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Telephone Intervention: Rural Women w/Cancer & Partners

电话干预：患有癌症的农村妇女

基本信息

批准号：
6594150
负责人：
Terry A Badger
金额：
$ 15.15万
依托单位：
UNIVERSITY OF ARIZONA
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-03-01 至 2006-02-28
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The purpose of this pilot study is to test the effectiveness of a telephone-delivered interpersonal counseling (TIP-C) intervention compared to a self-managed exercise program (SEP) and a usual care attentional control (UC) for symptom management (cancer treatment-related depressive symptoms and fatigue) and quality of life for rural women with breast cancer and their partners. We propose to evaluate the efficacy of the proposed intervention, targeting under-served rural white, non-Hispanic and Hispanic women and their partners. This feasibility study will allow us to examine the theoretical, logistical and methodological issues prior to conducting a full-scale clinical trial as the next phase in this research program to improve the health outcomes of women with breast cancer. The specific aims are to 1) examine the effectiveness of TIP-C compared to SEP and UC on rural women's and their partners' management of depressive symptoms and fatigue, quality of life, cancer knowledge, social support, stress and partner relations, 2) resolve any logistical issues relative to the TIP-C intervention, and 3) examine relevant methodological issues, such as determining adherence level needed to achieve desired outcomes. The design is a repeated measures experimental design with women and their partners assigned to one of three groups: 1) TIP-C, 2) SEP or 3) UC. The TIP-C intervention consists of six individual 30-minute telephone sessions with the women and three sessions with their partners. The SEP consists of six 10-minute phone calls to encourage adherence to a prescribed self-managed exercise program. UC will receive a resource list and six 10-minute calls to ask about general well being and answer any questions about the resource list, but no counseling or exercise encouragement. SEP and UC partners will receive 3 calls. About 75 rural women, 25 in each group, who are receiving treatment for breast cancer and their partners will participate in this study. Participants will be >21 years, English speaking, and will have access to a telephone. About 70% of the women will be white, non-Hispanic and about 30% will be Hispanic, primarily Mexican-American. The partner for this intervention will be any adult nominated by the woman. Women will be matched for cancer treatment type and schedule. Measurement will occur at baseline during enrollment in the study (T1), at the end of the intervention (T2), and one-month after the intervention (T3). Data will be analyzed using descriptive statistics, t-tests, and repeated measures ANOVA.

描述（由申请人提供）：本初步研究的目的是测试电话传递人际咨询（TIP-C）干预与自我管理运动计划（SEP）和常规护理注意力控制（UC）对农村乳腺癌妇女及其伴侣的症状管理（癌症治疗相关的抑郁症状和疲劳）和生活质量的有效性。我们建议评估建议的干预措施的有效性，针对服务不足的农村白人，非西班牙裔和西班牙裔妇女及其伴侣。这项可行性研究将使我们能够在进行全面临床试验之前检查理论，后勤和方法问题，作为该研究计划的下一阶段，以改善乳腺癌妇女的健康结果。具体目的是：1)与SEP和UC相比，检查TIP-C在农村妇女及其伴侣对抑郁症状和疲劳、生活质量、癌症知识、社会支持、压力和伴侣关系的管理方面的有效性；2)解决与TIP-C干预有关的任何后勤问题；3)检查相关的方法问题，例如确定实现预期结果所需的依从性水平。该设计是一个重复测量的实验设计，将女性及其伴侣分为三组：1)TIP-C, 2) SEP或3)UC。TIP-C干预包括与妇女进行6次30分钟的电话交谈，以及与她们的伴侣进行3次电话交谈。SEP包括6个10分钟的电话，以鼓励坚持规定的自我管理的锻炼计划。加州大学将收到一份资源清单和6个10分钟的电话，询问总体健康状况，并回答有关资源清单的任何问题，但不会提供咨询或鼓励锻炼。SEP和UC合作伙伴将收到3个电话。大约75名正在接受乳腺癌治疗的农村妇女，每组25人，以及她们的伴侣将参加这项研究。参与者将是bbbb21岁，讲英语，并将有机会使用电话。大约70%的女性将是白人，非西班牙裔，大约30%是西班牙裔，主要是墨西哥裔美国人。该干预的伴侣将是女性提名的任何成年人。女性将根据癌症治疗的类型和时间表进行匹配。测量将在研究入组期间的基线（T1）、干预结束时（T2）和干预后一个月（T3）进行。数据将使用描述性统计、t检验和重复测量方差分析进行分析。