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"Croft, Robert"
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Peer support to maintain psychological wellbeing in people with advanced cancer: findings from a feasibility study for a randomised controlled trial
by
Walshe, Catherine
,
Skevington, Suzanne
,
Grande, Gunn
in
Aged
,
Anxiety - etiology
,
Anxiety - psychology
2020
Background
Advanced cancer affects people’s lives, often causing stress, anxiety and depression. Peer mentor interventions are used to address psychosocial concerns, but their outcomes and effect are not known. Our objective was to determine the feasibility of delivering and investigating a novel peer mentor intervention to promote and maintain psychological wellbeing in people with advanced cancer.
Methods
A mixed methods design incorporating a two-armed controlled trial (random allocation ratio 1:1) of a proactive peer mentor intervention plus usual care, vs. usual care alone, and a qualitative process evaluation. Peer mentors were recruited, trained, and matched with people with advanced cancer. Quantitative data assessed quality of life, coping styles, depression, social support and use of healthcare and other supports. Qualitative interviews probed experiences of the study and intervention.
Results
Peer mentor training and numbers (
n
= 12) met feasibility targets. Patient participants (n = 12, from 181 eligible who received an information pack) were not recruited to feasibility targets. Those who entered the study demonstrated that intervention delivery and data collection were feasible. Outcome data must be treated with extreme caution due to small numbers, but indicate that the intervention may have a positive effect on quality of life.
Conclusions
Peer mentor interventions are worthy of further study and researchers can learn from these feasibility data in planning participant recruitment and data collection strategies. Pragmatic trials, where the effectiveness of an intervention is tested in real-world routine practice, may be most appropriate. Peer mentor interventions may have merit in enabling survivors with advanced cancer cope with their disease.
Trial Registration
The trial was prospectively registered 13.6.2016:
ISRCTN10276684
.
Journal Article
Peer Mentors for People with Advanced Cancer: Lessons Learnt from Recruiting and Training Peer Mentors for a Feasibility Randomized Controlled Trial
by
Walshe, Catherine
,
Skevington, Suzanne
,
Appleton, Lynda
in
Alternative sentencing
,
Breast cancer
,
Cancer
2021
Peer mentors may offer distinctive forms of support to people with advanced cancer. Whilst peer mentor programmes are known, little is understood about recruiting and training peer mentors to support those with advanced cancer. The purpose of this study is to determine the feasibility of recruiting and training peer mentors for a novel peer mentor intervention to promote well-being in people with advanced cancer. Feasibility study testing proactive introduction to a trained peer mentor for 12 weeks in the context of a randomized controlled two-arm trial and nested qualitative process evaluation was used. Peer mentors have/had cancer, recruited via an open call. Two-day training included a new bespoke module on coping with cancer. Descriptive recruitment and training data were captured, supplemented by qualitative interviews, analysed thematically. Forty-eight people expressed interest, mostly female (69%), with breast cancer (32%), and recruited via social media (49%). Twelve people completed training, with attrition often due to availability or mentors’ own health; many had advanced cancer themselves. They wanted to ‘give something back’, but also formed supportive bonds with fellow mentors. It is feasible to recruit and train people with lived experience of cancer to be peer mentors, but those with particular characteristics may predominate. Broad social media based recruitment may have merit in widening the pool of potential peer mentors.
Journal Article
Why I chose not to have surgery for my cancer
2016
In February this year, blood tests taken by my GP also showed I had elevated levels of PSA, a protein produced by the prostate gland which can indicate cancer.
Newspaper Article
Why I chose not to have surgery for my cancer
2016
In February this year, blood tests taken by my GP also showed I had elevated levels of PSA, a protein produced by the prostate gland which can indicate cancer.
Newspaper Article
Decision Support Tool for the Global Reaction Force Outload Process
2014
The 82nd Airborne Division serves as the core of America's strategic response force, and provides the ability to execute global force projection through large scale combat parachute assault operations. A detailed outload plan is necessary to rapidly deploy the Global Response Force (GRF). This outload process involves preparing and prioritizing necessary vehicles for airlift, and then assigning these prioritized vehicles to available aircraft. Throughout the planning process this list and associated priorities can change due to mechanical faults of aircraft/vehicles or due to changing mission requirements. Our team collaborated with the 82nd Airborne Division Operational Research and Systems Analysis (ORSA) Cell in developing an Out-load Decision Support Tool (ODST) that rapidly builds and adjusts the Priority Vehicle List (PVL) and optimizes vehicle assignment to various types of aircraftgiven a mission profile and a unique brigade vehicle list.
Journal Article
A GOOD START IS VITAL IN ENGLAND ASHES BID
2013
\"For me, I remember the Test Match Special music being played, Richie Benaud commentating, Bob Willis manically running in from behind the sight-screen with his arm swinging hidden behind his back and Ian Botham taking on the Aussies single-handed. \"The key men for Australia include Shane Watson, who will take the attack to the bowlers alongside Chris Rogers, who has played a lot of cricket in England.
Newspaper Article
Sport: Debate: Would England benefit from a separate one-day captain? Yes
2007
At the moment, it is a reasonable argument to suggest that a separate captain could serve England, provided there are certain boundaries. I know that Graeme Smith, the South Africa captain, has said that dividing the captaincy can make you feel a groundswell of momentum is against you if you are a Test captain and things are not going your way. The one-day captain should be someone whose position is inked into the side and for England that choice is limited: you are looking at Paul Collingwood, Andrew Flintoff or Kevin Pietersen, although I expect Andrew Strauss to rediscover his form. I would plump for either Collingwood or Flintoff. Having said that, while [Duncan Fletcher]'s successor, Peter Moores, obviously has a big job to do, I don't think he will feel pressured into making ground-breaking selection decisions early on. Certain areas need tweaking but his appointment shows that there are long-term plans in place.
Newspaper Article
Why I chose not to have surgery for my cancer
2016
In February this year, blood tests taken by my GP also showed I had elevated levels of PSA, a protein produced by the prostate gland which can indicate cancer.
Newspaper Article