Mediating processes of two communication interventions for breast cancer patients.
Mediating processes of two communication interventions for breast cancer patients.
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DOI：
10.1016/j.pec.2010.10.021
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发表时间：
2010-12
影响因子：
3.5
通讯作者：
Salner A
中科院分区：
文献类型：
--
作者：
Hawkins RP;Pingree S;Shaw B;Serlin RC;Swoboda C;Han JY;Carmack CL;Salner A
检验自我决定理论的三个中介过程是否参与乳腺癌患者生活质量的干预效应。一项随机临床试验招募了新诊断的乳腺癌患者进行6个月的(1)互联网培训和访问，(2)访问乳腺癌综合电子健康系统(CHESS)，(3)与人类癌症信息导师进行一系列电话交谈，或(4)同时进行(2)和(3)。本文报告了最初6周干预后的结果，在这一点上，综合状况下的患者的生活质量得分高于其他三种状况下的患者。所有三个自我决定理论的结构(自主性、能力和关联性)都像假设的那样调节了这种影响。此外，单一干预组在关联性方面优于只使用互联网的组，尽管这可能还为时过早，不能同样影响生活质量。SDT结构确实调节了这些干预措施的效果。干预设计可以有益地专注于增强自主性、能力和关联性。
Test whether three mediating processes of Self-Determination Theory are involved in intervention effects on quality of life for breast cancer patients. A randomized clinical trial recruited newly diagnosed breast cancer patients for 6 months of (1) Internet training and access, (2) access to an integrated eHealth system for breast cancer (CHESS), (3) a series of phone conversations with a Human Cancer Information Mentor, or (4) both (2) and (3). This paper reports results after the initial 6 weeks of intervention, at which point patients in the combined condition had higher quality of life scores than those in the other three conditions. All three Self-Determination Theory constructs (autonomy, competence, and relatedness) mediated that effect as hypothesized. In addition, the single-intervention groups were superior to the Internet-only group on relatedness, though perhaps this was too soon for that to carry through to quality of life as well. The SDT constructs do mediate these interventions’ effects. Intervention design can profitably focus on enhancing autonomy, competence and relatedness.
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