Second Manhood: A Multimedia Intervention for Male Sexual Problems after Cancer

第二个男子气概：癌症后男性性问题的多媒体干预

• 批准号: 8135851
• 负责人: PAUL MARTINETTI
• 金额: $ 82.29万
• 依托单位: DIGITAL SCIENCE TECHNOLOGIES, LLC
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-28 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8135851
• 关键词: Address; Adherence; Advocacy; African American; Aftercare; Age; Ally; American Cancer Society; Appointment; Asians; Attitude; Behavioral; Belief; Books; Cancer Center; Cancer Patient; Cancer Survivor; Cancer Survivorship; Caring; Clinic; Clinical; Code; Collaborations; Colorectal; Commit; Communication; Companions; Computer software; Consult; Continuity of Patient Care; Counseling; County Hospitals; Couples; Data; Development; Disease; Distress; Education; Elderly; Erectile dysfunction; Ethnic Origin; Evaluation; Exercise; Exposure to; Feedback; Fertility; Focus Groups; Functional disorder; Funding; Goals; Grant; Group Interviews; Health Personnel; Health Professional; Health Services; Heterosexuals; Hispanics; Hotlines; Individual; Infertility; Insurance Coverage; Internet; Intervention; Interview; Journals; Learning; Licensing; Life; Male sexual dysfunction; Malignant Neoplasms; Malignant neoplasm of prostate; Malignant neoplasm of urinary bladder; Manuals; Manuscripts; Marketing; Medical; Medicine; Mental Health; Metric; Multimedia; National Cancer Institute; Needs Assessment; Nurses; Outcome; Outcome Measure; Outpatients; Pamphlets; Participant; Patient Education; Patients; Pattern; Pelvis; Pharmacologic Substance; Phase; Physician Assistants; Physician Self-Referral; Physicians; Prevalence; Printing; Private Practice; Production; Professional counselor; Program Evaluation; Prostate; Provider; Published Comment; Qualitative Research; Quality of Care; Quality of life; Questionnaires; Randomized; Reading; Recording of previous events; Recovery; Recruitment Activity; Rectal Cancer; Rehabilitation therapy; Reporting; Research; Research Methodology; Research Support; Rights; Role; Schedule; Services; Sex Functioning; Sex Orientation; Sexual Dysfunction; Sexuality; Site; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Social Workers; Sperm Banks; Structure; Subcategory; Subgroup; Survivors; Symptoms; System; Technology; Telephone; Testing; Text; Time; TimeLine; Training; Treatment Efficacy; Treatment-Related Cancer; United States; University of Texas M D Anderson Cancer Center; Urology; Videotape; Voice; Woman; Work; Writing; active method; age group; animation; base; behavior change; cancer site; cancer therapy; cancer type; commercial application; coping; design; evidence base; experience; fatherhood; follow-up; help-seeking behavior; improved; information gathering; male; man; meetings; member; men; men' s group; oncology; peer; prevent; primary outcome; programs; prototype; public health relevance; randomized trial; rapid detection; response; satisfaction; self help; sex; skills; skills training; speech recognition; success; technological innovation; tool; treatment as usual; usability; web site

DESCRIPTION (provided by applicant): Sexual dysfunction is one of the most prevalent and persistent problems after cancer treatment. This Fast Track STTR will create and evaluate a multimedia educational and counseling tool to promote recovery of sexual satisfaction in men treated for cancer. Second Manhood: Recovering Your Sex Life after Cancer will be viewable over the internet, on a CD or DVD, or in printed form. It will help men understand how cancer treatments cause sexual problems, learn self-help strategies to improve sexual function, and optimize use of medical treatments. Partners will get advice, self-help exercises, and communication skills training to enhance their role in resolving sexual problems. For health care professionals, we are creating the Follow-Through System for Male Sexual Dysfunction (FT) to improve the quality and continuity of care. It will provide scheduled assessments, using Interactive Voice Recording (IVR) telephony. Scheduled symptom reports with rapid responses from the clinic staff should enhance the success of treatments for erectile dysfunction, preventing the common problem of men discontinuing a prescribed treatment, and then giving up. Phase I: Aim 1 is to use focus groups and interviews to tailor the text and video vignette components of Second Manhood (SM) to a diverse audience. We will assess 130 cancer survivors of varying ethnicity, sexual orientation, age, relationship status, and cancer history. Aim 2 is to use interviews with expert health care professionals (HCP's) to design and create the FT communication interface, pilot testing it in our Sexual Medicine Clinic at UT M. D. Anderson Cancer Center. A communication skills manual for HCP's will also be created. Phase II: We will recruit 360 men from this clinic and from a county hospital. All will be cancer survivors with no current evidence of disease, off active treatment, and seeking help for sexual dysfunction. Partners will be encouraged to participate. We will use adaptive randomization to assign men to one of three groups: Usual Care in the Sexual Medicine clinic (UC), UC + SM, or UC + SM + FT. Those receiving SM will be instructed to view and interact with the application and carry out behavioral homework. All men will complete a brief questionnaire on symptoms via the IVR at baseline, 12 weeks, and 24 weeks. The IVR will call FT group men and partners at 2, 4, 6, and 8 weeks to complete the Treatment Satisfaction Scale (TSS). FT group members will also be encouraged to initiate calls with questions or problems. A mid-level practitioner hired for the study will follow both SM groups. Men will complete additional brief questionnaires at baseline, 12 and 24 weeks assessing overall distress, marital satisfaction, quality of life, and a broad spectrum of sexual function. The hypothesis is that improvements in sexual function and satisfaction will be significantly greater at follow-up for the SM and SM + FT groups than the UC group, but the FT group will also have significantly better outcomes than the SM group. Partner participation and extent of website usage may be moderating variables. All participants will complete a program evaluation form at week 24. During Phase II an IVR-based Sexual Medicine Hotline will be piloted to facilitate both self- and HCP referrals to the Sexual Medicine Clinic. PUBLIC HEALTH RELEVANCE: According to the office of Cancer Survivorship, about 3,050,000 men in the United States are survivors of prostate, colorectal, or bladder cancer, which means at least 1,525,000 suffer from cancer-related sexual dysfunction. Research indicates that less than 20 percent of men end up satisfied with their recovery from sexual problems, even though 60 percent are distressed about them, and most try some type of medical help. Second Manhood provides education and counseling using multimedia technology to help men and their partners resolve cancer-related sexual dysfunction. A companion product, the Follow-Through System for Male Sexual Dysfunction uses Interactive Voice Recording (IVR) telephony to improve the consistency and quality of medical care for sexual problems.

