Phone-Based Intimacy Enhancement Intervention for Couples facing Breast Cancer

针对乳腺癌夫妇的基于电话的亲密关系增强干预措施

基本信息

批准号：
8811654
负责人：
Jennifer Barsky Reese
金额：
$ 15.23万
依托单位：
RESEARCH INST OF FOX CHASE CAN CTR
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-04-01 至 2017-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8811654
关键词：
Address Aftercare Area Body Image Breast Breast Cancer Patient Breast Cancer Treatment Breast Cancer survivor Caring Cognitive Communication Counseling Couples Development Diagnosis Dimensions Distress Dryness Emotional Ensure Esthesia Focus Groups Fostering Future Goals Guidelines Health Impairment Intervention Intervention Studies Interview Investigation Lead Left Long-Term Survivors Malignant Neoplasms Measures Mental Health Morbidity - disease rate Outcome Pain Patient Care Patients Personal Satisfaction Persons Pilot Projects Population Professional counselor Protocols documentation Public Health Quality of life Randomized Recommendation Research Risk Factors Sex Functioning Sexual Partners Source Structure Surveys Telephone Testing Time Translating Vagina Woman Work Writing base breast surgery chemotherapy clinical care colon cancer patients control trial coping experience health related quality of life help-seeking behavior hormone therapy improved innovation interest intervention effect intimate behavior malignant breast neoplasm meetings neglect novel peer pilot trial preference programs psychological distress psychosocial public health relevance satisfaction therapy design volunteer web site willingness

项目摘要

DESCRIPTION (provided by applicant): The majority of women diagnosed and treated for breast cancer survive 5 years past diagnosis, making quality of life (QOL) concerns highly salient. Sexual concerns are common and distressing for many women with breast cancer and serve as a major source of QOL impairment. Unlike other aspects of QOL that improve over time after breast cancer treatment, sexual concerns often persist and do not typically resolve without intervention. Yet these concerns are typically neglected in patients' care, leaving them underdiagnosed and undertreated. Addressing breast cancer survivors' sexual concerns can reduce distress, support their intimate relationships, and foster effective adjustment. However, existing sexual QOL interventions that address the sexual concerns of breast cancer survivors suffer from limitations in both content and format. For instance, existing sexual QOL interventions do not include current management recommendations and are not generally in a format that can be widely disseminated. A telephone-based format is a viable, effective alternative to in- person counseling that would enhance the potential for dissemination and be ideal for reaching long-term survivors. Previously, the PI demonstrated that demonstrated that a 4-session telephone-based Intimacy Enhancement (IE) intervention improved intimacy and sexual outcomes for colorectal cancer patients and their partners. This intervention holds promise for addressing the concerns of breast cancer survivors, but additional work is needed to tailor this intervention to breast cancer survivors because these populations differ in their experiences of sexual concerns, in the risk factors for worse sexual morbidity, and in appropriate management approaches. The central goal of the proposed research is to tailor the telephone-based IE intervention to breast cancer survivors and conduct a preliminary test of the intervention in a controlled trial. First, qualitative focus groups will identify patient preferencs for content and structure which will be used to tailor the intervention to the needs of this population subsequent cognitive interviews will ensure comprehensibility. Second, the pilot trial will examine the feasibility, acceptability, and preliminary efficacy on patient and partner sexual QOL and relationship outcomes, and on patient psychosocial outcomes (e.g., body image distress). Finally, based on the rationale that barriers exist that limit participation in intensiv sexual QOL interventions for breast cancer survivors, an innovative developmental aim will investigate the perspectives of study-eligible patient candidates who opt out of participating in the pilot trial. This developmental investigation will identify the participation barriers and intervention preferences of breast cancer survivors with sexual concerns who opt out of the intensive trial in order to inform the development of different interventions for future study. Ultimately, this program of research will lead to the availability of a range of interventions well equipped to address the undertreated area of sexual QOL for those with breast and potentially other cancers.

描述（由适用提供）：在诊断前5年被诊断和治疗的大多数妇女被诊断和治疗，使生活质量（QOL）的关注很大。性关注是常见的，对于许多乳腺癌妇女而言是令人沮丧的，并且是质量检查障碍的主要来源。与乳腺癌治疗后随着时间的推移改善的其他方面不同，性问题通常会持续存在，并且通常不会在没有干预的情况下解决。然而，这些担忧通常在患者的护理中被忽略，使它们被诊断不足和缺乏。解决乳腺癌存活的性问题可以减少困扰，支持其亲密关系并促进有效的调整。但是，解决乳腺癌存活的性关注的现有性QOL干预措施都受到含量和格式的局限性。例如，现有的性QOL干预措施不包括当前的管理建议，并且通常不采用可以广泛传播的格式。基于电话的格式是可行，有效的替代方案，可以替代面对面咨询，可增强传播的潜力，并且是达到长期生存的理想选择。以前，PI表明，基于4节的基于电话的亲密感（IE）干预改善了结直肠癌患者及其伴侣的亲密和性结果。这项干预措施有望解决乳腺癌生存的关注，但是为了定制这种干预措施以使乳腺癌的生存量，因为这些人群在性问题的经历上有所不同，性行为较差的性发病率以及适当的管理方法的风险因素。拟议的研究的核心目标是调整基于电话的IE干预措施，以使乳腺癌存活，并在对照试验中对干预措施进行初步测试。首先，定性焦点小组将确定患者对内容和结构的偏好，这些偏好将用于根据该人群随后的认知访谈的需求来量身定制干预措施，将确保可理解。其次，试点试验将检查患者和伴侣性QOL和关系结果以及患者的心理社会成果（例如，身体形象遇险）的可行性，可接受性和初步效率。最后，基于存在障碍的理由，即限制了对乳腺癌生存的强化性QOL干预措施的参与，创新的发展目标将调查符合研究资格的患者候选人的观点，他们选择退出试验试验。这项发展投资将确定乳腺癌存活的参与障碍和干预偏好，他们选择退出强化试验，以便为未来研究的不同干预措施提供开发。最终，该研究计划将导致一系列干预措施的可用性配备有乳房和潜在癌症患者的性QoL的潜在QoL区域。