Original Article

Effects of Counselling on Quality of Life among Cancer Patients in Malaysia: A Randomized Controlled Trial

Abstract

Background: We aimed to assess whether “Managing Patients on Chemotherapy” book is effective to improve quality of life (QOL) of cancer patient via counselling by pharmacist.

Methods: A randomized control trial study was run among 2120 cancer patients in public hospitals in Peninsular Malaysia, from Apr 2016-Jan 2018. The treatment group received counselling regarding chemotherapy by using developed module. The data were collected at three time-points: baseline, 1st, 2nd and 3rd follow-ups after counseling by Validated Malay version of the WHOQOL-BREF of questionnaire. Data analyses were done using χ2 and two-way repeated measure ANOVA.

Results: The treatment group improved significantly as compared to control group in physical health, psychological health, social relationship, environment and overall QOL (P<0.00).

Conclusion: The “Managing Patients on Chemotherapy” book along with repetitive counselling by pharmacists is a useful intervention for improving QOL of cancer patients undergoing treatment.

1. Akhtari-Zavare M, Juni MH, Said SM et al (2016). Result of randomized control trial to increase breast health awareness among young females in Malaysia. BMC Public Health, 16:738.
2. World Health Organization. Cancer. http://www.who.int/news-room/fact-sheets/detail/cancer (Assessed 6 Jun 2018).
3. National Cancer Registry. Malaysian national cancer registry report 2007-2011. Ministry of Health Malaysia; 2016. http://nci.moh.gov.my/index.php/ms/pengumuman/340-malaysian-national-cancerregistry-report-2007-2011
4. Akhtari-Zavare M, Latiff LA, Juni MH, et al (2015). Knowledge of Female Under-graduate Students on Breast Cancer and Breast Self-examination in Klang Valley, Malaysia. Asian Pac J Cancer Prev, 16: 6231-6235.
5. Avery M, Williams F (2015). The Importance of Pharmacist Providing Patient Educa-tion in Oncology. J Pharm Pract, 28(1): 26-30.
6. Adamowicz K (2017). Assessment of quality of life in advanced, metastatic prostate cancer: an overview of randomized phase III trials. Qual Life Res, 26: 813–822.
7. Bei Y, Li-Ming Y, Li-Peng H et al (2016). Determinants of Quality of Life for Breast Cancer Patients in Shanghai, Chi-na. PLoS One, 11(4): e0153714.
8. Quinten C, Martinelli F, Coens C et al (2014). A global analysis of multi trial data investigating quality of life and symptoms as prognostic factors for survival in dif-ferent tumor sites. Cancer, 120: 302-11.
9. Movsas B (2003). Quality of life in oncology trials: a clinical guide. Semin Radiat Oncol, 13: 235-47.
10. Montazeri A, Milroy R, Hole D, McEwen J, Gillis CR (2001). Quality of life in lung cancer patients: As an important prog-nostic factor. Lung Cancer, 31: 233-240.
11. Akhtari-Zavare M, Mohd-Sidik SH, Peri-asamy U et al (2018). Determinants of quality of life among Malaysian cancer pa-tients: a cross-sectional study. Health Qual Life Outcomes, 16:163.
12. Yan B, Yang LM, Hao LP et al (2016). De-terminants of Quality of Life for Breast Cancer Patients in Shanghai, China. PLoS One, 11(4): e0153714.
13. Kawaguchi T, Iwase S, Koinuma M et al (2012). Determinants Affecting Quality of Life: Implications for Pharmacist Coun-seling for Patients with Breast Cancer in Japan. Biol Pharm Bull, 35: 59-64.
14. Ibrahim NA, Ingunn BR, Alwan ASA, Honore PH (2014). Insights about health-related quality of life in cancer patients in-dicate demands for better pharmaceutical care. J Oncol Pharm Pract, 20: 270-277.
