Family caregivers regularly attend consultations as cancer patient supporters/advocates. When informed and empowered, family caregivers can be a valuable partner in cancer care. However, research shows that oncology clinicians do not always meaningfully engage with caregivers. Also, some caregivers can introduce challenges, such as if they dominate the patient, request private patient information, or display anger towards staff. Building a positive working relationship with caregivers and managing these challenges requires skill.
The newly developed TRIO Guidelines for communicating with family caregivers provide evidence- based recommendations for oncology clinicians interacting with a patient’s family.
This workshop will provide an overview of the TRIO Guidelines, and demonstrate best-practice approaches to facilitating effective family involvement while also managing common clinical challenges.
It will specifically focus on:
• building a positive relationship with caregivers,
• discussing sensitive information,
• managing family anger,
• reconciling conflicting patient-family treatment wishes, and
• managing longstanding family conflict
Professionally produced short films will be featured, to model specific behaviours/phrases from the TRIO Guidelines used in common clinical scenarios. The workshop will utilize web-technology to promote experiential learning, engagement, and uptake of key skills and strategies, and will include interactive small group discussions. Hard copies of the TRIO Guidelines will be provided.
1. To understand the needs and challenges faced by family caregivers
2. To learn evidence-based strategies on how to positively and effectively engage family caregivers in everyday clinical encounters
3. To learn evidence-based strategies for addressing the following complex clinical situations:
family member anger, requests for disclosure of sensitive information, and patient-family
4. To reflect on own interactions with family caregivers
Statistical analysis, reporting and interpretation of Randomized Controlled Trials (RCT) is of great importance for researchers within psycho-oncology. The objective of this workshop is to introduce the standard elements of an analysis plan of a RCT from a statistical perspective. This includes formulation of hypothesis, generating and reporting descriptive statistics in terms of patient inclusion and presentation of baseline characteristics. Furthermore, power considerations, formulation of relevant statistical models, and reporting and interpretation of findings, is discussed. The workshop is hands-on with RCT case studies within psycho-oncology and practical illustrations using the statistical software.
1. To learn about the standard elements of a statistical analysis plan for an RCTs
2. Introduction to the most common statistical models used for RCTs
3. Interpretation and reporting of RCTs
Cancer and its treatments has profound and often persistent impacts on body image and related issues, reducing the quality of life. 20-75% of cancer survivors report body image disturbance and decreased sexual functioning post-diagnosis. Lack of knowledge and skill among health professionals and lack of available interventions pose as barriers to follow up care. Studies demonstrate that specific facets of body image disturbance in cancer populations (e.g. body stigma, shame, feelings of alienation or disconnectedness from one’s body) can be addressed through targeted treatments. The proposed workshop will provide an evidenced-based framework on the multi-determined nature of body image, including socialization factors at play. Psychosocial screening instruments to support follow up care will be presented. Restoring Body Image after Cancer (ReBIC): a group therapy approach that addresses cancer-related body image disturbance and associated issues will be introduced. ReBIC incorporates techniques, such as guided imagery exercises, effective in working through body image changes; psychoeducation on the sociocultural factors; and information to support sexual functioning. A randomized controlled trial demonstrated the efficacy of ReBIC in providing a safe forum for survivors to rebuild their body image, facilitated continuity of self and improved quality of life. Group exercises and case material will illustrate the intervention.
1. Learn the theoretical foundation and multi-determined nature of body image and formations of disturbance.
2. Gain knowledge and skill in the psychosocial screening of body image and psychosexual functioning among cancer patients
3. Enhance skills in use of guided imagery techniques and specific psychosocial interventions to address body image-related distress and psychosexual functioning.
