Randomized clinical trial of a family intervention for prostate cancer patients and their spouses
Open accessAbstract
BACKGROUND.: Few intervention studies have been conducted to help couples manage the effects of prostate cancer and maintain their quality of life. The objective of this study was to determine whether a family‐based intervention could improve appraisal variables (appraisal of illness or caregiving, uncertainty, hopelessness), coping resources (coping strategies, self‐efficacy, communication), symptom distress, and quality of life in men with prostate cancer and their spouses. METHODS.: For this clinical trial, 263 patient‐spouse dyads were stratified by research site, phase of illness, and treatment; then, they were randomized to the control group (standard care) or the experimental group (standard care plus a 5‐session family intervention). The intervention targeted couples' communication, hope, coping, uncertainty, and symptom management. The final sample consisted of 235 couples: 123 couples in the control group and 112 couples in the experimental group. Data collection occurred at baseline before randomization and at 4 months, 8 months, and 12 months. RESULTS.: At 4‐month follow‐up, intervention patients reported less uncertainty and better communication with spouses than control patients, but they reported no other effects. Intervention spouses reported higher quality of life, more self‐efficacy, better communication, and less negative appraisal of caregiving, uncertainty, hopelessness, and symptom distress at 4 months compared with controls, and some effects were sustained to 8 months and 12 months. CONCLUSIONS.: Men with prostate cancer and their spouses reported positive outcomes from a family intervention that offered them information and support. Programs of care need to be extended to spouses who likely will experience multiple benefits from intervention. Cancer 2007. © 2007 American Cancer Society.
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The proportion of black men in this study (37.5%) is higher than most other psychosocial research in PC (8-20%).
“In our sample of older men with APC, more than one third of the participants were black men (37.5%).This proportion of black men is higher than most other psychosocial research in PC, which ranges from 8% to 20% of reported samples [24][25][26][27].”
From Brief report of a tablet-delivered psychosocial intervention for men with advanced prostate cancer: Acceptability and efficacy by race (2019) · cites this paper as [26]
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- Authors
- Northouse, L. L., Mood, D. W., Schafenacker, A., Montie, J. E., Sandler, H. M., Forman, J. D., Hussain, M., Pienta, K. J., Smith, D. C., & Kershaw, T.
- Affiliations
- University of Michigan (US)
- Wayne State University (US)
- Yale University (US)
- Corresponding author
- Northouse, Laurel L.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2007-11-12
- Volume
- 110
- Issue
- 12
- Pages
- 2809-2818
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W1966341062
- Cited by
- 335
- References
- 25
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 8 · 2023: 18 · 2022: 21 · 2021: 18 · 2020: 25 · 2019: 15 · 2018: 21 · 2017: 20 · 2016: 18 · 2015: 27 · 2014: 20 · 2013: 25 · 2012: 25
- FWCI
- 6.32
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Cancer Institute (R01CA90739)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- prostate cancer, family intervention, couples, spouses, dyadic intervention, coping, uncertainty, hopelessness, self-efficacy, couple communication, symptom distress, quality of life, caregiving, symptom management
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Patient Education as Topic, Prostatic Neoplasms, Quality of Life, Social Support, Treatment Outcome, Spouses
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