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A novel intervention combining two efficacious therapies (Programme Personnalisé d'Accompagnement Thérapeutique ,
, France for patients with metastatic disease. The program evaluation aim measures pre/post changes in psychological and quality of life (QoL) outcomes. Patients were followed for 5 years and survival outcomes described
, Methods: Patients (N=88) with metastatic cancer seeking psychosocial care were offered PAACT which included elements of the biobehavioral intervention and Supportive Expressive Group Therapy, delivered in 32 sessions across 12 months. The sample was predominantly older (M=57 years), female (72%), and partnered (74%)
Significant changes (improvements) across time were found on the HADS anxiety and depression scales (ps<.0001 and EORTC functioning scales and symptom items (ps<01) ,
, Kaplan Meier analyses showed 54% likelihood of survival at 5 years
, As metastatic cancer has become a chronic disease, an overall survival of 54% at 5 years along with QoL improvements suggests feasibility and promise for further examination of a structured psychosocial support for French patients
,
, Au moment d'être admis à exercer la médecine, je promets et je jure d'être fidèle aux lois de l'honneur et de la probité
, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux
, Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leurs convictions. J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité. Même sous la contrainte
, Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences
, Je ne me laisserai pas influencer par la soif du gain ou la recherche de la gloire
, Reçu(e) à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les moeurs
, Je ne prolongerai pas abusivement les agonies. Je ne provoquerai jamais la mort délibérément
, Je n'entreprendrai rien qui dépasse mes compétences. Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés
, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité
, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses
, que je sois déshonoré et méprisé si j'y manque