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National Institutes of Health: National Cancer Institute: Division of Cancer Control and Population Sciences
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

The Relationships Among Knowledge, Self-efficacy, Preparedness, Decisional Conflict, And Decisions To Participate In A Cancer Clinical Trial
Authors: Miller S.M. , Hudson S.V. , Egleston B.L. , Manne S. , Buzaglo J.S. , Devarajan K. , Fleisher L. , Millard J. , Solarino N. , Trinastic J. , et al. .
Source: Psycho-oncology, 2013 Mar; 22(3), p. 481-9.
PMID: 22331643
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The Development And Preliminary Testing Of A Multimedia Patient-provider Survivorship Communication Module For Breast Cancer Survivors
Authors: Wen K.Y. , Miller S.M. , Stanton A.L. , Fleisher L. , Morra M.E. , Jorge A. , Diefenbach M.A. , Ropka M.E. , Marcus A.C. .
Source: Patient Education And Counseling, 2012 Aug; 88(2), p. 344-9.
PMID: 22770812
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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 S.M. , Roussi P. , Scarpato J. , Wen K.Y. , Zhu F. , Roy G. .
Source: Psycho-oncology, 2014 Apr; 23(4), p. 404-11.
PMID: 24130097
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Monitoring Style Of Coping With Cancer Related Threats: A Review Of The Literature
Authors: Roussi P. , Miller S.M. .
Source: Journal Of Behavioral Medicine, 2014 Oct; 37(5), p. 931-54.
PMID: 24488543
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Factors Predicting Adherence To Risk Management Behaviors Of Women At Increased Risk For Developing Lymphedema
Authors: Sherman K.A. , Miller S.M. , Roussi P. , Taylor A. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2015 Jan; 23(1), p. 61-9.
PMID: 24970542
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Clinical Trial Awareness: Changes Over Time And Sociodemographic Disparities
Authors: Leiter A. , Diefenbach M.A. , Doucette J. , Oh W.K. , Galsky M.D. .
Source: Clinical Trials (london, England), 2015 Jun; 12(3), p. 215-23.
PMID: 25673636
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Development And Preliminary Testing Of Progress: A Web-based Education Program For Prostate Cancer Survivors Transitioning From Active Treatment
Authors: Miller S.M. , Hudson S.V. , Hui S.K. , Diefenbach M.A. , Fleisher L. , Raivitch S. , Belton T. , Roy G. , Njoku A. , Scarpato J. , et al. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2015 Sep; 9(3), p. 541-53.
PMID: 25697335
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Monitoring Processing Style: To See Or Not To See
Authors: Miller S.M. .
Source: European Journal Of Pain (london, England), 2015 Apr; 19(4), p. 449-50.
PMID: 25808064
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Achieving Optimal Delivery Of Follow-up Care For Prostate Cancer Survivors: Improving Patient Outcomes
Authors: Hudson S.V. , O'Malley D.M. , Miller S.M. .
Source: Patient Related Outcome Measures, 2015; 6, p. 75-90.
PMID: 25834471
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