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Grant Details

Grant Number: 5R01CA158019-02 Interpret this number
Primary Investigator: Miller, Suzanne
Organization: Fox Chase Cancer Center
Project Title: Rct of an Online Multimedia Program to Boost Coping & Function for PCA Survivors
Fiscal Year: 2012
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Abstract

DESCRIPTION (provided by applicant): Following treatment, the vast majority of Pca survivors suffer from treatment-related symptomatology, specifically urinary and sexual dysfunction, in addition to facing psychosocial and practical challenges. There is a need for comprehensive programs with demonstrated efficacy to help patients cope with these challenges. We propose to develop and evaluate a comprehensive and innovative multimedia program designed to facilitate the post-treatment transition into survivorship. The design of the proposed intervention, the Virtual Survivorship Resource Center for Prostate Cancer (VSRC-PC), will be theoretically based on the team's Cognitive-Social Health Information Processing Model. The VSRC-PC will focus on promoting adaptive coping within four key post-treatment domains: 1) Physical Dysfunction (e.g., physical symptoms); 2) Emotional Well- Being (e.g., fear of recurrence); 3) Interpersonal Concerns (e.g., sexual intimacy issues); and 4) Practical Barriers (e.g., medical follow-up challenges). Content for these domains will be organized in a virtual resource center and will consist of: 1) provision of related information through text, graphics, voice-overs, and animation; 2) videos of health care experts answering frequently asked questions; 3) videos of prostate cancer survivors describing their experiences and modeling competencies and coping strategies; and 4) skills training to improve communication between Pca survivors and family and healthcare providers. Program content will be developed through literature and evidence-based content review, expert input, and input from multi-ethnic survivor focus groups. To ensure adequate and appropriate program content and optimal functionality, an iterative process of review, revision, and user and usability testing will be employed. Intervention efficacy will be evaluated through a two-arm, prospective randomized controlled trial. A total of 600 patients will complete the study. Data will be collected at baseline, and at 1-, 3- and 6- month follow-up. The primary outcome variable will be adaptive coping, and the secondary outcome will be maladaptive coping. A theory-based test of mediators of intervention effects (e.g., self-efficacy), and moderators (e.g., monitoring style) will also be performed. The proposed research will be the first RCT to evaluate not only a comprehensive but also highly disseminable and self-sustaining intervention for facilitating post-treatment adaptation among early-stage Pca survivors.

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Publications

Randomized trial of print messaging: the role of the partner and monitoring style in promoting provider discussions about prostate cancer screening among African American men.
Authors: Miller SM, Roussi P, Scarpato J, Wen KY, Zhu F, Roy G
Source: Psychooncology, 2014 Apr;23(4), p. 404-11.
EPub date: 2013 Oct 15.
PMID: 24130097
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The development and preliminary testing of a multimedia patient-provider survivorship communication module for breast cancer survivors.
Authors: Wen KY, Miller SM, Stanton AL, Fleisher L, Morra ME, Jorge A, Diefenbach MA, Ropka ME, Marcus AC
Source: Patient Educ Couns, 2012 Aug;88(2), p. 344-9.
EPub date: 2012 Jul 7.
PMID: 22770812
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The relationships among knowledge, self-efficacy, preparedness, decisional conflict, and decisions to participate in a cancer clinical trial.
Authors: Miller SM, Hudson SV, Egleston BL, Manne S, Buzaglo JS, Devarajan K, Fleisher L, Millard J, Solarino N, Trinastic J, Meropol NJ
Source: Psychooncology, 2013 Mar;22(3), p. 481-9.
EPub date: 2012 Feb 14.
PMID: 22331643
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