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Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial

Deborah Fenlon, Tom Maishman, Laura Day, Jacqueline Nuttall, Carl May, Mary Ellis, James Raftery, Lesley Turner, Jo Fields, Gareth Griffiths, Myra S. Hunter

Psycho-Oncology, Volume: 29, Issue: 10

Swansea University Author: Deborah Fenlon

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DOI (Published version): 10.1002/pon.5432

Abstract

Objective Troublesome hot flushes and night sweats (HFNS) are experienced by many women after treatment for breast cancer, impacting significantly on sleep and quality of life. Cognitive behavioural therapy (CBT) is known to be effective for the alleviation of HFNS. However, it is not known if it ca...

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Published in: Psycho-Oncology
ISSN: 1057-9249 1099-1611
Published: Wiley 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa54397
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>54397</id><entry>2020-06-05</entry><title>Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial</title><swanseaauthors><author><sid>efa6c181fe0a6e5c923b1126ce469186</sid><firstname>Deborah</firstname><surname>Fenlon</surname><name>Deborah Fenlon</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2020-06-05</date><deptcode>FGMHL</deptcode><abstract>Objective Troublesome hot flushes and night sweats (HFNS) are experienced by many women after treatment for breast cancer, impacting significantly on sleep and quality of life. Cognitive behavioural therapy (CBT) is known to be effective for the alleviation of HFNS. However, it is not known if it can effectively be delivered by specialist nurses. We investigated whether group CBT delivered by breast care nurses (BCNs) can reduce the impact of HFNS.MethodsWe recruited women with primary breast cancer following primary treatment with seven or more HFNS/week (including 4/10 or above on the HFNS problem rating scale), from six UK hospitals to an open, randomised, phase 3 effectiveness trial. Participants were randomised to Group CBT or usual care (UC). The primary endpoint was HFNS problem rating at 26 weeks post randomisation. Secondary outcomes included sleep, depression, anxiety and quality of life. ResultsBetween 2017-2018, 130 participants were recruited (CBT:63, control:67). We found a 46% (6.9 to 3.7) reduction in the mean HFNS problem rating score from randomisation to 26 weeks in the CBT arm and a 15% (6.5 to 5.5) reduction in the UC arm (adjusted mean difference -1.96, CI -3.68 to -0.23, p=0.039). Secondary outcomes, including frequency of HFNS, sleep, anxiety and depression all improved significantly.ConclusionOur results suggest that specialist nurses can be trained to deliver CBT effectively to alleviate troublesome menopausal hot flushes in women following breast cancer in the NHS setting.</abstract><type>Journal Article</type><journal>Psycho-Oncology</journal><volume>29</volume><journalNumber>10</journalNumber><paginationStart/><paginationEnd/><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1057-9249</issnPrint><issnElectronic>1099-1611</issnElectronic><keywords/><publishedDay>10</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2020</publishedYear><publishedDate>2020-10-10</publishedDate><doi>10.1002/pon.5432</doi><url/><notes/><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><funders/><projectreference/><lastEdited>2023-12-20T15:08:28.7484562</lastEdited><Created>2020-06-05T17:34:02.1965741</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Nursing</level></path><authors><author><firstname>Deborah</firstname><surname>Fenlon</surname><order>1</order></author><author><firstname>Tom</firstname><surname>Maishman</surname><order>2</order></author><author><firstname>Laura</firstname><surname>Day</surname><order>3</order></author><author><firstname>Jacqueline</firstname><surname>Nuttall</surname><order>4</order></author><author><firstname>Carl</firstname><surname>May</surname><order>5</order></author><author><firstname>Mary</firstname><surname>Ellis</surname><order>6</order></author><author><firstname>James</firstname><surname>Raftery</surname><order>7</order></author><author><firstname>Lesley</firstname><surname>Turner</surname><order>8</order></author><author><firstname>Jo</firstname><surname>Fields</surname><order>9</order></author><author><firstname>Gareth</firstname><surname>Griffiths</surname><order>10</order></author><author><firstname>Myra S.</firstname><surname>Hunter</surname><order>11</order></author></authors><documents><document><filename>54397__18337__4870b76c95d846a2ad4c67a5dcf597a7.pdf</filename><originalFilename>pon.5432.pdf</originalFilename><uploaded>2020-10-06T12:51:59.5298205</uploaded><type>Output</type><contentLength>821090</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Released under the terms of a Creative Commons Attribution License (CC-BY).