PREPARATORY INTERVENTIONS FOR LIFE AFTER BREAST CANCER

乳腺癌术后生活的准备性干预措施

• 批准号: 7726866
• 负责人: Annette L Stanton
• 金额: $ 14.34万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7726866
• 关键词: Address; Adverse effects; Age; Biostatistics Core; Breast Cancer Treatment; CD-ROM; Callback; Cancer Information Service; Cancer Patient; Caring; Clinical; Cognitive; Collaborations; Compatible; Computer information processing; Computer software; Computers; Condition; Control Groups; Coping Skills; Data; Development; Distress; Dose; Education; Educational Intervention; Effectiveness of Interventions; Enrollment; Ethnic Origin; Glean; Goals; Health; Health Services Research; High Risk Woman; Informal Social Control; Information Specialists; Internet; Intervention; Life; Malignant Neoplasms; Measurement; Mediating; Mediation; Mediator of activation protein; Medical; Mental Health; Mission; Modeling; Monitor; Multimedia; Outcome; Participant; Patients; Phase; Printing; Process; Protocols documentation; Quality Control; Race; Randomized; Range; Recommendation; Recording of previous events; Records; Recruitment Activity; Regional Cancer; Relative (related person); Reporting; Research; Risk; Science; Self Efficacy; Services; Speed; Standards of Weights and Measures; Stress and Coping; Survivors; System; Telephone; Telephone Interviews; Testing; Thinking; Time; Treatment Efficacy; United States; Visual Aid; Week; Woman; base; cancer recurrence; chemotherapy; coping; cost; day; design; follow-up; innovation; malignant breast neoplasm; peer; programs; response; service intervention; skills; social; survivorship; theories; therapy development; virtual

REPARATORY INTERVENTIONS FOR LIFE AFTER BREAST CANCER - Project 3 In the United States, over 2 million women live with a history of breast cancer. The re-entry transition from cancer patient to survivor is an understudied and challenging period. Using a theory-driven conceptual framework, Project 3 of this Cancer Information Service Research Consortium (CISRC) proposal involves development and testing of interventions to promote informed re-entry to life after breast cancer treatment. The six primary aims are to: (1) develop and test a highly innovative multimedia educational intervention'(CD-ROM, Internet), the Virtual Cancer Information Service (V-CIS); (2) develop and test a telephone callback protocol conducted by the NCI's Cancer Information Service (CIS) Information Specialists; (3) evaluate these interventions in randomized, 3-group stepped and 2-group designs, which, for those with computer access, (a) Group 1=a control group] receiving standard CIS service and print material (NCI's Facing Forward and What You Need To Know about Breast Cancer); (b) Group 2=standard care + V-CIS; (c) Group 3=standard care + V-CIS + two CIS telephone callbacks; and, for those who lack computer access, (d) Group 1 A=control=same standard print as Group 1; (e) Group 2A=standard print * 2 CIS intervention callbacks; (4) evaluate a theory-driven test of mediators (i.e., self-efficacy, perceived coping skill) of intervention effects; (5) test putative moderators (e.g., participant age) of intervention effects; (6) with the CIS, plan dissemination. To test the efficacy of the intervention, 1,800 breast cancer callers to the CIS will be enrolled, and depending on computer access, randomized to the 3-group or the 2-group design, and followed at 2, 6, and 12 months post-baseline. Conforming to a dose-response gradient, the primary hypothesis is that Group 3 > Group 2 > Group i1 (and Group 2A > Group 1 A) with regard to positive outcomes in the domains of psychological health, physical health, interpersonal functioning, and life perspectives. Hypotheses regarding how (i.e., mediators) and for whom (i.e., moderators) the interventions are effective also will be examined. Project 3 is unique in that it examines a state-of-the-science software program and proactive CIS-initiated telephone callbacks, thus addressing the primary service mission of the CIS. Contingent upon findings, the goal of the CISRC is to prepare the intervention for dissemination within the CIS, as well as other service programs nationwide.

乳腺癌后生活的修复干预措施 - 项目3 在美国，有超过200万妇女生活在乳腺癌史上。从癌症患者的重新进入过渡 对于幸存者来说，是一个艰难而挑战的时期。使用理论驱动的概念框架，项目3 癌症信息服务研究联盟（CISRC）提案涉及开发和测试干预措施 乳腺癌治疗后，促进知情的重新进入生活。六个主要目的是：（1）开发和测试高度 创新的多媒体教育干预'（CD-ROM，Internet），虚拟癌症信息服务（V-CIS）； （2） 开发和测试由NCI癌症信息服务（CIS）信息进行的电话回调协议 专家； （3）在随机，3组阶梯和2组设计中评估这些干预措施 计算机访问，（a）组1 =对照组]接收标准的顺式服务和印刷材料（NCI的正面向前 以及您需要了解的有关乳腺癌的知识）； （b）组2 =标准护理 + V-CIS； （c）组3 =标准护理 + V-CIS +两个顺式电话回调；而且，对于那些缺乏计算机访问的人，（d）第1组a =控制=相同的标准 打印为第1组； （e）第2A组=标准打印 * 2顺式干预回调； （4）评估理论驱动的测试 干预效果的介体（即自我效能感，感知应对技巧）； （5）测试推定的主持人（例如，参与者 年龄）干预效果； （6）与独联体，计划传播。为了测试干预措施的功效，1,800乳 将招募顺序的癌症呼叫者，并根据计算机访问，随机分配给3组或2组 设计，然后在基线后2、6和12个月。符合剂量反应梯度，主要 假设是第3组>第2组>组I1（和第2A组>组1） 心理健康，身体健康，人际功能和生活观点领域。关于 将如何（即调解人）以及（即主持人）有效的人（即主持人）进行检查。项目3是 独特的是，它检查了一项最先进的软件程序和主动的顺式发射电话回调，因此 处理独联体的主要服务任务。取决于发现，CISRC的目标是准备 在独联体中以及全国其他服务计划中的传播干预措施。