Effects of Psycho-Education by Video and Telephone Counseling on Adjustment to Breast Cancer in Patients and Partners

2.50
Hdl Handle:
http://hdl.handle.net/10755/151190
Type:
Presentation
Title:
Effects of Psycho-Education by Video and Telephone Counseling on Adjustment to Breast Cancer in Patients and Partners
Abstract:
Effects of Psycho-Education by Video and Telephone Counseling on Adjustment to Breast Cancer in Patients and Partners
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Rosedale, Mary, PhD, NP-P, APRN, BC
P.I. Institution Name:New York University
Co-Authors:Wendy Budin, PhD, RN-BC; Deborah Witt Sherman, PhD, APRN, ANP, PCM, BC, FAAN; Carol Noll Hoskins, RN, PhD, FAAN; Judith Haber, PhD, APRN, CS, FAAN
[Research Paper or Poster Presentation] Background: Although various forms of psycho-education and counseling interventions have been examined among patients with a variety of diagnoses, the unique contribution of phase specific psycho-education and telephone counseling to the ongoing process of adjustment has not been explored among women with breast cancer and their partners. Purpose: To conduct a randomized controlled clinical trial of phase-specific, evidence-based psycho-education and telephone counseling interventions to enhance emotional, physical, and social adjustment in patients with breast cancer and their partners. Methods: 249 patient-partner dyads were randomly assigned to one of four groups: control group receiving disease management (DM); standardized education via video (SE); telephone counseling (TC), or standardized education with telephone counseling (SE+TC). Data were collected at baseline, the diagnostic, post-surgery, adjuvant therapy, and ongoing recovery phases. Outcome variables included measures of emotional adjustment, physical adjustment, and social adjustment. Results: Patients showed poorer adjustment over time in the DM group relative to those receiving interventions on selected measures of emotional adjustment. All patients showed improvement over time in overall health and adjustment in social and vocational environments. Partners in all groups exhibited improvement over time for measures of adjustment in the social environment, but no changes in psychological well-being or overall health. Partners in the TC group had poorer scores on physical symptoms compared to the SE+TC group, and contrary to expectation partners in the TC group had poorer vocational scores compared to the DM group. Conclusions: Findings from this study support the value of phase-specific structured education by video combined with telephone counseling to enhance adjustment to breast cancer in women and their partners.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of Psycho-Education by Video and Telephone Counseling on Adjustment to Breast Cancer in Patients and Partnersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151190-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of Psycho-Education by Video and Telephone Counseling on Adjustment to Breast Cancer in Patients and Partners</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rosedale, Mary, PhD, NP-P, APRN, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">New York University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mtr3@nyu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Wendy Budin, PhD, RN-BC; Deborah Witt Sherman, PhD, APRN, ANP, PCM, BC, FAAN; Carol Noll Hoskins, RN, PhD, FAAN; Judith Haber, PhD, APRN, CS, FAAN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: Although various forms of psycho-education and counseling interventions have been examined among patients with a variety of diagnoses, the unique contribution of phase specific psycho-education and telephone counseling to the ongoing process of adjustment has not been explored among women with breast cancer and their partners. Purpose: To conduct a randomized controlled clinical trial of phase-specific, evidence-based psycho-education and telephone counseling interventions to enhance emotional, physical, and social adjustment in patients with breast cancer and their partners. Methods: 249 patient-partner dyads were randomly assigned to one of four groups: control group receiving disease management (DM); standardized education via video (SE); telephone counseling (TC), or standardized education with telephone counseling (SE+TC). Data were collected at baseline, the diagnostic, post-surgery, adjuvant therapy, and ongoing recovery phases. Outcome variables included measures of emotional adjustment, physical adjustment, and social adjustment. Results: Patients showed poorer adjustment over time in the DM group relative to those receiving interventions on selected measures of emotional adjustment. All patients showed improvement over time in overall health and adjustment in social and vocational environments. Partners in all groups exhibited improvement over time for measures of adjustment in the social environment, but no changes in psychological well-being or overall health. Partners in the TC group had poorer scores on physical symptoms compared to the SE+TC group, and contrary to expectation partners in the TC group had poorer vocational scores compared to the DM group. Conclusions: Findings from this study support the value of phase-specific structured education by video combined with telephone counseling to enhance adjustment to breast cancer in women and their partners.</td></tr></table>en_GB
dc.date.available2011-10-26T10:54:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:54:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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