The effect of group cohesion on rehabilitation outcome in cancer survivors

Anne M May, Hugo J Duivenvoorden, Irene Korstjens, Ellen van Weert, Josette E H M Hoekstra-Weebers, Bart van den Borne, Ilse Mesters, Cees P. van der Schans, Wynand J G Ros

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: Group-based physical training interventions have been shown to be effective in increasing quality of life in cancer survivors. Until now, however, the impact of cohesion within the group on intervention outcome has not been investigated.

METHODS: We examined self-reported individual group cohesion ratings collected in the first half of a 12-week rehabilitation programme for cancer survivors (N=132). Four dimensions of group cohesion were measured, i.e. the bond with the group as whole, the bond with other members, cooperation within the group and the instrumental value. Quality of life, physical functioning and fatigue were assessed before and after the intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. Linear multiple multivariate regression analysis was conducted to explore the relationship between group cohesion and intervention outcome.

RESULTS: The relationship between group cohesion and outcome was significantly modified by gender. Higher ratings of cooperation within the group predicted better post-intervention quality of life and physical functioning and less fatigue in men, and better quality of life and physical functioning in women. Additionally, women who reported a stronger bond with other members showed a lower quality of life after the intervention. No relationship was found between the instrumental value and the outcome variables.

CONCLUSION: Some dimensions of group cohesion seem to be associated with intervention outcome. The underlying mechanisms need to be unravelled.

Original languageEnglish
Pages (from-to)917-925
JournalPsycho-oncology
Volume17
Issue number9
DOIs
Publication statusPublished - Sep 2008

Keywords

  • Activities of Daily Living
  • Adult
  • Cognitive Therapy
  • Combined Modality Therapy
  • Exercise
  • Fatigue
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neoplasms
  • Object Attachment
  • Patient Satisfaction
  • Prospective Studies
  • Quality of Life
  • Sex Factors
  • Social Identification
  • Survivors
  • Treatment Outcome
  • Comparative Study
  • Journal Article
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

Cite this

May, A. M., Duivenvoorden, H. J., Korstjens, I., van Weert, E., Hoekstra-Weebers, J. E. H. M., van den Borne, B., ... Ros, W. J. G. (2008). The effect of group cohesion on rehabilitation outcome in cancer survivors. Psycho-oncology, 17(9), 917-925. https://doi.org/10.1002/pon.1308
May, Anne M ; Duivenvoorden, Hugo J ; Korstjens, Irene ; van Weert, Ellen ; Hoekstra-Weebers, Josette E H M ; van den Borne, Bart ; Mesters, Ilse ; van der Schans, Cees P. ; Ros, Wynand J G. / The effect of group cohesion on rehabilitation outcome in cancer survivors. In: Psycho-oncology. 2008 ; Vol. 17, No. 9. pp. 917-925.
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May, AM, Duivenvoorden, HJ, Korstjens, I, van Weert, E, Hoekstra-Weebers, JEHM, van den Borne, B, Mesters, I, van der Schans, CP & Ros, WJG 2008, 'The effect of group cohesion on rehabilitation outcome in cancer survivors' Psycho-oncology, vol. 17, no. 9, pp. 917-925. https://doi.org/10.1002/pon.1308

The effect of group cohesion on rehabilitation outcome in cancer survivors. / May, Anne M; Duivenvoorden, Hugo J; Korstjens, Irene; van Weert, Ellen; Hoekstra-Weebers, Josette E H M; van den Borne, Bart; Mesters, Ilse; van der Schans, Cees P.; Ros, Wynand J G.

In: Psycho-oncology, Vol. 17, No. 9, 09.2008, p. 917-925.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The effect of group cohesion on rehabilitation outcome in cancer survivors

AU - May, Anne M

AU - Duivenvoorden, Hugo J

AU - Korstjens, Irene

AU - van Weert, Ellen

AU - Hoekstra-Weebers, Josette E H M

AU - van den Borne, Bart

AU - Mesters, Ilse

AU - van der Schans, Cees P.

AU - Ros, Wynand J G

N1 - (c) 2007 John Wiley & Sons, Ltd.

