The Effect of Peer Support with Telecommunication on Subjective Well-being in Colorectal Patients: A Randomized Controlled Clinical Trial

Document Type: Original Article

Authors

1 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;

2 Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran;

3 Department of Medical-Surgical Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Colorectal cancer has a widespread impact on the psychological and physical dimensions
of patients and threatens their subjective well-being. Peer support is an effective strategy to increase
subjective well-being in cancer patients. This study aims to evaluate the impact of peer support through
telecommunications on the subjective well-being of colorectal cancer patients.
Materials: This randomized clinical trial was conducted on 60 patients with colorectal cancer in
Mashhad, Iran from November 2018 to April 2019. Two educational hospitals were selected through
random sampling from four educational hospitals. Then, participants were randomly selected from the
list of patients in each group using a block randomization method. The intervention group received
the peer support program by using telephone and virtual social networks for a month. The data were
collected by the Warwick-Edinburgh Subjective Well-being Scale before and after the intervention and
were then analyzed through independent t-test, paired t-test, and chi-squared test using SPSS version
16. The level of significant was set at p <0.05.
Results: Before the intervention, the mean subjective well-being score of the patients did not show
significant difference in the intervention and control groups, respectively (27.8±5.4 vs. 27.6±6.3,
P=0.619). However, after the intervention, the mean subjective well-being score of the intervention
group showed a significant increase compared to the control group (49.16±3.3 vs. 26.6±6.1, p <0.001).
Conclusion: This randomized controlled trial shows that peer support interventions through
telecommunication can improve the subjective well-being of patients with colorectal cancer. Therefore,
this method can be used as an effective palliative approach to promote patients’ subjective well-being.

Keywords


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