This workshop will focus on the most frequently cited unmet need of cancer survivors – fear of cancer recurrence (FCR). FCR is present in a range of severity in all people who survive cancer, with up to 49% of survivors reporting elevated or ‘clinical’ levels of this concern. For these survivors, FCR is persistent and disabling, preventing them from making future plans, causing over-screening and over-use of medical services and compromising quality of life. Fortunately, several trials of evidence-based and theoretically supported therapies have been successfully completed in the past 5 years. This workshop will provide a review of the frameworks of two of these recent therapies (the ConquerFear and FORT studies) for understanding FCR. These therapies (one face-to-face, the other a group face-to-face intervention) combine elements of the Self-Regulatory Executive Function (S-REF) model, Relational Frame Theory and Self Regulation Theory (ConquerFear) and Cognitive Behavioral Therapy and Existential Therapy (FORT). The content and exercises of these two therapies will be presented in detail. Practical strategies to implement these therapies will be demonstrated and practiced in the workshop. Patient handouts, relevant papers, and frameworks will be provided to workshop attendees.
1. The attendee shall be able to describe two theoretical frameworks for FCR
2. The attendee shall be able to describe and deliver methods to reduce FCR, including cognitive restructuring, attention training, mindfulness training, awareness and challenging of meta-cognitions about worry, exposure to worst fears, education and encouragement of appropriate levels of screening and monitoring for cancer recurrence.
Managing Cancer And Living Meaningfully (CALM) is a brief, manualized, evidence-based psychotherapeutic intervention uniquely tailored to reduce or prevent distress in individuals with advanced or metastatic cancer and their families. It consists of 3-6 psychotherapeutic sessions delivered over 6 months and has been shown to reduce distress and increase well-being in this population. The morning of the workshop will consist of two streams:
1. Introductory: Formal lectures and video-recordings of real psychotherapeutic sessions will be used to teach the theoretical foundations, therapeutic process, and content domains of CALM
2. Advanced (for participants with prior exposure to CALM): Focus on theoretical issues, refinement of techniques, and skills to teach and supervise other CALM therapists.
The afternoon session will integrate theory, research, and the clinical application of CALM. Participants will have the opportunity to reflect on the day, provide feedback, and contribute to an open discussion about future CALM cases in their settings.
Learn the theoretical foundations, content domains, and therapeutic processes of CALM.
2. Explore the clinical application of CALM as illustrated through video-recorded real psychotherapeutic sessions.
3. Enhance skills and comfort in treating emotional distress in individuals with advanced or metastatic cancer.
The purpose of this workshop is to provide participants with an introduction to conducting psychosocial oncology Indigenous research focusing on epistemology, research methodologies and methods. The presenters will provide a review of ethical principles to consider and how to build collaborative research projects-the role of ‘insider’ – ‘outsider’ / ‘community-member’ – ‘non-community member’. The participants will learn about cultural safety and the importance of engaging in reflective practice when pursuing research with Indigenous people. Participants will be provided with examples of successes and challenges when conducting Indigenous research based on the Presenters’ research experience from Australia and Canada, including guidance regarding dissemination of findings and publication in this field. Participants are asked to come prepared to discuss their research projects and will have an opportunity to interact with the Workshop Chairs and other participants to develop their research protocols. A list of articles and other resources will be provided for participants to review.
1. Provide an introduction to conducting Indigenous psychosocial oncology research focused on epistemology and research methodologies and approaches
2. Provide an overview of ethics to consider when pursuing an Indigenous research project
3. Provide an opportunity for participants to discuss their Indigenous research protocol and receive input
2. How specific art therapy interventions could meet the special needs of cancer patients in this context by reducing anxiety and emotional stress, enabling perception and facilitating expression of emotions, promoting inner strength and sense of purpose, to strengthen and support autonomy and establishing new life perspectives.
3. By participating in the self-experiential module, attendees will reconnect to their own
innate creative potential on a physical, emotional, cognitive and spiritual level and
understand the therapeutic potential of the transforming abilities of creative
therapies and how to apply them to their patients.
4. Participants will as well learn how to use and facilitate some specific expressive art therapy tools for their own self-care and psychohygenic use whilst working with patients and experience an innovative stress management tool.
