Participation Restrictions in Young-Middle Adult Rural Breast Cancer Survivors

农村中青年乳腺癌幸存者的参与限制

• 批准号: 7895416
• 负责人: MARK T HEGEL
• 金额: $ 17.18万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-17 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7895416
• 关键词: Acute; Address; Adult; Affect; Affective Symptoms; Age; Anxiety; Applications Grants; Behavior; Behavioral; Breast; Breast Cancer Treatment; Cancer Survivor; Chemotherapy-Oncologic Procedure; Clinical; Development; Economics; Effectiveness; Enrollment; Face; Family; Feedback; Goals; Hospitals; Informal Social Control; Insurance Coverage; Intervention; Interview; Lead; Life; Maintenance; Malignant Neoplasms; Manuals; Measures; Mediating; Mediator of activation protein; Medical; Mental Depression; Modeling; Monitor; Occupational Therapist; Outcome; Outcome Study; Participant; Pilot Projects; Population; Problem Solving; Productivity; Psychological Factors; Quality of life; Randomized Clinical Trials; Recovery of Function; Rehabilitation therapy; Research; Research Project Grants; Risk; Rural; Rural Population; Self Care; Self Efficacy; Survivors; Taxes; Telephone; Testing; Theoretical model; Treatment Effectiveness; Woman; Work; arm; base; behavior measurement; cancer therapy; cohort; design; experience; functional disability; functional outcomes; functional status; improved; income insurance; interest; intervention effect; malignant breast neoplasm; medically underserved; medically underserved population; meetings; optimism; pilot trial; psychosocial; public health relevance; rehabilitation service; social; therapy design

DESCRIPTION (provided by applicant): Project Summary: This project will develop and preliminarily evaluate an intervention to assist young-middle adult rural breast cancer survivors to overcome functional impairments related to their cancer treatment. Younger breast cancer survivors (below age 60) have ongoing family, social and vocational responsibilities and recreational interests and are at increased risk of developing long-term difficulties performing these valued activities (participation restrictions). Rural cancer survivors are medically underserved and due to distance and geographic isolation face significant barriers to accessing traditional rehabilitation services. Alternative rehabilitation approaches are sorely needed for this population. Based on previous research with cancer and other medical populations a working draft of a treatment manual using a telephone-delivered Behavioral Activation and Problem Solving (BA/PS) intervention has been designed. Prior to testing the intervention in a randomized clinical trial, additional work must be completed. The specific aims of this study are to a. refine the BA/PS treatment manual, b. develop and apply treatment integrity measures for the BA/PS manual, c. assess participation restrictions and associated outcomes, d. preliminarily assess the immediate and maintenance effects of BA/PS, and e. examine mediators and moderators of BA/PS effects based on our "Self Regulation" model of functional recovery. 188 young-middle adult breast cancer survivors will be screened for persistent participation restrictions at 3-6 months following cancer treatment and 40 survivors with persistent participation restrictions will receive BA/PS delivered by phone. BA/PS participants will be assessed for treatment effectiveness and interviewed regarding their experiences during treatment to provide information for refining the manual. The long-term objective of this line of research is to develop effective and feasible treatments for the medical and psychosocial consequences of cancer and its treatment in medically underserved cancer survivors (e.g., rural populations). PUBLIC HEALTH RELEVANCE: Narrative Breast cancer treatment can lead to functional interference in cancer survivors over both the short and long-term. This adversely affects quality of life and economic productivity. Alternative rehabilitation approaches are sorely needed for medically underserved populations (e.g., rural).

描述（由申请人提供）：