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Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone.

Publication ,  Journal Article
Mishel, MH; Belyea, M; Germino, BB; Stewart, JL; Bailey, DE; Robertson, C; Mohler, J
Published in: Cancer
March 15, 2002

BACKGROUND: The objective of this study was to test the efficacy of an individualized uncertainty management intervention delivered by telephone to Caucasian and African-American men with localized prostate carcinoma and directed at managing the uncertainties of their disease and treatment. METHODS: The authors delivered a psychoeducational intervention by phone to men with prostate carcinoma, with or without supplemented delivery to a close family member, that was directed at managing uncertainty and improving symptom control. One hundred thirty-four Caucasian men and 105 African-American men were assigned randomly to one of two approaches to delivering the intervention or to the control condition. Men entered the study immediately after surgical treatment or in the first 3 weeks of radiation therapy. Trained nurses delivered the intervention through weekly phone calls for 8 weeks. RESULTS: The authors found that the majority of intervention effects were from baseline to 4 months postbaseline, when treatment side effects are most intense. Both Caucasian men and African-American men who received either one of the two approaches for delivering the intervention improved in the two uncertainty management methods of cognitive reframing and problem solving. Similarly, when the intervention groups were combined, men who received the intervention also improved significantly in control of incontinence by 4 months postbaseline. Decreases in the number of treatment side effects differed by time and treatment/ ethnic group interactions as did satisfaction with sexual functioning. CONCLUSIONS: This is one of the first tests of a psychoeducational intervention among men with prostate carcinoma and was the first test that included a sufficient number of African-American men to test by ethnic group. Therefore, replication of these findings is advised.

Duke Scholars

Published In

Cancer

DOI

ISSN

0008-543X

Publication Date

March 15, 2002

Volume

94

Issue

6

Start / End Page

1854 / 1866

Location

United States

Related Subject Headings

  • White People
  • Stress, Psychological
  • Sexual Dysfunction, Physiological
  • Radiotherapy
  • Prostatic Neoplasms
  • Problem Solving
  • Postoperative Complications
  • Patient Satisfaction
  • Patient Education as Topic
  • Oncology & Carcinogenesis
 

Citation

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MLA
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Mishel, M. H., Belyea, M., Germino, B. B., Stewart, J. L., Bailey, D. E., Robertson, C., & Mohler, J. (2002). Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone. Cancer, 94(6), 1854–1866. https://doi.org/10.1002/cncr.10390
Mishel, Merle H., Michael Belyea, Barbara B. Germino, Janet L. Stewart, Donald E. Bailey, Cary Robertson, and James Mohler. “Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone.Cancer 94, no. 6 (March 15, 2002): 1854–66. https://doi.org/10.1002/cncr.10390.
Mishel MH, Belyea M, Germino BB, Stewart JL, Bailey DE, Robertson C, et al. Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone. Cancer. 2002 Mar 15;94(6):1854–66.
Mishel, Merle H., et al. “Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone.Cancer, vol. 94, no. 6, Mar. 2002, pp. 1854–66. Pubmed, doi:10.1002/cncr.10390.
Mishel MH, Belyea M, Germino BB, Stewart JL, Bailey DE, Robertson C, Mohler J. Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone. Cancer. 2002 Mar 15;94(6):1854–1866.
Journal cover image

Published In

Cancer

DOI

ISSN

0008-543X

Publication Date

March 15, 2002

Volume

94

Issue

6

Start / End Page

1854 / 1866

Location

United States

Related Subject Headings

  • White People
  • Stress, Psychological
  • Sexual Dysfunction, Physiological
  • Radiotherapy
  • Prostatic Neoplasms
  • Problem Solving
  • Postoperative Complications
  • Patient Satisfaction
  • Patient Education as Topic
  • Oncology & Carcinogenesis