Testing the efficacy of a couple-focused, tailored eHealth intervention for symptom self-management among men with prostate cancer and their partners: the study protocol.
Testing the efficacy of a couple-focused, tailored eHealth intervention for symptom self-management among men with prostate cancer and their partners: the study protocol.
复制标题
DOI：
10.1186/s13063-021-05948-5
复制
发表时间：
2022-01-04
期刊：
影响因子：
2.5
通讯作者：
Tan X
中科院分区：
文献类型：
--
作者：
Song L;Nielsen ME;Chen RC;Rini C;Keyserling TC;Idiagbonya E;Fuller GP;Northouse L;Palmer MH;Tan X
患有局限性前列腺癌的男性通常会出现泌尿、性、肠道和荷尔蒙症状；全身不适；疼痛；疲劳；以及睡眠障碍。对于亲密关系中的男性来说，这些症状会破坏夫妻的关系和亲密关系。这些症状还降低了男性和他们的伴侣的生活质量，他们通常是他们的主要照顾者。对癌症及其治疗的负面影响的管理是对这些男性及其亲密伴侣的支持性护理需求严重不足的问题。为了解决这些未得到满足的支持性护理需求，我们的跨学科团队开发并试点测试了一种以证据为基础、以夫妇为重点、量身定做的电子健康干预措施“前列腺癌夫妇教育和资源”(PERC)的可用性和可行性。基于适应压力和应对理论框架，并在利益相关者参与下开发，PERC旨在通过提高男性和他们的伴侣的积极评价、自我效能、社会支持和症状管理的健康行为来提高他们的生活质量。我们将在一项随机对照试验中使用基于人群、不同地域和不同人口统计学的队列来测试PERC的疗效。主要目的：评估接受PERC的患者和伴侣在基线后4、8和12 个月时，是否会报告他们的癌症相关生活质量评分比对照组(常规护理加上国家癌症研究所前列腺癌网站)有更大的改善。第二个目的：测试PERC的患者和伴侣是否会在随访中报告比对照组更多的积极评价和更高水平的应对资源。探索性目标：确定患者种族和民族、教育程度、治疗类型或夫妻关系质量是否会缓和PERC对患者和伴侣随访时的生活质量的影响。这项研究将为影响夫妻关系、亲密关系和生活质量的慢性病症状的自我管理提供一种新的模式。它满足了国家护理研究所的目标，即开发和测试症状自我管理的新策略，以帮助患者和护理人员更好地管理他们的疾病，提高生活质量。它还响应了医学研究所和美国癌症协会提出的计划，以解决与治疗相关的影响，并改善幸存者的生活质量。CT GOV NCT03489057
Men with localized prostate cancer often experience urinary, sexual, bowel, and hormonal symptoms; general distress; pain; fatigue; and sleep disturbance. For men in an intimate relationship, these symptoms disrupt couples’ relationships and intimacy. The symptoms also reduce quality of life for both men and their partners, who are often their primary caregivers. Management of the negative effects of cancer and its treatment is a significantly under-addressed supportive care need for these men and their intimate partners. To address these unmet supportive care needs, our interdisciplinary team developed and pilot tested the usability and feasibility of an evidence-based, couple-focused, tailored eHealth intervention, “Prostate Cancer Education & Resources for Couples” (PERC). Based on the adapted stress and coping theoretical framework and developed with stakeholder involvement, PERC aims to improve quality of life for both men and their partners by enhancing their positive appraisals, self-efficacy, social support, and healthy behaviors for symptom management. We will test the efficacy of PERC using a population-based, geographically and demographically diverse cohort in a randomized controlled trial. Primary aim: Assess if patients and partners receiving PERC will report greater improvement in their cancer-related quality of life scores than those in the control group (usual care plus the National Cancer Institute prostate cancer website) at 4, 8, and 12 months post-baseline. Secondary aim: Test if patients and partners in PERC will report significantly more positive appraisals and higher levels of coping resources at follow-ups than those in the control group. Exploratory aim: Determine if patient race and ethnicity, education, type of treatment, or couples’ relationship quality moderate the effects of PERC on patient and partner QOL at follow-ups. This study will provide a novel model for self-managing chronic illness symptoms that impact couples’ relationships, intimacy, and quality of life. It addresses the National Institute of Nursing Research’s goal to develop and test new strategies for symptom self-management to help patients and caregivers better manage their illness and improve quality of life. It also responds to calls for programs from the Institute of Medicine and American Cancer Society to address treatment-related effects and improve survivors’ QOL. CT.gov NCT03489057
登录
查看更多内容
DOI：
10.1249/mss.0b013e31821b94f7
发表时间：
2011-11-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Gardiner, Paul A.;Clark, Bronwyn K.;Owen, Neville
通讯作者：
Owen, Neville
影响因子：
2.1
作者：
Esper, P;Mo, F;Pienta, KJ
通讯作者：
Pienta, KJ
影响因子：
10.3
作者：
Epstein, Mara M.;Edgren, Gustaf;Adami, Hans-Olov
通讯作者：
Adami, Hans-Olov
影响因子：
2
作者：
Hanly, Narelle;Mireskandari, Shab;Juraskova, Ilona
通讯作者：
Juraskova, Ilona
影响因子：
4.5
作者：
Chen, Ronald C.;Zhang, Yuanye;D'Amico, Anthony V.
通讯作者：
D'Amico, Anthony V.