{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:38:56Z","timestamp":1784896736237,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"St. Luke's Life Science Institute, Tokyo"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Treatment of breast cancer entails surgery, often followed by chemotherapy. Alopecia is a major, intractable side effect with potentially profound impacts on appearance. We developed a nurse\u2010facilitated program targeting appearance\u2010related symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study explored the effects of the appearance care program on quality of life (QOL). The program was delivered across three sessions, each involving personal reflections on appearance concerns, short lectures on skincare and makeover techniques, and small group discussions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method and Results<\/jats:title><jats:p>Seventy\u2010two women who attended the appearance care program were invited to participate. We employed a mixed\u2010method design combining quantitative and qualitative methods. QOL instruments were used to measure effects of the program at the first and final sessions and at a one\u2010month follow\u2010up. The qualitative data were collected as open\u2010ended notes regarding participants' perception of the program at the final session and at a one\u2010month follow\u2010up. Fifty\u2010seven women completed all three sessions. Of them, 55 participated in this study. Their mean age was 46.4\u2009years; 39 (70.9%) had partners, and 34 (61.8%) had children. Most participants experienced hair loss at one\u2010month post\u2010program; however, cancer\u2010specific QOL improved after attending the program. Patients' experience of fatigue and weakness may explain observations of decreased physical well\u2010being. Emotional well\u2010being continued to increase 1 month following the program, while social and functional well\u2010being was consistent. Participants felt empowered by the information on skincare and cosmetic techniques and valued the intimate support from the group members facing similar circumstances.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study showed that the appearance care program increased or maintained the well\u2010being of participants. Findings suggest the appearance care program which promoted group sharing experiences empowered participants and may have enhanced their coping strategies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cnr2.1242","type":"journal-article","created":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T03:00:09Z","timestamp":1583982009000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Effects of the appearance care program for breast cancer patients receiving chemotherapy: A mixed method study"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2000-8523","authenticated-orcid":false,"given":"Mari","family":"Ikeda","sequence":"first","affiliation":[{"name":"Department of Nursing Administration, School of Nursing Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Tamai","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/ Wound Care Management, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisako","family":"Kanai","sequence":"additional","affiliation":[{"name":"Breast Center\/Oncology Center St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misato","family":"Osaka","sequence":"additional","affiliation":[{"name":"Breast Center\/Oncology Center St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuko","family":"Kondo","sequence":"additional","affiliation":[{"name":"Mothering and Life Management Institute  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takako","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Beauty Consultant  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Sanada","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/ Wound Care Management, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6532-3690","authenticated-orcid":false,"given":"Kiyoko","family":"Kamibeppu","sequence":"additional","affiliation":[{"name":"Department of Family Nursing, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2012.02.007"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21262"},{"key":"e_1_2_12_4_1","volume-title":"Breast Cancer Facts and Figures 2017\u20132018","author":"American Cancer Society","year":"2017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyt038"},{"key":"e_1_2_12_6_1","first-page":"901","article-title":"Caring for patients who experience chemotherapy\u2010induced side effects: the meaning for oncology nurses","volume":"26","author":"Fall\u2010Dickson JM","year":"1999","journal-title":"Oncol Nurs Forum"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.10630"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdg289"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2005.05.017"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.991"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105307088132"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1245"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdq392"},{"issue":"11","key":"e_1_2_12_14_1","first-page":"CD007064","article-title":"Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients","volume":"11","author":"Galway K","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/08858190802664594"},{"key":"e_1_2_12_16_1","first-page":"78","article-title":"The development of an oncology alopecia wig program","volume":"17","author":"Vandergrift KV","year":"1994","journal-title":"J Intraven Nurs"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1995.03950140018003"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.7314\/APJCP.2012.13.4.1383"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01856881"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1321"},{"key":"e_1_2_12_21_1","first-page":"171","article-title":"Effects of cosmetic care on the cosmetic side effects of chemotherapy for improving the QOL of breast cancer patients","volume":"37","author":"Tsuchikata R","year":"2013","journal-title":"Nihon Koshokai Zasshi (in Japanese)"},{"key":"e_1_2_12_22_1","first-page":"103","article-title":"Appearance problems of cancer patients and advice from beautician","volume":"29","author":"Takeuchi H","year":"2009","journal-title":"Monthly Nursing (in Japanese)"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.11560\/jahp.18.1_35"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.121.3.417"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559-1816.2002.tb02765.x"},{"key":"e_1_2_12_26_1","first-page":"117","article-title":"Self\u2010esteem ni tsuite [Regarding self\u2010esteem]","volume":"17","author":"Suga S","year":"1984","journal-title":"Kango Kenkyu (in Japanese)"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2002.tb00205.x"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1993.11.3.570"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3531"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s127-002-8215-0"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa011871"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.577"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3268"}],"container-title":["Cancer Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcnr2.1242","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cnr2.1242","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cnr2.1242","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cnr2.1242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T04:53:00Z","timestamp":1693975980000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cnr2.1242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,11]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1002\/cnr2.1242"],"URL":"https:\/\/doi.org\/10.1002\/cnr2.1242","archive":["Portico"],"relation":{},"ISSN":["2573-8348","2573-8348"],"issn-type":[{"value":"2573-8348","type":"print"},{"value":"2573-8348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,11]]},"assertion":[{"value":"2019-10-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1242"}}