Effect of an integrated narrative program (INP) on quality of life among patients with non-small cell lung cancer (NSCLC): an experimental trial

Abstract

ObjectiveTo investigate the effectiveness of an integrated narrative program (INP) in enhancing the resilience, self-efficacy and quality of life of postoperative NSCLC patients. Materials and MethodsAdditional 45 participants at baseline were recruited into the integrated narrative program group and received both the digital storytelling intervention and narrative therapy after a randomized controlled trial where the control group (n=45) received routine care and the intervention group (n=45) underwent the digital storytelling intervention (DST). Questionnaires were administered to assess resilience, self-efficacy and quality of life at baseline (T0) (within 3 days before surgery), immediately after intervention (T1), one month post-intervention (T2), and three months post-intervention (T3). A linear mixed effects model was conducted via the intention-to-treat analysis. ResultsDuring follow-up assessments, the INP group exhibited significantly greater increase in resilience, self-efficacy, and quality of life (all P < 0.001) compared to both DST group and control group, which were consistent with the sensitivity analysis results (all P < 0.001). ConclusionThe INP was more effective than DST in improving the resilience, self-efficacy, and quality of life of postoperative NSCLC patients, and these benefits could persist for at least three months post-intervention. Due to the fact that the INP process is relatively complicated, so we recommend the use of web-based platforms for INP interventions in future clinical work.