Developing pathways, a hope-enhancing intervention for metastatic lung cancer patients receiving cancer treatment

Laurie E. McLouth, Kaitlyn Weyman, Shannon L. Golden, Jennifer S. Cheavens, Amy Peterman, Vilma Bursac, Jennifer Gabbard, Kathryn E. Weaver

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objective: Between 40% and 65% of lung cancer patients report concern about maintaining valued activities and roles, yet few interventions address this concern. Hope, a patient's perceived ability to generate goals and identify ways to pursue them, may be a promising intervention target to support function among lung cancer patients. The goal of this study was to assess metastatic non-small cell lung cancer (mNSCLC) patient interest and preferences for a hope-enhancing intervention. Methods: We conducted a sequential mixed-methods (survey followed by semi-structured interviews) study with patients with mNSCLC. Surveys assessed patient interest in, perceived helpfulness of, and preferences for a hope intervention. A subset of 12 patients (and caregivers, when present) completed semi-structured interviews to elicit feedback on proposed intervention content and procedures. Results: Survey data from 60 patients (40% male; Mean age = 62.5; SD = 9.3) suggested high perceived importance of pursuing personal goals during cancer treatment, moderate perceived helpfulness in discussing personal goals, and preference for a nurse-led intervention. Based on these data, a 5-session, nurse-led intervention protocol was drafted and reviewed with 12 patients. Interviewed patients and caregivers agreed working towards goals was beneficial, liked the intervention concept, and thought prompts and rating scales on handouts would facilitate discussion. The majority preferred nurse delivery during infusions. Conclusions: A nurse-led hope-enhancing intervention delivered primarily during infusions may be acceptable to mNSCLC patients. Future work should test feasibility and identify ways to incorporate caregivers and oncology providers into hope interventions.

Original languageEnglish
Pages (from-to)863-873
Number of pages11
Issue number6
StatePublished - Jun 2021

Bibliographical note

Funding Information:
This study was supported by the Lung Cancer Initiative of North Carolina Research Fellow Grant (Dr. Steffen [McLouth]) and the Wake Forest CTSA Grant UL1TR001420. Dr. McLouth was supported by NCI R25CA122061 (PI: Avis) and R03CA235171. This study was also supported by the Qualitative and Patient‐Reported Outcomes Shared Resource of the Wake Forest Baptist Comprehensive Cancer Center (P30 CA012197) and University of Kentucky Markey Cancer Center (P30 CA177558). Kaitlyn Weyman's work on this manuscript was supported by the Center for Advancing Translational Sciences, National Institutes of Health, through Grant UL1TR001998. The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Publisher Copyright:
© 2021 John Wiley & Sons Ltd.


  • cancer
  • goal-setting
  • hope
  • lung cancer
  • nurse intervention
  • oncology
  • psycho-oncology
  • stigma

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health


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