Cancer survivors clearly want support from healthcare providers with work concerns as a result of their cancer (de Moor et al. 2018; Kennedy et al. 2007; Stergiou-Kita et al. 2016). In this practical workshop, we offer healthcare providers an overview of the latest research, best practice informed strategies and resources to support cancer survivors with remaining, returning and finding work. The research overview will include a focus on psychological factors such as work stress and cancer. Attendees will be introduced to a vocational rehabilitation model for cancer survivors to aid their assessment and shown steps they can follow in the return to work process. The vocational rehabilitation model will highlight different features that healthcare providers need to consider including: biopsychological, systems, person related and worksite factors. Attendees will learn of valuable resources that they can use within Cancer and Work (www.cancerandwork; recipient of a leading practice award by Health Standards Organization of Canada). The attendees will work through real case scenarios to apply the eleven return to work steps and the vocational rehabilitation model for cancer survivors. This hands-on practical workshop will allow attendees to significantly improve their knowledge, skills, and confidence to support cancer survivors with work-related concerns.
1. provide an overview of clinically relevant research to cancer and work
2. provide a focused review on how psychological factors can impact cancer survivors related to work, such as work stress and cancer
3. provide an introduction to vocational rehabilitation model for cancer survivors to guide assessment and support
4. introduce 11 steps that healthcare providers can follow to support cancer survivors with remaining and returning to work
5. have participants use a vocational rehabilitation model, a 11 steps return to work process and information from www.cancerandwork.ca to work through practical case examples to improve knowledge and skill in supporting cancer survivors with work concerns.
Up to 60% of cancer survivors experience significant sleep difficulties. This is double that of the general population, and can often be attributed to the physical and psychological impact of cancer treatment and recovery. Poor sleep is associated with anxiety, depression, concentration and memory difficulties, higher rates of pain, increased use of sedatives and poorer quality of life. Cognitive Behavioural Therapy (CBT) is considered to be the gold-standard treatment for primary and secondary insomnia, and is also effective in improving fatigue, menopausal symptoms, mood, cognitive functioning, pain, quality of life, immunological function, and reduced need for medication. Up to 77% of cancer patients have been found to achieve remission or significant reduction in sleep disturbances after undertaking CBT for insomnia. This workshop will provide health professionals with methods of screening for insomnia and other sleep disorders, ways to adapt core CBT strategies to more effectively treat insomnia and sleep disturbances in oncology patients, and information on different models of care that can be adapted to your service (e.g., stepped care, self-help and/or therapist-led programs). This workshop will include case-studies, practice opportunities and provision of relevant resources to health professionals.
1. Understanding of common sleep problems/disorders, their causes in people with cancer, and different methods of delivering CBTi (self-help, in person, group).
2. Knowledge of screening tools to assess and identify at-risk patients
3. Understanding of ways to adapt core CBT strategies to treat sleep problems in people with cancer, including stimulus control and sleep restriction.
This half-day workshop aims to familiarize participants with the principles of holistic neuropsychological and vocational rehabilitation, as developed in the context of intervention for acquired brain damage, and to show how they can be adapted and applied in a day program setting to effectively address neuropsychological sequelae of disease and treatment among cancer survivors. In light of empirical and clinical findings on cancer-related neuropsychological complaints, both cognitive and emotional, and their broad influence on daily life and well-being during and after recovery, the Israeli National Institute for the Rehabilitation of the Brain injured has developed a holistic rehabilitation program for survivors, grounded in years of experience treating related populations. Using this program as an illustration, the workshop will review the component interventions (e.g., cognitive training, psychotherapy, etc.) and address key processes in its establishment, including: assessment of potential clients, determination of suitability for inclusion, and creation of tailored intervention plans in accordance with personal and vocational goals. Through case examples and experiential methods, workshop participants already experienced in providing various aspects of post-cancer care will be exposed to notable dilemmas, challenges, and solutions associated with the successful facilitation of vocational and social re-integration following cancer through neuropsychological rehabilitation.
1. To become acquainted with holistic neuropsychological and vocational rehabilitation, as developed in the context of intervention for acquired brain damage.
2. To learn about the structure and content of a holistic neurorehabilitation day program specifically adapted and tailored to the needs of cancer survivors.
3. To experience primary processes involved in establishing and maintaining a holistic neurorehabilitation day program for cancer survivors.
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