Grant Details
Grant Number: |
5R03CA096204-02 Interpret this number |
Primary Investigator: |
Weber, Bryan |
Organization: |
University Of Florida |
Project Title: |
Dyadic Social Support for Men with Prostate Cancer |
Fiscal Year: |
2002 |
Abstract
DESCRIPTION: (Applicant's Description)
This 2 year study, "Dyadic Social Support For Men with Prostate Cancer," will
investigate the effects of dyadic social support on self-efficacy, social
support, and depression for men with prostate cancer, which is the leading
form of cancer for American men. Improvements in screening and medical
management of prostate cancer have prolonged life expectancy for the 180,000
men to be diagnosed this year. The diagnosis and treatment side effects,
particularly urinary and erectile dysfunction from radical prostatectomy, are
known to lead to depression. Although support groups have been found to reduce
depression for cancer patients, few men participate in such groups. One-to-one
support with another man as in the proposed dyadic intervention may be more
acceptable than support groups to these men. The purpose of the study is to
test the effects of a dyadic intervention based on Bandura's Self-Efficacy
Theory (vicarious experience, performance and attribute similarity) that links
men who are newly diagnosed with prostate cancer with those who are long-term
survivors (> 5 years). One hundred men (50 years and older) with prostate
cancer and having a radical prostatectomy will be recruited within 100 days of
the diagnosis. Excluded will be those with prior history of cancer and death
of a loved one within 1 year. Subjects will be randomized to control or
experimental groups. Experimental subjects will be matched according to race
with a long-term survivor volunteer who had a prostatectomy for prostate
cancer. After training in the study protocol, long-term survivors will meet
with subjects 8 times during a 60-day period to discuss feelings, thoughts,
and concerns associated with prostate cancer. The investigator will monitor
the intervention through weekly telephone calls and weekly logs recorded by
the long-term survivors that will be used to assess the quality of the
interaction, the number and duration of sessions, and topics discussed.
Baseline and post-test measures of self-efficacy (Stanford Inventory of Cancer
Patient Adjustment), social support (Modified Inventory of Socially Supportive
Behaviors), and depression (Geriatric Depression Scale ) will be used to
determine if the dyadic intervention decreases depression and increases
self-efficacy and social support. Comorbidity (Charlson Index), and urinary
and sexual dysfunction (UCLA Prostate Cancer Index) are expected to influence
depression, hence data will be collected and these factors will be controlled.
If dyadic interventions are shown to enhance survival and/or reduce depression
among this group, results may be extended to others with cancer. Hence, this
may be integrated in the treatment of cancer survivors in the future.
Publications
Physical And Emotional Predictors Of Depression After Radical Prostatectomy
Authors: Weber,B.A.
, Roberts,B.L.
, Mills,T.L.
, Chumbler,N.R.
, Algood,C.B.
.
Source: American Journal Of Men's Health, 2008 Jun; 2(2), p. 165-71.
PMID: 19477780
Related Citations
Urinary, Sexual, And Bowel Dysfunction And Bother After Radical Prostatectomy
Authors: Weber,B.A.
, Roberts,B.L.
, Chumbler,N.R.
, Mills,T.L.
, Algood,C.B.
.
Source: Urologic Nursing, 2007 Dec; 27(6), p. 527-33.
PMID: 18217536
Related Citations
The Impact Of Dyadic Social Support On Self-efficacy And Depression After Radical Prostatectomy
Authors: Weber,B.A.
, Roberts,B.L.
, Yarandi,H.
, Mills,T.L.
, Chumbler,N.R.
, Wajsman,Z.
.
Source: Journal Of Aging And Health, 2007 Aug; 19(4), p. 630-45.
PMID: 17682078
Related Citations
Dyadic Support And Quality-of-life After Radical Prostatectomy
Authors: Weber B.A.
, Roberts B.L.
, Yarandi H.
, Mills T.L.
, Chumbler N.R.
, Algood C.
.
Source: The Journal Of Men's Health & Gender : The Official Journal Of The International Society For Men's Health & Gender, 2007 Jun; 4(2), p. 156-164.
PMID: 17948072
Related Citations
Psychosocial Consequences Of Prostate Cancer: 30 Years Of Research
Authors: Weber,B.A.
, Sherwill-Navarro,P.
.
Source: Geriatric Nursing (new York, N.y.), 2005 May-Jun; 26(3), p. 166-75.
PMID: 15973345
Related Citations