Effect of Community-Based Occupational Therapy on Health-Related Quality of Life and Engagement in Meaningful Activities of Women with Breast Cancer.
Daiva Petruseviciene, Deive Surmaitiene, Daiva Baltaduoniene and 1 others
PMID 29849515WHAT IT FOUND
Women with breast cancer who took part in a six-week community occupational therapy programme, alongside usual society activities, reported better quality of life and more engagement in meaningful activities than women with usual society activities only.
Key findings
01After six weeks, the occupational therapy group showed improved global quality of life and improved function, symptom, and financial impact scores.
02After six weeks, the occupational therapy group showed improved systemic therapy side effects and breast symptom scores.
03The occupational therapy group's median engagement in meaningful activities score increased from 29 to 36 points.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only 21 women completed the trial, so the results are unstable. The paper reports many quality of life outcomes and several improved scales, so some findings may be chance. The Engagement in Meaningful Activities Survey was not translated or adapted for Lithuania, so its scores may not be valid in this population. The intervention combined group sessions, creative techniques, peer support, voluntary help to others, and individual consultations, so the contribution of any single component cannot be separated. The follow-up was only six weeks, so the study does not show long-term benefit. The paper gives inconsistent counts of therapy meetings. It mentions six meetings and four group sessions in different places.
The easy way to misread this
Do not read this as proof that community occupational therapy works for all women with breast cancer. Only 21 women completed the trial, the programme combined group activities, creative techniques, peer support, and individual consultations, and the engagement survey was not adapted for Lithuanian use.