Benefits of the uncertainty management intervention for African American and white older breast cancer survivors: 20-month outcomes
Benefits of the uncertainty management intervention for African American and white older breast cancer survivors: 20-month outcomes
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DOI：
10.1207/s15327558ijbm1304_3
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发表时间：
2006-01-01
影响因子：
2.7
通讯作者：
Clayton, Margaret
中科院分区：
文献类型：
--
作者：
Gil, Karen M.;Mishel, Merle H.;Clayton, Margaret
在2×2随机区组重复测量设计中，本研究在20个月时评估了不确定性管理干预的随访效果。样本包括483名乳腺癌治疗后5~9年无复发的妇女(白人342人，非裔美国人141人；平均年龄=岁)。干预是在每周4次的电话会议期间进行的，在电话会议中，幸存者被指导使用录音的认知行为策略和自助手册。重复测量MANOVA在20个月时评估治疗组、种族组和通过种族交互效应进行治疗的结果表明，不确定性管理方面的培训导致认知重建、癌症知识和各种应对技能的改善。重要的是，20个月的结果还显示，在干预条件下，女性在疾病不确定性方面的下降和随着时间的推移对个人成长的稳定影响方面也有好处。
In a 2 x 2 randomized block repeated measure design, this study evaluated the follow-up efficacy of the uncertainty management intervention at 20 months. The sample included 483 recurrence-free women (342 White, 141 African American women; mean age = 64 years) who were 5-9 years posttreatment for breast cancer Women were randomly assigned to either the intervention or usual care control condition. The intervention was delivered during 4 weekly telephone sessions in which survivors were guided in the use of audiotaped cognitive-behavioral strategies and a self-help manual. Repeated measures MANOVAs evaluating treatment group, ethnic group, and treatment by ethnic interaction effects at 20 months indicated that training in uncertainty management resulted in improvements in cognitive reframing, cancer knowledge, and a variety of coping skills. Importantly, the 20-month outcomes also demonstrated benefits for women in the intervention condition in terms of declines in illness uncertainty and stable effects in personal growth over time.