Hybrid tele and in-clinic occupation based intervention to improve women’s daily participation after breast cancer: A pilot randomized controlled trial

Khawla Loubani, Rachel Kizony, Uzi Milman, Naomi Schreuer

Research output: Contribution to journalArticlepeer-review


Background: Women after breast cancer (BC) cope with decreased daily participation and quality of life (QOL) due to physical, cognitive, and emotional symptoms. This study examined a hybrid occupation-based intervention, Managing Participation with Breast Cancer (MaP-BC), to improve daily participation in their meaningful activities. Methods: Thirty-five women after BC phase were randomly allocated to the MaP-BC intervention (n = 18) or control (n = 17) group (standard care only). Assessments were administered at baseline (T1), 6-week (T2), and 12-week (T3) post-T1. Main outcome: perceived performance and performance-satisfaction with meaningful activities according to the Canadian Occupational Performance Measure. Secondary outcomes: retained activity levels (Activity Card Sort), QOL (Functional Assessment of Cancer Therapy-Breast), cognitive abilities (Montreal Cognitive Assessment and Behavior Rating Inventory of Executive Function), and upper-extremity functioning (Disability of Arm, Shoulder, Hand). Results showed significant interaction (group x time) effects for the primary outcome in performance, F(2,66) = 29.54, p = 0.001, ïP2 = 0.472, and satisfaction, F(2,66) = 37.15, p = 0.000, ïP2 = 0.530. The intervention group improved more in performance, t = 5.51, p = 0.0001, d = 1.298, and satisfaction, t = −5.32, p = 0.0001, d = 1.254, than the control group between T1 and T2. Secondary outcomes demonstrated within-group improvements. Conclusion: MaP-BC, a comprehensive occupation-based hybrid intervention tailored to women’s functional daily needs after BC, improved participation in meaningful activities within a short period.

Original languageEnglish
Article number5966
JournalInternational Journal of Environmental Research and Public Health
Issue number11
StatePublished - 1 Jun 2021

Bibliographical note

Funding Information:
Funding: This research was funded by the Israeli Cancer Association, Grant number (20190109).

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.


  • Activities of daily living
  • Breast cancer
  • Hybrid intervention
  • Occupational therapy
  • Self-management
  • Tele-rehabilitation
  • Humans
  • Occupations
  • Activities of Daily Living
  • Canada
  • Pilot Projects
  • Quality of Life
  • Female
  • Breast Neoplasms/therapy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pollution
  • Health, Toxicology and Mutagenesis


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