Sense of Hope Alleviates Fatigue in Breast Cancer Survivors

Study Overview
=================
Brief Summary
-----------------
This study explores the relationship between the sense of hope and fatigue in breast cancer survivors and provides a reference for future planning improvements for breast cancer survivors experiencing fatigue.

Detailed Description
-----------------
Breast cancer is an important and escalating issue for females all over the world. Due to the improvement of medical and technological progress, the survival rate of breast cancer patient increases every year. Breast cancer survivors, after the discomforting distress from cancer treatment, will go through treatment-derived physical distress and worry about relapse. As a result the fatigue in breast cancer survivors has not been reduced after primary treatment. Feeling fatigue in a long term will bring mental illness problems ,decrease the quality of life and weaken the will to survive. A sense of hope in the face of fatigue may serve as an important driving force and enhance the survivors' will to survive. This study explores the relationship between the sense of hope and fatigue in breast cancer survivors and provides a reference for future planning improvements for breast cancer survivors experiencing fatigue. A cross-sectional study design is adopted for this study. The study expects to collect 200 questionnaires from breast cancer survivors through medical centers treating breast cancer and breast cancer patients communities. The questionnaire includes (a) the basic demographic information (b) disease history (c) social support scale; (d) short version multiaxial fatigue syndrome scale; (e) Hearst hope scale. Answered questionnaires will be input to spreadsheets for further statistical analysis using SPSS 19.0 statistical software packages.

Official Title
-----------------
The Sense of Hope Alleviates Fatigue in Breast Cancer Survivors

Conditions
-----------------
Carcinoma of Male Breast

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion criteria: diagnosed as a breast cancer patient complete operation,chemotherapy and radiation therapy understand the treatment and condition by herself conscious clear who can speaking Mandarin or: Taiwanese after consenting , the participant agree to participate orally or write down in the consent form Exclusion criteria: Can not speaking Mandarin or Taiwanese Psychotic or Understanding barriers refuse verbally or write the Consent Form

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 90 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Breast cancer survivor<br>Females finished primary breast cancer treatment including surgical operation, radiation therapy and chemotherapy. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Multidimensional Fatigue Symptom Inventory-Short Form | A 30-item self-report questionnaire designed to assess the severity, frequency, and daily pattern of fatigue as well as its perceived interference with quality of life. | Baseline measured after the completion of breast cancer surgery, radiation therapy and chemotherapy | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Herth Hope Index | A 12-item self-report questionnaire containing three dimensions: temporality and future, positive readiness and expectancy, and interconnectedness. Tested on family caregivers of terminally ill people and terminally ill persons as well as in community and hospital patients and family members. (Herth, 1990) | Baseline measured after the completion of breast cancer surgery, radiation therapy and chemotherapy | 
| The Inventory of Socially Supportive Behaviors | A 40-item self-report questionnaire designed to assess how often individuals received various forms of assistance during the preceding month, such as directive guidance (e.g., offering advice), nondirective support (e.g., listening and reflecting), positive social exchange (e.g., expressing confidence and encouragement), and tangible assistance (e.g., providing materials or services). (Barrera, Sandler, & Ramsay, 1981). | Baseline measured after the completion of breast cancer surgery, radiation therapy and chemotherapy | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Breast Cancer