Research ArticleResearchPatient Education

A Roy-model nursing program improved adjustment and resilience after a breast cancer diagnosis

Seminars in oncology nursing (PubMed)Jul 6, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

In an assessor-blinded randomized trial, a six-session Roy Adaptation Model nursing program improved psychosocial adjustment and resilience through three months among women newly diagnosed with breast cancer who completed follow-up.

What NurseJet pulled from the source

This single-center oncology outpatient trial randomized 51 women newly diagnosed with breast cancer to standard psycho-oncology care alone or the same care plus six weekly nursing sessions based on the Roy Adaptation Model. Forty-four participants completed the study and were included in the per-protocol analysis. Psychosocial adjustment and resilience improved more in the intervention group over time, with significant group-by-time interactions through the three-month follow-up. The findings support further use and evaluation of structured nursing support early after diagnosis, while the small per-protocol analysis limits certainty about effectiveness for all patients who begin the program.

Why this matters for nurses

Oncology nurses help patients navigate the psychological and practical disruption that begins at diagnosis. This trial matters because it tested a structured nursing intervention alongside standard psycho-oncology care rather than treating adjustment as outside the oncology workflow.

Bedside takeaway

Worth knowing that six Roy-model nursing sessions improved adjustment and resilience through three months in a small breast-cancer outpatient trial.

Key takeaways

The trial randomized 51 women newly diagnosed with breast cancer, and 44 completed follow-up.
The intervention added six weekly Roy-model nursing sessions to standard psycho-oncology care.
Psychosocial adjustment improved more in the intervention group over time.
Resilience also improved, with outcomes followed for three months.

Practice implications

Oncology services may consider a structured, theory-guided nursing pathway for early adjustment support while preserving standard psycho-oncology care. The study does not establish one universal session format or demonstrate effects on treatment adherence, symptoms, or longer-term outcomes.

Limitations & cautions

This was a single-center trial with 51 randomized participants and a per-protocol analysis of 44 completers. Outcomes were self-reported, follow-up lasted three months, and the results do not establish effects on cancer treatment, physical symptoms, adherence, or longer-term mental health.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

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Seminars in oncology nursing (PubMed)

Seminars in oncology nursing (PubMed). Effect of a Roy Adaptation Model-Based Nursing Intervention on Psychosocial Adjustment and Psychological Resilience in Women Newly Diagnosed with Breast Cancer: A Randomized Controlled Trial.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42409704/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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Supportive care in cancer (PubMed)Sep 5, 2026Research Article

A small randomized trial found larger one-month reductions in reported supportive-care needs among colorectal cancer caregivers who received smartphone-based education than with routine care.

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Research ArticleResearchPatient EducationAI summary · original source linked below

Eighty family caregivers at two teaching hospitals in Tehran were randomized. Compared with routine care, the intervention group reported larger reductions in total needs and in health-service, psychological-emotional, work-social, and information domains after four weeks.

Key takeaways

The intervention was designed around family caregivers' supportive-care needs.
All four measured need domains favored the smartphone-education group at four weeks.
The abstract reports statistical significance but does not provide effect sizes or describe the educational content in detail.

Why this matters on shift

Caregiver education is part of oncology care, and mobile delivery may extend structured support beyond brief in-person teaching encounters.

Bedside takeaway

Ask caregivers about unmet information and support needs, then reinforce teaching with approved digital resources.

Nursing implications

Assess what caregivers still need to know and use approved digital education as a supplement to individualized teaching and follow-up.

Limitations & cautions

Abstract-only summary. The trial included 80 caregivers at two hospitals, assessed self-reported needs after only four weeks, and did not report patient outcomes or effect sizes in the abstract.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Supportive care in cancer (PubMed). The effect of a smartphone-based educational intervention on the supportive care needs of family caregivers of patients with colorectal cancer: a randomized controlled trial.

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AI-summarized from the linked source. Review the original article before applying to practice.

Psychological medicine (PubMed)Sep 4, 2026Research Article

A multicenter trial found no significant anxiety or depression advantage for the Unified Protocol for Adolescents over structured progressive relaxation.

Psych PedsAI summaryReview source

Research ArticleResearchPatient EducationAI summary · original source linked below

The trial randomized 676 adolescents aged 12 to 18 with subthreshold emotional symptoms to UP-A or an active progressive-relaxation control. Both groups improved over time through 12 months.

Key takeaways

Primary anxiety and depression outcomes did not differ significantly between groups.
At 12 months, UP-A showed marginally lower depressive symptoms and neuroticism.
UP-A favored several secondary outcomes, including hyperactivity, conduct problems, and total mental-health difficulties.

Why this matters on shift

Structured, accessible group support may help adolescents even when one specific protocol is not superior for the primary outcomes.

Bedside takeaway

Frame these programs as early support for subthreshold symptoms, not as a replacement for assessment or indicated mental-health treatment.

Nursing implications

Frame these programs as early support for subthreshold symptoms, not as a replacement for assessment or indicated mental-health treatment.

Limitations & cautions

Abstract-only summary. The active control also received a structured intervention, and the primary between-group outcomes were not significant.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Psychological medicine (PubMed). A multicenter randomized controlled effectiveness trial of transdiagnostic treatment for adolescents with subthreshold anxiety and depressive symptoms.

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AI-summarized from the linked source. Review the original article before applying to practice.

Epidemiology and psychiatric sciences (PubMed)Sep 4, 2026Systematic Review

A meta-analysis found higher mortality and complication risks among people with both depressive disorder and diabetes than among those with diabetes alone.

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Across 26 studies from nine geographic regions, the pooled relative risk was 1.30 (95% CI 1.21–1.39) for all-cause mortality and 1.28 (95% CI 1.18–1.40) for overall complications.

Key takeaways

Metabolic and cardiovascular complications showed higher pooled risks.
Results varied by complication type; not every outcome showed higher risk.
Heterogeneity remained incompletely explained.

Why this matters on shift

The findings support attention to physical health alongside mental health needs in this patient population.

Bedside takeaway

Include diabetes-related concerns in mental health handoffs and coordinate follow-up through the existing care plan.

Nursing implications

Include diabetes-related concerns in mental health handoffs and coordinate follow-up through the existing care plan.

Limitations & cautions

Abstract-only summary. Associations do not establish causation or prove that a specific depression intervention reduces diabetes complications. Pooled relative risks are not individual risk predictions.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Epidemiology and psychiatric sciences (PubMed). Risk of mortality and complications in people with depressive disorder and co-occurring diabetes mellitus: a systematic review and meta-analysis.

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AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

Practice implications

Limitations & cautions

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Smartphone education reduced reported support needs among colorectal cancer caregivers

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