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Grant Details

Grant Number: 5R21CA158877-02 Interpret this number
Primary Investigator: Lepore, Stephen
Organization: Temple Univ Of The Commonwealth
Project Title: A Novel Prosocial Online Support Group for Distressed Breast Cancer Survivors
Fiscal Year: 2012
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Abstract

DESCRIPTION (provided by applicant): Breast cancer (BC) survivors frequently use online support groups (OSGs) to help cope with their cancer, but evidence on the efficacy of OSGs for reducing psychological distress is weak. The proposed study assesses the potential efficacy (estimate effect sizes), acceptability, feasibility, and mediators of an innovative "prosocial" OSG (PRO-OSG) for distressed BC survivors. PRO-OSG provides structured helping opportunities (blogs, outreach) and coaching on how to recognize needs and give support to others in a BC OSG. The project is based on the "helper therapy principle," which emphasizes the psychological benefits of giving (vs. receiving) help. This is the first study to evaluate a prosocial intervention in the context of an OSG. In Aim 1, we propose using a randomized trial to assess the efficacy and effect sizes of PRO-OSG relative to a standard facilitated OSG (S-OSG). We will collect data from distressed BC survivors 1 month pre- and post-intervention using valid and reliable measures appropriate for the population. Intention-to-treat analyses will be used to compare the effects of the two interventions on levels of depression/anxiety symptoms (primary outcomes) and sense of purpose (secondary outcome) (n = 180; 90 per group). We hypothesize that relative to S-OSG, PRO-OSG will have a lower level of symptoms and a higher level of sense of purpose post-intervention. Accuracy in parameter estimation techniques (AIPE) will be used to assess effect sizes on outcomes. In Aim 2, we will explore: (a) if the benefits of PRO-OSG on psychological symptoms are mediated by greater increases in positive affect, self-esteem, and sense of belonging among participants in the PRO-OSG versus S-OSG group; (b) if the benefit of PRO-OSG on sense of purpose is mediated by a greater increase in sense of belonging in the PRO-OSG versus S-OSG; and (c) if sense of belonging indirectly improves psychological symptoms by increasing sense of purpose. AIPE will be used to assess effect sizes on mediators. In Aim 3, we will examine acceptability (e.g., retention, satisfaction) and feasibility (e.g., amount of helping) of the PRO- OSG. The significant outcome of this project will be an innovative, theory-based OSG intervention model that maximizes reductions in psychological distress and increases sense of purpose among distressed BC survivors. The intervention is sustainable, because it can be implemented by organizations such as the Cancer Support Community, a partner on this project and the largest provider of free psychosocial support services for cancer survivors in North America. The intervention also can be adopted by other organizations, such as cancer centers, which to date have mostly offered face-to-face support groups with limited patient reach. Future directions include developing a larger-scale trial to further evaluate PRO- OSG; evaluating PRO-OSG in other cancer populations; and developing and assessing the efficacy of PRO-OSG training protocols that will enable peer leaders (vs. helping professionals) to facilitate OSGs.

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Publications

Cardiovascular health: a cross-national comparison between the Maine Syracuse Study (Central New York, USA) and ORISCAV-LUX (Luxembourg).
Authors: Crichton GE, Elias MF, Davey A, Sauvageot N, Delagardelle C, Beissel J, Alkerwi A
Source: BMC Public Health, 2014 Mar 15;14, p. 253.
EPub date: 2014 Mar 15.
PMID: 24628938
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Aging in Sweden: local variation, local control.
Authors: Davey A, Malmberg B, Sundström G
Source: Gerontologist, 2014 Aug;54(4), p. 525-32.
EPub date: 2013 Oct 14.
PMID: 24127459
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Deterioration in renal function is associated with increased arterial stiffness.
Authors: Elias MF, Davey A, Dore GA, Gillespie A, Abhayaratna WP, Robbins MA
Source: Am J Hypertens, 2014 Feb;27(2), p. 207-14.
EPub date: 2013 Sep 30.
PMID: 24080989
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Sources of variation on the mini-mental state examination in a population-based sample of centenarians.
Authors: Dai T, Davey A, Woodard JL, Miller LS, Gondo Y, Kim SH, Poon LW
Source: J Am Geriatr Soc, 2013 Aug;61(8), p. 1369-76.
EPub date: 2013 Jul 26.
PMID: 23889552
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Examining rectal carcinoids in the era of screening colonoscopy: a surveillance, epidemiology, and end results analysis.
Authors: Taghavi S, Jayarajan SN, Powers BD, Davey A, Willis AI
Source: Dis Colon Rectum, 2013 Aug;56(8), p. 952-9.
PMID: 23838863
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Profiles of cognitive functioning in a population-based sample of centenarians using factor mixture analysis.
Authors: Davey A, Dai T, Woodard JL, Miller LS, Gondo Y, Johnson MA, Hausman DB, Martin P, Green RC, Allen RH, Stabler SP, Poon LW, Georgia Centenarian
Source: Exp Aging Res, 2013;39(2), p. 125-44.
PMID: 23421635
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Decline in renal functioning is associated with longitudinal decline in global cognitive functioning, abstract reasoning and verbal memory.
Authors: Davey A, Elias MF, Robbins MA, Seliger SL, Dore GA
Source: Nephrol Dial Transplant, 2013 Jul;28(7), p. 1810-9.
EPub date: 2012 Nov 18.
PMID: 23166308
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Prognostic significance of signet ring gastric cancer.
Authors: Taghavi S, Jayarajan SN, Davey A, Willis AI
Source: J Clin Oncol, 2012 Oct 1;30(28), p. 3493-8.
EPub date: 2012 Aug 27.
PMID: 22927530
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Diabetes mellitus in centenarians.
Authors: Davey A, Lele U, Elias MF, Dore GA, Siegler IC, Johnson MA, Hausman DB, Tenover JL, Poon LW, Georgia Centenarian Study
Source: J Am Geriatr Soc, 2012 Mar;60(3), p. 468-73.
EPub date: 2012 Jan 27.
PMID: 22283370
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