描述(申请人提供)：性功能障碍是癌症治疗后最普遍和最持久的问题之一。这一快速跟踪STTR将创建和评估一个多媒体教育和咨询工具，以促进接受癌症治疗的男性性满意度的恢复。《第二个男人：癌症后恢复你的性生活》将可以通过互联网、CD或DVD或印刷形式观看。它将帮助男性了解癌症治疗如何引致性问题，学习改善性功能的自助策略，并优化医疗治疗的使用。伴侣将得到建议、自助练习和沟通技能培训，以增强他们在解决性问题方面的作用。对于卫生保健专业人员，我们正在为男性性功能障碍(FT)创建后续系统，以提高护理的质量和连续性。它将使用交互式语音录音(IVR)电话提供预定的评估。诊所工作人员快速反应的预定症状报告应提高勃起功能障碍治疗的成功率，防止男性停止处方治疗然后放弃的常见问题。第一阶段：目标1是利用焦点小组和访谈来为不同的受众量身定做《第二个男人》(SM)的文本和视频片段部分。我们将评估130名癌症幸存者，他们的种族、性取向、年龄、关系状况和癌症病史各不相同。目标2是使用与专家医疗保健专业人员(HCP‘s)的访谈来设计和创建FT通信接口，并在我们位于UT M.D.安德森癌症中心的性医学诊所进行试点测试。还将为HCP创建一本沟通技能手册。第二阶段：我们将从这家诊所和一家县医院招募360名男性。所有人都将是癌症幸存者，目前没有疾病证据，没有积极治疗，并寻求性功能障碍的帮助。将鼓励合作伙伴参与。我们将使用自适应随机化将男性分配到三组中的一组：性医学诊所(UC)、UC+SM或UC+SM+FT。那些收到SM的人将被指示查看应用程序并与其交互，并执行行为作业。所有男性将在基线、12周和24周通过IVR完成一份关于症状的简短问卷。IVR将在2周、4周、6周和8周召唤FT组男性和伴侣完成治疗满意度量表(TSS)。英国《金融时报》还将鼓励小组成员发起有问题或有问题的电话。为这项研究聘请的一名中层从业者将跟踪这两个SM小组。男性将在基线、12周和24周完成额外的简短问卷，评估总体痛苦、婚姻满意度、生活质量和广泛的性功能。假设SM和SM+FT组的性功能和满意度的改善在随访中将显著高于UC组，但FT组的结果也将显著好于SM组。合作伙伴的参与度和网站的使用程度可能是调节变量。所有参与者将在第24周完成一份项目评估表。在第二阶段，将试行一条以IVR为基础的性医学热线，以方便自我转介和HCP转介到性医学诊所。 与公共健康相关：根据癌症生存办公室的数据，美国约有3050,000名男性是前列腺癌、结直肠癌或膀胱癌的幸存者，这意味着至少有1,525,000人患有与癌症相关的性功能障碍。研究表明，只有不到20%的男性最终对自己从性问题中恢复感到满意，尽管60%的男性对此感到苦恼，大多数人会尝试某种类型的医疗帮助。第二，Manhood利用多媒体技术提供教育和咨询，帮助男性和他们的伴侣解决与癌症相关的性功能障碍。作为配套产品，男性性功能障碍后续系统使用交互式语音记录(IVR)电话来提高对于性问题的医疗护理的一致性和质量。