Cited by 335Cancer survivorship and careNursing care and researchFamily Support in Illness

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Randomized clinical trial of a family intervention for prostate cancer patients and their spouses

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Northouse, Laurel L., Mood, Darlene W., Schafenacker, Ann, Montie, James E., Sandler, Howard M., Forman, Jeffrey D., Hussain, Maha, Pienta, Kenneth J., Smith, David C., Kershaw, Trace·2007·Cancer

DOI 10.1002/cncr.23114

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Abstract

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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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: Northouse, Laurel L.
Schafenacker, Ann
Montie, James E.
Sandler, Howard M.
Hussain, Maha
Pienta, Kenneth J.
Smith, David C.
Kershaw, Trace
Venue: Cancer
Publisher: Wiley
Published: 2007-11-12
Volume: 110
Issue: 12
Pages: 2809-2818
ISSN: 0008-543X (ISSN-L)
1097-0142
DOI: 10.1002/cncr.23114
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
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 › Nursing › Research and Theory › Nursing care and research
Social Sciences › Psychology › Clinical Psychology › 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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Randomized clinical trial of a family intervention for prostate cancer patients and their spouses

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