Teleconference Group: Breast Cancer In African Americans

电话会议小组：非裔美国人的乳腺癌

基本信息

批准号：
7806974
负责人：
SUE P HEINEY
金额：
$ 1.44万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-06-01 至 2011-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7806974
关键词：
Acute Address Affect African American American Attention Attitude Body Image Caring Catharsis Caucasians Caucasoid Race Characteristics Communities Control Groups Counseling Drug abuse Effectiveness Effectiveness of Interventions European Family Fatigue Feeling Focus Groups Fright Genetic Group Processes Health Health Benefit Home environment Intervention Knowledge Lead Life Stress Living Wills Malignant Neoplasms Measurement Measures Mediator of activation protein Mental disorders Modeling Moods Oral Outcome Participant Pilot Projects Plant Roots Poaceae Portraits Process Psychosocial Assessment and Care Quality of life Randomized Clinical Trials Recruitment Activity Reporting Research Risk Rural Self Care Sexuality Social support Source Spirituality Staging Stigmata Stress Structure Support Groups Taboo Teleconferences Therapeutic Time Transportation Travel Treatment outcome Week Woman Work cancer therapy coping design experience follow-up improved malignant breast neoplasm mortality patient privacy prevent psychosocial response social social stigma stress management symposium theories therapeutic effectiveness treatment center treatment effect

项目摘要

DESCRIPTION (provided by applicant): African American women with breast cancer (AAWBC) have decreased quality of life (QOL) and mood when compared to European American (EA). Research has not examined the effectiveness of therapeutic group (TG) for AAWBC even though positive effects are well established for Caucasians. The aims of the randomized clinical trial (RCT) are to determine the effectiveness of TG by teleconference for AAWBC and identify mediator and moderator effects of the intervention. The primary hypothesis is that participants in the intervention group will have significantly greater cancer knowledge, less fear, less isolation, better social connection, better mood, and better QOL when compared to a control group receiving usual psychosocial care. A pilot study documented the feasibility and utility of the TG by teleconference, especially the increased participation of AAWBC. The TG by teleconference circumvents many of the barriers, e.g. fatigue, transportation that prevent AAWBC participation. Yalom's Group Theory and Miller's Relationship Theory guide the intervention which is derived from Fawzy's TG model. A 2-group repeated measures design will be used. 240 Stage II AAWBC will be recruited. Intervention participants attend eight weekly 90 minute sessions by teleconference and 2 follow-up boosters. Each culturally appropriate session contains the story, information and group processes of connection, commonality and catharsis. Information focuses on increasing self care and stress management knowledge while countering myths and taboos. Story capitalizes on African American oral traditions by discussing coping parables. Group processes provide an alternative source of social support and opportunities to express feelings. Measurements of social connection, mood and QOL will occur at baseline, after 10 group sessions and 16 weeks post baseline. Mediators (cancer knowledge, fear and isolation) and moderators (spirituality, stigma, fatalism) will be similarly measured. The study findings are expected to inform about the effectiveness of TGs in AAWBC and lay the groundwork for exploring if reducing disparities in psychosocial care have a health benefit.

描述（由申请人提供）：与欧美（EA）相比，非裔美国人乳腺癌（AAWBC）的生活质量（QOL）和情绪降低。研究尚未检查AAWBC治疗组（TG）的有效性，即使对高加索人已经建立了积极影响。随机临床试验（RCT）的目的是通过对AAWBC的电话会议确定TG的有效性，并确定干预的介体和主持人的影响。主要假设是，与接受常规社会心理护理的对照组相比，干预组的参与者将具有更大的癌症知识，更少的恐惧，更少的孤立，更好的社交联系，更好的情绪和更好的QOL。一项试点研究记录了TG通过电话会议的可行性和实用性，尤其是AAWBC的参与增加。 TELECERPERY的TG绕过许多障碍，例如疲劳，阻止AAWBC参与的运输。 Yalom的群体理论和Miller的关系理论指南的干预措施源自Fawzy的TG模型。将使用2组重复的措施设计。将招募240阶段AAWBC。干预参与者通过电话会议和2个后续助推器参加八次每周90分钟的课程。每个文化上适当的会议都包含故事，信息和团体连接，共同性和宣泄的过程。信息着重于增加自我护理和压力管理知识，同时反对神话和禁忌。故事通过讨论应对寓言来利用非裔美国人的口头传统。小组流程为社会支持和表达感觉的机会提供了另一种来源。社交联系，情绪和QOL的测量将在基线，10小组会议和基线后16周后进行。介体（癌症知识，恐惧和孤立）和主持人（灵性，污名，宿命论）将类似地衡量。预计该研究结果将告知TGS在AAWBC中的有效性，并为探索减少心理社会护理差异是否具有健康益处的基础。