Investigating intervention opportunities for prostate cancer patients and partner

调查前列腺癌患者和伴侣的干预机会

• 批准号: 7414062
• 负责人: DAVID W COON
• 金额: $ 7.37万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7414062
• 关键词: Adverse effects; Affect; African American; Behavioral Research; Bladder; Cancer Burden; Cancer Patient; Cancer Survivor; Caregivers; Chronic; Compassion; Data; Dementia; Disease; Distress; Education; Elderly; Emotional; Erectile dysfunction; Family; Family Caregiver; Fecal Incontinence; Feeling; Female; Future; Growth; Health; Health Professional; Hispanics; Individual; Intervention; Interview; Intestines; Investigation; Latino; Lead; Life; Literature; Localized; Malignant Neoplasms; Malignant neoplasm of lung; Malignant neoplasm of prostate; Methods; Minority; Modeling; Nausea; Not Hispanic or Latino; Numbers; Operative Surgical Procedures; Outcome; Outpatients; Pain; Participant; Patients; Policy Maker; Principal Investigator; Psyche structure; Radiation therapy; Randomized Clinical Trials; Readiness; Recruitment Activity; Reporting; Research; Respondent; Role; Sampling; Severities; Sex Functioning; Sexual Dysfunction; Social Functioning; Spouse Caregiver; Spouses; Stress; Structure; Symptoms; Techniques; Testing; Uncertainty; Well in self; Work; base; cancer therapy; care burden; caregiving; coping; cost; design; desire; experience; improved; innovation; men; programs; psychologic; psychological distress; psychosocial; response; theories; therapy design; therapy development; urinary

DESCRIPTION (provided by applicant): Prostate cancer (PC) has recently surpassed lung cancer as the most common cancer of U.S. men. Men with PC who are treated with surgery or radiation therapy often experience urinary and bowel incontinence and erectile dysfunction, and are likely to live with these problems for years. As a result, PC can negatively impact not only the patient, but also his caregiving spouse/partner. As cancer treatment becomes increasingly provided on an outpatient basis, much of the cancer burden of care has shifted from health care professionals to informal caregivers (e.g., partners/spouses). Family caregiving (CG) carries psychosocial costs, with caregivers more likely than non-caregivers to ignore their own mental and physical health needs. Research with family caregivers of cancer patients suggest that chronic caregiving responsibilities and the uncertainties of cancer disease course can lead to increased caregiver distress. PC can have a negative impact on the patient and caregiving partner dyad in a number of ways including changes in physical/sexual functioning, social functioning and psychological well-being. Relatively few psychosocial interventions have been developed and tested to help PC patients; and those that have been evaluated tend to minimize spouse involvement. Although several interventions have been developed for family caregivers of cancer patients in general, cancer caregiver interventions that target treatment related symptoms like nausea or pain appear less relevant in the localized PC experience which involves sexual dysfunction and urinary and bowel incontinence. Only one randomized clinical trial has focused on PC spousal caregivers with very modest results. Moreover, growing research suggests that PC spouses report a lack of preparedness in taking on the caregiving role and have a variety of unmet needs that warrant additional investigation to assist in effective intervention design and delivery. The principal investigator of the proposed project has documented expertise in the development of interventions for family caregivers; however, he has a desire to refocus his work to behavioral research in cancer with an emphasis on the design of effective interventions for PC spousal caregivers. This application uses a mixed method approach and an innovative model of caregiving emerging in the literature to explore the relationship between patient suffering and caregiver compassion and to achieve the project's aims. The project collects and analyzes qualitative and quantitative data from PC patients and their caregivers representing 3 different cultural groups. Results will be used to modify existing or develop new interventions for PC patients and their caregivers. Interventions focusing on patient suffering and caregiver compassion would provide an important new perspective on interventions for PC survivors and CG partners; and, these types of programs may prove particularly useful to clinicians and policy makers, since they are likely to improve both patient and caregiver functioning. Prostate cancer (PC) is the most common cancer of U.S. men, and PC patients treated with surgery or radiation therapy often experience urinary and bowel incontinence and sexual dysfunction for years. Thus, PC can negatively impact both the patient and his caregiving spouse/partner who, as a result, often experiences substantial physical and emotional strain. This project conducts formative research to help develop interventions to improve the physical and psychosocial functioning of the PC couple.

描述（由申请人提供）：前列腺癌（PC）最近已经超过肺癌成为美国男性最常见的癌症。接受手术或放射治疗的男性前列腺癌患者通常会出现尿失禁、肠失禁和勃起功能障碍，并且可能会伴随这些问题多年。因此，个人电脑不仅会对病人产生负面影响，也会对照顾他的配偶/伴侣产生负面影响。随着癌症治疗越来越多地在门诊提供，许多癌症护理负担已从卫生保健专业人员转移到非正式护理人员（例如，伴侣/配偶）。家庭照护会带来社会心理成本，照护者比非照护者更有可能忽视自己的身心健康需求。对癌症患者的家庭照顾者的研究表明，长期的照顾责任和癌症病程的不确定性可能导致照顾者的痛苦增加。PC可以通过多种方式对患者和护理伴侣产生负面影响，包括身体/性功能、社会功能和心理健康的变化。相对较少的社会心理干预措施已经开发和测试，以帮助PC患者；而那些被评估过的人倾向于将配偶参与最小化。虽然针对癌症患者的家庭护理人员已经开发了几种干预措施，但针对治疗相关症状（如恶心或疼痛）的癌症护理人员干预措施似乎与局部PC体验（包括性功能障碍、尿失禁和大小便失禁）不太相关。只有一项随机临床试验集中在PC配偶照顾者身上，结果非常有限。此外，越来越多的研究表明，PC配偶在承担照顾角色方面缺乏准备，并且有各种未满足的需求，需要进行额外的调查，以协助有效的干预设计和实施。拟议项目的首席研究员在为家庭照顾者制定干预措施方面具有记录在案的专业知识；然而，他希望将他的工作重新集中到癌症的行为研究上，重点是为PC配偶照顾者设计有效的干预措施。本应用程序使用混合方法方法和文献中出现的护理创新模型来探索患者痛苦和护理人员同情心之间的关系，并实现项目目标。该项目收集并分析了来自三个不同文化群体的PC患者及其护理人员的定性和定量数据。研究结果将用于修改现有的或为PC患者及其护理人员开发新的干预措施。关注患者痛苦和照顾者同情心的干预措施将为PC幸存者和CG伙伴的干预提供重要的新视角；而且，这些类型的项目可能对临床医生和政策制定者特别有用，因为它们有可能改善患者和护理人员的功能。前列腺癌（PC）是美国男性最常见的癌症，接受手术或放射治疗的前列腺癌患者通常会经历多年的尿失禁、大小便失禁和性功能障碍。因此，PC会对病人和照顾他的配偶/伴侣产生负面影响，因此，他们经常经历巨大的身体和情感压力。该项目进行形成性研究，以帮助开发干预措施，以改善PC夫妇的身体和心理功能。