</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 54397 2020-06-05 Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial efa6c181fe0a6e5c923b1126ce469186 Deborah Fenlon Deborah Fenlon true false 2020-06-05 FGMHL Objective Troublesome hot flushes and night sweats (HFNS) are experienced by many women after treatment for breast cancer, impacting significantly on sleep and quality of life. Cognitive behavioural therapy (CBT) is known to be effective for the alleviation of HFNS. However, it is not known if it can effectively be delivered by specialist nurses. We investigated whether group CBT delivered by breast care nurses (BCNs) can reduce the impact of HFNS.MethodsWe recruited women with primary breast cancer following primary treatment with seven or more HFNS/week (including 4/10 or above on the HFNS problem rating scale), from six UK hospitals to an open, randomised, phase 3 effectiveness trial. Participants were randomised to Group CBT or usual care (UC). The primary endpoint was HFNS problem rating at 26 weeks post randomisation. Secondary outcomes included sleep, depression, anxiety and quality of life. ResultsBetween 2017-2018, 130 participants were recruited (CBT:63, control:67). We found a 46% (6.9 to 3.7) reduction in the mean HFNS problem rating score from randomisation to 26 weeks in the CBT arm and a 15% (6.5 to 5.5) reduction in the UC arm (adjusted mean difference -1.96, CI -3.68 to -0.23, p=0.039). Secondary outcomes, including frequency of HFNS, sleep, anxiety and depression all improved significantly.ConclusionOur results suggest that specialist nurses can be trained to deliver CBT effectively to alleviate troublesome menopausal hot flushes in women following breast cancer in the NHS setting. Journal Article Psycho-Oncology 29 10 Wiley 1057-9249 1099-1611 10 10 2020 2020-10-10 10.1002/pon.5432 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2023-12-20T15:08:28.7484562 2020-06-05T17:34:02.1965741 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Deborah Fenlon 1 Tom Maishman 2 Laura Day 3 Jacqueline Nuttall 4 Carl May 5 Mary Ellis 6 James Raftery 7 Lesley Turner 8 Jo Fields 9 Gareth Griffiths 10 Myra S. Hunter 11 54397__18337__4870b76c95d846a2ad4c67a5dcf597a7.pdf pon.5432.pdf 2020-10-06T12:51:59.5298205 Output 821090 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution License (CC-BY). true eng http://creativecommons.org/licenses/by/4.0/
title Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
spellingShingle Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
Deborah Fenlon
title_short Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
title_full Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
title_fullStr Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
title_full_unstemmed Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
title_sort Effectiveness of nurse‐led group CBT for hot flushes and night sweats in women with breast cancer: results of the MENOS4 randomised controlled trial
author_id_str_mv efa6c181fe0a6e5c923b1126ce469186
author_id_fullname_str_mv efa6c181fe0a6e5c923b1126ce469186_***_Deborah Fenlon
author Deborah Fenlon
author2 Deborah Fenlon
Tom Maishman
Laura Day
Jacqueline Nuttall
Carl May
Mary Ellis
James Raftery
Lesley Turner
Jo Fields
Gareth Griffiths
Myra S. Hunter
format Journal article
container_title Psycho-Oncology
container_volume 29
container_issue 10
publishDate 2020
institution Swansea University
issn 1057-9249
1099-1611
doi_str_mv 10.1002/pon.5432
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description Objective Troublesome hot flushes and night sweats (HFNS) are experienced by many women after treatment for breast cancer, impacting significantly on sleep and quality of life. Cognitive behavioural therapy (CBT) is known to be effective for the alleviation of HFNS. However, it is not known if it can effectively be delivered by specialist nurses. We investigated whether group CBT delivered by breast care nurses (BCNs) can reduce the impact of HFNS.MethodsWe recruited women with primary breast cancer following primary treatment with seven or more HFNS/week (including 4/10 or above on the HFNS problem rating scale), from six UK hospitals to an open, randomised, phase 3 effectiveness trial. Participants were randomised to Group CBT or usual care (UC). The primary endpoint was HFNS problem rating at 26 weeks post randomisation. Secondary outcomes included sleep, depression, anxiety and quality of life. ResultsBetween 2017-2018, 130 participants were recruited (CBT:63, control:67). We found a 46% (6.9 to 3.7) reduction in the mean HFNS problem rating score from randomisation to 26 weeks in the CBT arm and a 15% (6.5 to 5.5) reduction in the UC arm (adjusted mean difference -1.96, CI -3.68 to -0.23, p=0.039). Secondary outcomes, including frequency of HFNS, sleep, anxiety and depression all improved significantly.ConclusionOur results suggest that specialist nurses can be trained to deliver CBT effectively to alleviate troublesome menopausal hot flushes in women following breast cancer in the NHS setting.
published_date 2020-10-10T15:08:30Z
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