A mixed methods evaluation of the HOPE Programme© for cancer survivors

Abstract

Background: The incidence of cancer throughout the world is rapidly increasing . 25 million people will have cancer by 2030. Cancer survivors face a number of challenges that could be either avoided or managed such as fear of cancer returning and depression. The HOPE Programme is a theoretically informed 6 week group-based, positive psychology self-management programme which provides cancer survivors with the knowledge, skills and confidence to manage their health and wellbeing The aim of this study was to examine whether cancer survivors report improved quality of life (QoL) and self-management skills after attending the HOPE Programme. Methods: 84 cancer survivors, (mean age 58 (SD 11) years, 75% women, 44% breast cancer) completed pre and post-course outcomes: Quality of Life in Adult Cancer Survivors Scale, Adult State Hope Scale, the Gratitude Questionnaire and the Health Education and Impact Questionnaire. Data were analysed using related sample t-tests. 31 participants took part in post-course focus groups describing their experiences of attending HOPE. Data were analysed using thematic analysis Findings: There were statistically significant improvements in generic (p<0.001) and cancer specific QoL (p<0.001), hope (p<0.001) and self-management skills (p<0.01). Participants reported that goal setting and feedback in a supportive peer environment were important in improving quality of life and confidence to self-manage Discussion: Findings shows that the HOPE Programme for cancer survivors has an immediate positive impact on quality of life, positive outlook and self-management skills. Larger, controlled and longer trials are required to confirm this early promise. Funding: Macmillan Cancer Support