Randomized clinical trial of a family intervention for prostate cancer patients and their spouses
dc.contributor.author | Northouse, Laurel L. | en_US |
dc.contributor.author | Mood, Darlene W. | en_US |
dc.contributor.author | Schafenacker, Ann | en_US |
dc.contributor.author | Montie, James E. | en_US |
dc.contributor.author | Sandler, Howard M. | en_US |
dc.contributor.author | Forman, Jeffrey D. | en_US |
dc.contributor.author | Hussain, Maha H. A. | en_US |
dc.contributor.author | Pienta, Kenneth J. | en_US |
dc.contributor.author | Smith, David C. | en_US |
dc.contributor.author | Kershaw, Trace S. | en_US |
dc.date.accessioned | 2008-01-04T20:06:14Z | |
dc.date.available | 2009-01-07T20:01:17Z | en_US |
dc.date.issued | 2007-12-15 | en_US |
dc.identifier.citation | Northouse, Laurel L.; Mood, Darlene W.; Schafenacker, Ann; Montie, James E.; Sandler, Howard M.; Forman, Jeffrey D.; Hussain, Maha; Pienta, Kenneth J.; Smith, David C.; Kershaw, Trace (2007). "Randomized clinical trial of a family intervention for prostate cancer patients and their spouses." Cancer 110(12): 2809-2818. <http://hdl.handle.net/2027.42/57507> | en_US |
dc.identifier.issn | 0008-543X | en_US |
dc.identifier.issn | 1097-0142 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/57507 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17999405&dopt=citation | en_US |
dc.description.abstract | BACKGROUND. Few intervention studies have been conducted to help couples manage the effects of prostate cancer and maintain their quality of life. The objective of this study was to determine whether a family-based intervention could improve appraisal variables (appraisal of illness or caregiving, uncertainty, hopelessness), coping resources (coping strategies, self-efficacy, communication), symptom distress, and quality of life in men with prostate cancer and their spouses. METHODS. For this clinical trial, 263 patient-spouse dyads were stratified by research site, phase of illness, and treatment; then, they were randomized to the control group (standard care) or the experimental group (standard care plus a 5-session family intervention). The intervention targeted couples' communication, hope, coping, uncertainty, and symptom management. The final sample consisted of 235 couples: 123 couples in the control group and 112 couples in the experimental group. Data collection occurred at baseline before randomization and at 4 months, 8 months, and 12 months. RESULTS. At 4-month follow-up, intervention patients reported less uncertainty and better communication with spouses than control patients, but they reported no other effects. Intervention spouses reported higher quality of life, more self-efficacy, better communication, and less negative appraisal of caregiving, uncertainty, hopelessness, and symptom distress at 4 months compared with controls, and some effects were sustained to 8 months and 12 months. CONCLUSIONS. Men with prostate cancer and their spouses reported positive outcomes from a family intervention that offered them information and support. Programs of care need to be extended to spouses who likely will experience multiple benefits from intervention. Cancer 2007. © 2007 American Cancer Society. | en_US |
dc.format.extent | 197650 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Cancer Research, Oncology and Pathology | en_US |
dc.title | Randomized clinical trial of a family intervention for prostate cancer patients and their spouses | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Oncology and Hematology | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Nursing, University of Michigan, Ann Arbor, Michigan ; Fax: (734) 936–3027 ; School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI, 48109-5482 | en_US |
dc.contributor.affiliationum | School of Nursing, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Urology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Urology, University of Michigan, Ann Arbor, Michigan ; Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Urology, University of Michigan, Ann Arbor, Michigan ; Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Urology, University of Michigan, Ann Arbor, Michigan ; Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Urology, University of Michigan, Ann Arbor, Michigan ; Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | College of Nursing, Wayne State University, Detroit, Michigan ; Karmanos Cancer Center, Detroit, Michigan | en_US |
dc.contributor.affiliationother | Karmanos Cancer Center, Detroit, Michigan ; Department of Radiation Oncology, Wayne State University, Detroit, Michigan | en_US |
dc.contributor.affiliationother | School of Public Health, Yale University, New Haven, Connecticut | en_US |
dc.identifier.pmid | 17999405 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/57507/1/23114_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/cncr.23114 | en_US |
dc.identifier.source | Cancer | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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