Outcomes of an uncertainty management intervention in younger African American and Caucasian breast cancer survivors
Abstract
PURPOSE/OBJECTIVES: To determine whether breast cancer survivors (BCSs) who received an uncertainty management intervention, compared to an attention control condition, would have less uncertainty, better uncertainty management, fewer breast cancer-specific concerns, and more positive psychological outcomes. DESIGN: A 2 × 2 randomized block, repeated-measures design, with data collected at baseline and two other points postintervention, as well as a few days before or after either a mammogram or oncologist visit. SETTING: Rural and urban clinical and community settings. SAMPLE: 313 female BCSs aged 50 or younger; 117 African Americans and 196 Caucasians. METHODS: Participants were blocked on ethnicity and randomly assigned to intervention or control. The intervention, consisting of a scripted CD and a guide booklet, was supplemented by four scripted, 20-minute weekly training calls conducted by nurse interventionists. The control group received the four scripted, 20-minute weekly training calls. MAIN RESEARCH VARIABLES: Uncertainty in illness, uncertainty management, breast cancer-specific concerns, and positive psychological outcomes. FINDINGS: BCSs who received the intervention reported reductions in uncertainty and significant improvements in behavioral and cognitive coping strategies to manage uncertainty, self-efficacy, and sexual dysfunction. CONCLUSIONS: The intervention was effective as delivered in managing uncertainties related to being a younger BCS. IMPLICATIONS FOR NURSING: The intervention can realistically be applied in practice because of its efficient and cost-effective nature requiring minimal direct caregiver involvement. The intervention allows survivors who are having a particular survival issue at any given point in time to access information, resources, and management strategies. KNOWLEDGE TRANSLATION: Materials tested in CD and guide booklet format could be translated into online format for survivors to access as issues arise during increasingly lengthy survivorship periods. Materials could be downloaded to a variety of electronic devices, fitting with the information needs and management styles of younger BCSs.
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The results of the present study are consistent with prior studies on IU-focused intervention (Molton et al., Beheshti et al., Hebert and Dugas, Ghielen et al., Shareh and Asgharkhah, Mills and Allen, Simpson et al.).
“The results of the study are in line with those of Molton et al.,[27] Beheshti et al.,[29] Hebert and Dugas,[29] Ghielen et al.,[38] Shareh and Asgharkhah,[39] Mills and Allen,[40] as well as Simpson et al.[41]”
From The effectiveness of group intervention focused on intolerance of uncertainty on psychological distress and quality of life in multiple sclerosis patients (2023) · cites this paper as [27]
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Factors Associated With Uncertainty in Illness Among People With Parkinson’s Disease
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Written Information Improves Patient Knowledge About Implanted Ports
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ResultIncertidumbre en adultos diabéticos tipo 2 a partir de la teoría de Merle Mishel
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- Authors
- Germino, B. B., Mishel, M. H., Crandell, J., Porter, L., Blyler, D., Jenerette, C., & Gil, K. M.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Duke University (US)
- Venue
- Oncology Nursing Forum
- Publisher
- Oncology Nursing Society (ONS)
- Published
- 2012-12-26
- Volume
- 40
- Issue
- 1
- Pages
- 82-92
- ISSN
- 0190-535X (ISSN-L)
- 1538-0688
- OpenAlex
- W1997501220
- Cited by
- 83
- References
- 56
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 15 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 9 · 2016: 9 · 2015: 7 · 2014: 7 · 2013: 1
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Oncology nursing forum (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Nursing Research (5 R01NR01090, R01NR010190)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- breast cancer survivors, uncertainty management, illness uncertainty, young women, African American women, coping strategies, self-efficacy, sexual dysfunction, psychological outcomes, telephone-delivered intervention
- MeSH terms
- Adaptation, Psychological, Adult, Age Factors, Black or African American, Breast Neoplasms, Female, Humans, Mammography, Middle Aged, Oncology Nursing, Pamphlets, Program Evaluation, Cognitive Behavioral Therapy, Survivors, Rural Health Services, Urban Health Services, Self Efficacy, Uncertainty, White People
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