Psychoeducation for Spouses of Women with Breast Cancer

乳腺癌女性配偶的心理教育

基本信息

批准号：
8049214
负责人：
FRANCES Marcus LEWIS
金额：
$ 56.4万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-05-06 至 2013-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8049214
关键词：
Affect Anxiety Badger Behavioral Breast Diseases Communication Control Groups Couples Depressed mood Diagnosis Disease Distress Ductal Educational Intervention Foxes Goals Grana Grant Healed Health Home environment Hour Husband Illness impact In Situ Intervention Intervention Studies Life Lobular Longitudinal Studies Mails Malignant Neoplasms Marriage Measures Methods Modeling Moods Newly Diagnosed Outcome Pacific Northwest Pamphlets Patient Education Patients Perception Provider Public Domains Publishing Randomized Recruitment Activity Reporting Research Site Spouse Caregiver Spouses Testing Time Treatment Efficacy Wife Woman alternative treatment design efficacy testing follow-up healing malignant breast neoplasm programs psychoeducation psychoeducational intervention skills social cognitive theory standard care standardize measure theories

项目摘要

DESCRIPTION (provided by applicant): In 2007, an estimated 178, 480 women were newly diagnosed with non-metastatic breast cancer and an additional 62,030 will be diagnosed with in situ [ductal or lobular] disease (ACS, 2007). Although breast cancer is a disease of the breast, it is an illness that impacts both the spouse and the diagnosed patient. Both cross sectional and longitudinal studies have documented the presence of substantial anxiety, depressed mood, tension in the marriage, and marital communication difficulties that are attributed to the cancer. Despite the magnitude of these issues and the large numbers affected, intervention research to help couples has lagged far behind descriptive research. Aims: The purpose of this study is to test the efficacy of a 5-session, fully manualized psychoeducational intervention, the Helping Her Heal Program, and its impact on the couple's adjustment to recently diagnosed non-metastatic breast cancer. The intervention derives from 2 theories, the Relational Model of Adjustment to Breast Cancer and Bandura's Social Cognitive Theory. Design/Methods: A total of 288 couples will be recruited from multiple provider sites in the Pacific Northwest and randomized into either the experimental or alternative treatment control group [standard care]. Spouses in the experimental group will receive 5, 1-hour face-to-face delivered educational sessions from a specially trained patient educator. At-home assignments will involve both the spouse and diagnosed wife. Spouses in the control group will receive a 1-time mailing of a brochure available in the public domain that focuses on supporting a diagnosed wife with breast cancer. Both wives and spouses will be measured at baseline, at immediate exit from the intervention, and at 3- and 6-months follow-up on standardized measures of adjustment (anxiety, depressed mood, behavioral management skills, self-confidence to manage, marital adjustment, marital communication, and spouses' support to the wife). Repeated measures ANCOVA will be used to evaluate intervention efficacy. PUBLIC HEALTH RELEVANCE: Despite the almost 200,000 women and their spouses who are affected annually by breast cancer, programs to assist them manage the impact of the cancer on their lives and marital adjustment have been sorely lacking. The proposed intervention offers a sustainable educational program with high potential for easy transfer to real life provider settings.

描述（由申请人提供）：2007 年，估计有 178, 480 名女性新诊断出患有非转移性乳腺癌，另外 62,030 名女性将被诊断出患有原位[导管或小叶]疾病（ACS，2007）。尽管乳腺癌是一种乳腺疾病，但它是一种影响配偶和确诊患者的疾病。横断面和纵向研究都记录了癌症引起的严重焦虑、抑郁情绪、婚姻紧张和婚姻沟通困难。尽管这些问题很严重，受影响的人数也很多，但帮助夫妇的干预研究远远落后于描述性研究。目的：本研究的目的是测试为期 5 个疗程的完全手动心理教育干预措施“帮助她康复计划”的效果，及其对这对夫妇适应最近诊断出的非转移性乳腺癌的影响。该干预源自两种理论：乳腺癌适应关系模型和班杜拉的社会认知理论。设计/方法：将从太平洋西北地区的多个提供者地点招募总共 288 对夫妇，并随机分为实验组或替代治疗对照组 [标准护理]。实验组的配偶将接受由经过专门培训的患者教育者提供的 5 次、每次 1 小时的面对面教育课程。家庭作业将涉及配偶和确诊的妻子。对照组的配偶将收到一次性邮寄的公共领域的小册子，该小册子的重点是支持被诊断患有乳腺癌的妻子。妻子和配偶都将在基线、立即退出干预时以及在 3 和 6 个月的标准化调整措施（焦虑、抑郁情绪、行为管理技能、管理自信心、婚姻调整、婚姻沟通以及配偶对妻子的支持）。重复测量ANCOVA将用于评估干预效果。公共卫生相关性：尽管每年有近 200,000 名女性及其配偶受到乳腺癌的影响，但帮助她们控制癌症对其生活和婚姻调整影响的计划却非常缺乏。拟议的干预措施提供了一个可持续的教育计划，具有很大的潜力，可以轻松转移到现实生活中的提供者环境中。