Abstract/Details

Understanding the effectiveness of interventions for cancer patients: A study of patient characteristics and intervention evaluations


2006 2006

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Abstract (summary)

Managing cancer-related sequelae has become increasingly important as individuals live longer with the burdens of cancer and its treatments. Data suggest that psychosocial and behavioral interventions provide a feasible way of reducing the burdens experienced by cancer patients. Understanding intervention efficacy is a central question that must be addressed. Patient characteristics (e.g., age, income, and type of surgery) and intervention evaluations (e.g., satisfaction, group experiences, group cohesion, and utilization of intervention techniques) may influence treatment outcomes. Past studies with cancer patients have not examined these variables. The present study used data from the Stress and Immunity Breast Cancer Project to (1) identify patient characteristics that moderate treatment outcomes, (2) examine patient characteristics associated with intervention evaluations, utilization of intervention techniques, and attendance, and (3) examine the association between treatment outcomes, utilization of intervention techniques, and attendance. Our data suggest that the intervention was particularly beneficial for women who had greater cancer-related distress, fewer educational resources, and surgical treatment with mastectomy. We found significant associations between use of intervention techniques and positive treatment outcomes: (a) relaxation was associated with decreased emotional distress, (b) assertive communication and strategies for increasing social support were associated with improved perceptions of family support, (c) techniques for eating less fat and communicating with medical providers were associated with improved dietary habits, (d) exercise was associated with lower treatment side effects, and (e) techniques for communicating with medical providers and exercise were associated with better compliance with recommended chemotherapy regimens. Finally, women with more personal resources (higher education, higher income, and a larger social network), lower levels of neuroticism, and greater feelings of group cohesion were more likely to attend intervention sessions. Findings from the current study provide valuable and unique information for designing dismantling studies and developing future interventions for cancer patients.

Indexing (details)


Subject
Psychotherapy;
Oncology
Classification
0622: Psychotherapy
0992: Oncology
Identifier / keyword
Health and environmental sciences; Psychology; Cancer; Clinical trial; Intervention evaluations; Patient characteristics
Title
Understanding the effectiveness of interventions for cancer patients: A study of patient characteristics and intervention evaluations
Author
Shelby, Rebecca Ann
Number of pages
259
Publication year
2006
Degree date
2006
School code
0168
Source
DAI-B 67/05, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780542688331
Advisor
Andersen, Barbara L.
University/institution
The Ohio State University
University location
United States -- Ohio
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3217408
ProQuest document ID
305302271
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/305302271
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