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Facilitating Treatment Decision Making Adjustment and Coping in Men Newly Diagnosed with Prostate Cancer
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Title:
Facilitating Treatment Decision Making Adjustment and Coping in Men Newly Diagnosed with Prostate Cancer
Author:
Diefenbach, Michael A
Subjects:
ADJUSTMENT(PSYCHOLOGY)
;
C-SHIP(COGNITIVE-SOCIAL HEALTH INFORMATION PROCESSING)
;
CARE(COGNITIVE AND AFFECTIVE REACTIONS AND EXPECTATIONS)
;
COGNITION
;
COPING
;
DATA PROCESSING
;
DECISION MAKING
;
EMOTIONS
;
GHI(GENERAL HEALTH INTERVENTION)
;
INTERVENTION
;
MEDICAL SCREENING
;
MEDICAL TREATMENT
;
Medicine and Medical Research
;
PATIENTS
;
PROSTATE CANCER
;
PROSTATE GLAND
;
Psychology
;
QUESTIONNAIRES
;
RANDOM VARIABLES
;
VULNERABILITY
Description:
The study evaluates an intervention designed to facilitate treatment decision making, adjustment, and coping among early-stage prostate cancer patients and their spouse/partners, in a randomized controlled trial. The intervention is based on the Cognitive-Social Health Information Processing (C-SHIP) framework that postulates that decision making is determined by cognitive factors (i.e., perceptions about vulnerability; expectancies and beliefs; values and goals), affective factors (i.e., concerns and worry about the disease and its treatment), as well as self-regulatory skills (i.e., the ability to manage distress and effectively execute recommended behaviors) . To date, we have 300 couples enrolled in the study; 6 month follow-up questionnaires have been sent to 232 couples with 205 patients (88%) and 160 (69%) spouses/partners completed; 12-month follow-up questionnaires have been sent to 182 patients and 160 spouse/partners who remain in the study. We now have a total of 166 patients (91% return) and 150 spouse/partners (94% return) who have completed all of the required assessment for the study. Preliminary data analyses point to the acceptability and efficacy of the Cognitive and Affective Reactions and Expectations (CARE) intervention compared to General Health Intervention (GHI), not only in the short-term but also in the long-term at 6-months post baseline.
Creation Date:
2003
Language:
English
Source:
DTIC Technical Reports
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