15. Periasamy U, Sidik SHM, Rampal L (2014). Managing patients on chemotherapy. UPM Press, Serdang.
16. Periasamy U, Sidik SHM, Rampal L, et al (2017). Effect of Chemotherapy Counsel-ing By Pharmacists on Quality of Life and Psychological Outcomes of Oncolo-gy Patients in Malaysia: A Randomized Control Trial. Health Qual Life Outcomes, 15:104.
17. Mohd-Sidik SH, Akhtari-Zavare M, Peri-asamy U, et al (2018). Effectiveness of chemotherapy counselling on self-esteem and psychological affects among cancer patients in Malaysia: Randomized con-trolled trial. Patient Educ Couns, 101:862-871.
18. National Cancer Institute (NCI) 2007. Man-aging Chemotherapy Side Effects; Chemotherapy and You. http://www.cancer.gov/cancertopics/coping/chemotherapy-and-you
19. Hasanah CI, Naing L, Rahman ARA (2003). World Health Organization Quality of Life Assessment: Brief Version in Bahasa Malaysia. Med J Malaysia, 58:79-88.
20. World Health Organization, 2004.Quality of Life-BREF (WHOQOL-BREF) http://www.who.int/substance_abuse/research_tools/whoqolbref/en/. On Feb-ruary 4, 2017.
21. Rosner B (2006). Fundamentals of Biostatistics. Boston, Duxbury Press.
22. National Cancer Institute (NCI), 2012. Man-aging Chemotherapy Side Effects; Con-stipation. 2012. on January 20, 2017.
23. Puteh SHEW, Saad NM, Aljunid SM et al (2013). Quality of life in Malaysian colo-rectal cancer patients. Asia Pac Psychiatry, 5 Suppl 1:110-7.
24. Bottomley, A (2002). The cancer patient and quality of life. Oncologist, 7(2):120-5.
25. Bagheri H, Memorial R, Alhani F (2007). Evaluation of the effect of group coun-selling on post myocardial infarction pa-tients: determined by an analysis of quali-ty of life. J Clin Nurs, 16(2): 402-406.
26. Mohamed NE, Herrera PC, Hudson S et al (2014). Muscle invasive bladder cancer: examining survivor burden and unmet needs. J Urol, 191:48-53.
27. Singer S, Ziegler C, Schwalenberg T et al (2013). Quality of life in patients with muscle invasive and non-muscle invasive bladder cancer. Support Care Cancer, 21(5):1383-93.
28. Li MY, Yang YL, Liu L, Wang L (2016). Ef-fects of social support, hope and resili-ence on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health Qual Life Outcomes, 14: 73.
29. Zabernigg A, Giesinger JM, Pall G et al (2012). Quality of life across chemothera-py lines in patients with cancers of the pancreas and biliary tract. BMC Cancer, 12: 390.
30. Jacobsen PB, Jim HS (2008). Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges. CA Cancer J Clin, 58: 214–30.
31. Detmar SB, Muller MJ, Schornagel JH, et al (2002). Health-related quality-of-life as-sessments and patient-physician com-munication: A randomized controlled tri-al. JAMA, 288: 3027-3034.
32. Sharma S, Shobha RH, Subramanian G, Ir-ma M (2013). Evaluation of Impact of Counseling on Quality of Life of Chronic Kidney Disease and Hemodialysis Pa-tients. IJOPP, 6: 57-61.
33. Lopez-Martin C, Siles MG, Alcaide-Garcia J, Felipe VF (2014). Role of clinical pharma-cists to prevent drug interactions in can-cer outpatients: a single-centre experience. Int J Clin Pharm, 36: 1251-1259.
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IssueVol 49 No 10 (2020) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v49i10.4693
PMCIDPMC7719651
PMID33346212
Keywords
Quality of life Cancer patients Pharmacist Counselling Malaysia

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How to Cite
1.
PERIASAMY U, MOHD-SIDIK S, AKHTARI- ZAVARE M, RAMPAL L, ISMAIL SIF, MAHMUD R. Effects of Counselling on Quality of Life among Cancer Patients in Malaysia: A Randomized Controlled Trial. Iran J Public Health. 2020;49(10):1902-1911.