs 5 women were ECOG PS 0 vs 1; 1 current smoker, 2 past smokers; 5 with metastatic disease; 5 undergoing palliative systemic therapy, 1 undergoing curative therapy, 1 had completed curative therapy,1 receiving best supportive care. Both pre- and post-intervention tools were completed by 60% of participants. The CPC showed that 67% had reduced/stable problems after the intervention. The FACT-L, IES and HADS tools and their sub-scales generally showed a favourable change after the intervention. See Table 1 for the median pre- and post-intervention scores and median change in scores. 100% of participants agreed or strongly agreed that the group helped them cope with lung cancer.

    Table 1

    Scale	Pre-intervention score, median [IQR]	Post-intervention score, median [IQR]	Change in score, median [IQR]
    FACT-L	1.4 [1.0-1.9]	1.9 [0.8-2.1]	0 [-0.1-0.6]
    Physical wellbeing	1.1 [1.0-1.7]	1.6 [0.9-2.6]	0 [0-0]
    Social/family wellbeing	0.6 [0.3-1]	0.7 [0.2-1.0]	-0.1 [-0.3-0.4]
    Emotional wellbeing	0.3 [0.3-1]	0.7 [0-1.0]	0.3 [-0.7-0.3]
    Functional wellbeing	1.6 [1.2-2]	1.7 [1.1-2.4]	0.4 [-0.3-0.6]
    Additional concerns	1.7 [0.6-2.5]	2.1 [0.4-2.4]	-0.1 [-0.3-0.4]
    Impact of Events	1.2 [0.6-1.9]	0.5 [0.2-1.4]	-0.4 [-0.7-0.1]
    Avoidance	1.9 [0.4-2.3]	0.5 [0.2-1.4]	-0.2 [-0.8-0.5]
    Intrusion	1.6 [1.1-1.9]	0.9 [0.3-1.3]	-0.8 [-1.0-(-0.4)]
    Hyperarousal	0.7 [0.2-1.0]	0.3 [0.2-1.3]	0 [-0.3-0]
    HADS	0.7 [0.3-1.1]	0.9 [0.8-1.1]	0 [-3-0.6]
    Depression	0.6 [0.4-1.0]	0.9 [0.6-1.1]	-0.1 [-0.3-0.6]
    Anxiety	0.6 [0.2-1.3]	1.0 [0.6-1.5]	0 [-0.3-0.3]

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    A support group for women with lung cancer was feasible and quality of life improved in several domains. Support groups and other community resources should be more widely available for patients with lung cancer.

    6f8b794f3246b0c1e1780bb4d4d5dc53

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