Promoting Self-Management of Breast Cancer-Related Lymphedema Through the Remotivation Process

Abstract

Background. Lymphedema affects a significant number of women with breast cancer. Self-Management Programs (SMP) are important in the long-term management of chronic conditions such as lymphedema. Motivation is crucial in the daily performance of the SMP. The study explored the effect of the Remotivation Process on the motivation of women with breast cancer-related lymphedema to incorporate an SMP into their daily routine. Methodology. The study was a within-subjects quasi-experimental design that used the Volitional Questionnaire, frequency count of the SMP, and circumferential measurement as outcome measures. Eleven participants (n = 11) with breast cancer-related lymphedema completed the study that used the Remotivation Process as the intervention for 4 weeks with a follow-up session during the 8th week. Results. The participants progressed to a higher state of motivation on the Volitional Questionnaire at the end of the study. There was an increase in the performance of the exercise component of the SMP in 7 days, and a significant decrease in the circumferential measurement of the affected arm. There was also a positive correlation between VQ and circumferential measurements. Conclusion. The study suggests the usefulness of the Remotivation Process in an occupational therapy intervention to promote self-management. It can possibly facilitate motivation, improvement in the manifestation of lymphedema, and the daily performance of the self-management program for lymphedema.

Keywords

• self-management
• chronic condition
• lymphedema
• cancer
• model of human occupation
• motivation
• adherence
• home program