PY - 2008/9

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N2 - OBJECTIVE: Group-based physical training interventions have been shown to be effective in increasing quality of life in cancer survivors. Until now, however, the impact of cohesion within the group on intervention outcome has not been investigated.METHODS: We examined self-reported individual group cohesion ratings collected in the first half of a 12-week rehabilitation programme for cancer survivors (N=132). Four dimensions of group cohesion were measured, i.e. the bond with the group as whole, the bond with other members, cooperation within the group and the instrumental value. Quality of life, physical functioning and fatigue were assessed before and after the intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. Linear multiple multivariate regression analysis was conducted to explore the relationship between group cohesion and intervention outcome.RESULTS: The relationship between group cohesion and outcome was significantly modified by gender. Higher ratings of cooperation within the group predicted better post-intervention quality of life and physical functioning and less fatigue in men, and better quality of life and physical functioning in women. Additionally, women who reported a stronger bond with other members showed a lower quality of life after the intervention. No relationship was found between the instrumental value and the outcome variables.CONCLUSION: Some dimensions of group cohesion seem to be associated with intervention outcome. The underlying mechanisms need to be unravelled.

AB - OBJECTIVE: Group-based physical training interventions have been shown to be effective in increasing quality of life in cancer survivors. Until now, however, the impact of cohesion within the group on intervention outcome has not been investigated.METHODS: We examined self-reported individual group cohesion ratings collected in the first half of a 12-week rehabilitation programme for cancer survivors (N=132). Four dimensions of group cohesion were measured, i.e. the bond with the group as whole, the bond with other members, cooperation within the group and the instrumental value. Quality of life, physical functioning and fatigue were assessed before and after the intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. Linear multiple multivariate regression analysis was conducted to explore the relationship between group cohesion and intervention outcome.RESULTS: The relationship between group cohesion and outcome was significantly modified by gender. Higher ratings of cooperation within the group predicted better post-intervention quality of life and physical functioning and less fatigue in men, and better quality of life and physical functioning in women. Additionally, women who reported a stronger bond with other members showed a lower quality of life after the intervention. No relationship was found between the instrumental value and the outcome variables.CONCLUSION: Some dimensions of group cohesion seem to be associated with intervention outcome. The underlying mechanisms need to be unravelled.

KW - Activities of Daily Living

KW - Adult

KW - Cognitive Therapy

KW - Combined Modality Therapy

KW - Exercise

KW - Fatigue

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Neoplasms

KW - Object Attachment

KW - Patient Satisfaction

KW - Prospective Studies

KW - Quality of Life

KW - Sex Factors

KW - Social Identification

KW - Survivors

KW - Treatment Outcome

KW - Comparative Study

KW - Journal Article

KW - Multicenter Study

KW - Randomized Controlled Trial

KW - Research Support, Non-U.S. Gov't

KW - dagelijkse activiteiten

KW - volwassene

KW - cognitieve therapie

KW - gecombineerde modaliteitstheorie

KW - oefening

KW - vermoeidheid

KW - vrouwelijk

KW - follow-up studies

KW - mannelijk

KW - middelbaar

KW - neoplasma's

KW - object attachment

KW - patiënttevredenheid

KW - toekomstige studies

KW - kwaliteit van leven

KW - sekse factoren

KW - sociale identificatie

KW - overlevers

KW - behandelingsresultaat

KW - comparatieve studie

KW - tijdschrifartikel

KW - multicenter studie

KW - gerandomiseeerd controle onderzoek

KW - Research Support, Non-U.S. Gov't

U2 - 10.1002/pon.1308

DO - 10.1002/pon.1308

M3 - Article

VL - 17

SP - 917

EP - 925

JO - Psycho-oncology

JF - Psycho-oncology

SN - 1057-9249

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ER -

May AM, Duivenvoorden HJ, Korstjens I, van Weert E, Hoekstra-Weebers JEHM, van den Borne B et al. The effect of group cohesion on rehabilitation outcome in cancer survivors. Psycho-oncology. 2008 Sep;17(9):917-925. https://doi.org/10.1002/pon.1308