A longitudinal study of the effects of a hope intervention on levels of hope and psychological distress in a community-based sample of oncology patients
Abstract
Purpose of research To determine the effect of the hope intervention (HOPE-IN) on levels of hope and psychological distress immediately (T2), 3 (T3), and 12 (T4) months following the intervention; determine the effects of the HOPE-IN on changes in patients' level of hope after controlling for baseline levels of psychological distress; and evaluate patients' level of satisfaction with the HOPE-IN.Methods and sample This single group, longitudinal study recruited a community-based sample which cancer. Most of the participants (n = 195) were females, married, and had breast cancer. The HOPE-IN consisted of eight 2-h sessions conducted over 8 weeks. Data were collected on demographic and clinical characteristics, hope (Herth Hope Index), psychological distress (Impact of Event Scale (IES)), and satisfaction with the HOPE-IN.Key results Hope scores increased significantly from T1 to T2, and then decreased slightly from T2 through T4. Both intrusion and avoidance IES scores decreased significantly from T1 to T2 and then decreased slightly from T2 to T4. The changes in hope scores remained significant even when baseline scores on intrusion were controlled for in the analyses. Baseline level of hope was negatively correlated with baseline intrusion and avoidance scores. These findings indicate that the trajectories of hope scores remained the same conditioned on intrusion or avoidance. Over 95% of the participants reported that the HOPE-IN was useful to them.Conclusions Additional research is warranted to determine the most effective approaches to increase hope and reduce psychological distress in individuals who are living with a cancer diagnosis.
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A hope-based intervention by Rustoen et al. increased hope immediately after therapy but hope decreased at three and twelve months post-treatment.
“Results indicated an increase in hope levels immediately after therapy, but reductions in hope thereafter (three and twelve months post-treatment).”
From A Hope-based intervention to address disrupted goal pursuits and quality of life among young adult cancer survivors (2020) · cites this paper as [32]
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Srivastava, J., & Shukla, H. S. (2025) · Indian Journal of Palliative Care · doi:10.25259/ijpc_219_2023 · Cited by 2 · see citing works
Shareh, H., Robati, Z., Oladi, F., & Jafarnia, V. (2017) · Zahedan Journal of Research in Medical Sciences · doi:10.5812/zjrms.9423 · Cited by 2 · see citing works
The Meaning of Hope in the Dying
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KRAUSE, N. M., & Ironson, G. H. (2023) · Current Psychology · doi:10.1007/s12144-023-04581-6 · Cited by 2 · see citing works
Implementing hope-based interventions in adolescent and young adult cancer survivors
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Hope and Explanatory Style: A Study of Outcomes in Inpatient Headache Sufferers
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EFFECTIVENESS OF RELIGIOUS THERAPY ON DEPRESSION AND HOPE IN PARENTS WITH MENTALLY-RETARDED CHILDREN
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Patterns of Hope and Loneliness Among Patients and Caregivers Affected by Biliary Tract Cancers
Attieh, S., Angka, L., Lafontaine, C., Bachini, M., Auer, R. C., & Loiselle, C. G. (2026) · Current Oncology · doi:10.3390/curroncol33070406
- Authors
- Rustøen, T., Cooper, B. A., & Miaskowski, C.
- Affiliations
- Oslo University Hospital (NO)
- University of California, San Francisco (US)
- Venue
- European Journal of Oncology Nursing
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 15
- Issue
- 4
- Pages
- 351-357
- ISSN
- 1462-3889 (ISSN-L)
- OpenAlex
- W2036371346
- Cited by
- 77
- References
- 52
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 7 · 2016: 5 · 2015: 4 · 2014: 2 · 2013: 4 · 2012: 3
- FWCI
- 3.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Oncology Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam)
- Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- hope interventions, hope, psychological distress, breast cancer, cancer patients, intrusion, avoidance, Herth Hope Index, Impact of Event Scale, intervention satisfaction
- MeSH terms
- Adaptation, Psychological, Breast Neoplasms, Female, Humans, Longitudinal Studies, Male, Norway, Nursing Assessment, Residence Characteristics, Stress, Psychological, Patient Satisfaction, Survivors
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