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：
7580277
负责人：
FRANCES Marcus LEWIS
金额：
$ 57.89万
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/7580277
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 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 public health relevance 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名妇女被新诊断出患有非转移性乳腺癌，另外62,030例将被诊断为原位[导管或小叶]疾病（ACS，2007年）。尽管乳腺癌是乳腺癌的疾病，但它是一种影响配偶和被诊断患者的疾病。横截面和纵向研究都证明了造成癌症的焦虑，情绪低落，婚姻紧张以及婚姻沟通困难的存在。尽管这些问题的幅度和大量影响，但干预研究以帮助夫妻远远落后于描述性研究。目的：这项研究的目的是测试5条，完全手动的心理教育干预措施，帮助她的治愈计划的功效，以及对夫妻对最近诊断为非转移性乳腺癌的调整的影响。干预措施来自两种理论，即对乳腺癌的调整和班杜拉的社会认知理论的关系模型。设计/方法：将总共从太平洋西北部的多个提供商站点招募288对夫妇，并随机分为实验或替代治疗对照组[Standard Care]。实验组的配偶将从经过特殊训练的患者教育者那里获得5个，1小时的面对面进行教育。在家任务将涉及配偶和被诊断的妻子。对照组的配偶将收到一次邮寄公共领域的小册子的邮寄，重点是支持被诊断的乳腺癌妻子。妻子和配偶将在基线，立即从干预措施中进行测量，并在标准化的调整措施（焦虑，情绪低落，行为管理技能，自信心，婚姻调整，婚姻调整，婚姻沟通以及对妻子的支持）的标准化措施（焦虑，情绪低落，行为管理技能，自信心，自信心，自信心，对妻子的支持）进行测量）。重复措施ANCOVA将用于评估干预功效。公共卫生相关性：尽管每年受到乳腺癌影响的近20万名妇女及其配偶，但仍缺乏帮助她们管理癌症对其生活的影响和婚姻调整的计划。拟议的干预措施提供了一项可持续的教育计划，其潜力很大，可以轻松转移到现实生活提供者的环境中。