Moderators of Interventions Designed to Enhance Physical and Psychological Functioning Among Younger Women With Early-Stage Breast Cancer
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Purpose: To identify factors that condition or moderate the impact of a previously described set of interventions on psychological and physical adjustment after diagnosis and treatment for early-stage breast cancer. Patients and Methods: Younger women (age < 51 years, N = 252) with early-stage breast cancer within 2 months of having completed active nonhormonal adjuvant therapy were randomly assigned to a three-arm clinical trial, consisting of a control arm, an education arm, and a nutrition arm. Primary end points, assessed before random assignment and 4 and 13 months later, included mental functioning, physical functioning, and depressive symptoms. Four types of moderator variables were identified, including two sets reflecting psychosocial resources, specifically personality factors and factors related to the person's social environment, a set reflecting demographic variables, and a set reflecting treatment and disease variables (including comorbidities). Results: Psychosocial factors were more likely to moderate treatment effects than were demographic and disease-related factors, but the moderating effects of these psychosocial factors were limited to patients receiving the nutrition intervention. Patients with lower psychosocial resources benefited from the nutrition intervention, whereas patients with a greater amount of psychosocial resources did not. Conclusion: Future trials of this type should stratify by or select for the moderating variables identified here (ie, dispositional pessimism, unmitigated communion, and negative social interaction) to establish more firmly their role in responses to psychosocial interventions. Effort should also be made to collect data to inform the delivery of interventions to those who might benefit the most.
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Patients who may struggle to benefit from health behavior interventions like MI include those with low expectation of improvement, low overall optimism, and low perceived social support.
“There appear to be specific characteristics of patients who may struggle to benefit from health behavior interventions like MI, such as those who have low expectation of improvement and low overall optimism and those who have low perceived social support [118–120].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [118]
These individual and social-level constructs have been associated with greater efficacy and impact of MI and other health behavior interventions.
“These individual and social-level constructs, in turn, have been associated with greater efficacy and impact of MI and other health behavior interventions (pathway A2) [118–120, 129, 130].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [118]
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“More details of the dataset can be found in Scheier et al. (2007) and Dusseldorp and Van Mechelen (2014).”
BackgroundMethodHeron‐Speirs, H. A., Harvey, S. T., & Baken, D. (2012) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2012.01274.x · Cited by 16 · see citing works
Psychosocial Interventions in Cancer
Benedict, C., & Penedo, F. J. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4866-2_14 · Cited by 12 · see citing works
Psychosocial and Physical Health in Post‐treatment and Extended Cancer Survivorship
Ganz, P. A., & Stanton, A. L. (2012) · Wiley eBooks · doi:10.1002/9781119941101.ch18 · Cited by 10 · see citing works
Examining Moderation of Dignity Therapy Effects by Symptom Burden or Religious/Spiritual Struggles
Fitchett, G. A., Yao, Y., Emanuel, L. L., Delgado-Guay, M. O., Handzo, G. F., Hauser, J. M., Kittelson, S. M., O’Mahony, S., Quest, T. E., Rabow, M. W., et al. (2024) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2024.01.003 · Cited by 9 · see citing works
Huffman, J. C., Harnedy, L. E., Massey, C. N., Carrillo, A., Feig, E. H., Chung, W., & Celano, C. M. (2022) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2022.2049796 · Cited by 8 · see citing works
“These factors have been linked to greater effectiveness of MI and other behavioral interventions (Goossens, Vlaeyen, Hidding, Kole-Snijders, & Evers, 2005; Scheier et al., 2007).”
BackgroundMillstein, R. A., Thorndike, A. N., Kim, S., Park, E. R., & Huffman, J. C. (2020) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2020.100626 · Cited by 8 · see citing works
Zambrano, J., Celano, C. M., Chung, W., Massey, C. N., Feig, E. H., Millstein, R. A., Healy, B. C., Wexler, D. J., Park, E. R., Golden, J., et al. (2020) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2020.1815538 · Cited by 7 · see citing works
“…affect, and optimism (DiMatteo & Haskard-Zolnierek, 2011; Fredrickson, 2001; He, Cao, Feng, Guan, & Peng, 2013; Majer, Jason, & Olson, 2004; Scheier et al., 2007) are likely to improve self-efficacy, confidence, resilience, and motivation, which in turn could translate to increased…”
BackgroundInfluentialSánchez-Valdeón, L., Fernández, N., Calle, Á. P., Ladera, V., Verdejo, I. C., Darkistade, E. B., García-Rodríguez, I., & Sahagún, A. M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159672 · Cited by 5 · see citing works
“In women with breast cancer, the quality of life varies according to the treatments followed [4], their psychological characteristics [5], and the efficacy of the psychological interventions implemented [6,7], among others.”
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Dolbeault, S. (2009) · HAL · Cited by 5 · see citing works
Sherr, L. (2010) · University of Minnesota Digital Conservancy (University of Minnesota) · Cited by 4 · see citing works
Psychosociale ondersteuning voor patiënten met kanker
Dijk, M., & Janssen, W. A. (2009) · Psychologie & gezondheid · doi:10.1007/bf03080358 · Cited by 3 · see citing works
Prevention, Identification, and Management of Late Effects Through Risk Reduction
Given, B. A. (2014) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2014.11.004 · Cited by 2 · see citing works
Psychosocial interventions for cancer patients
Daniels, J., & Kissane, D. W. (2008) · Current Opinion in Internal Medicine · doi:10.1097/mci.0b013e3283154e34 · Cited by 1 · see citing works
Lifestyle Factors in Cancer Survivorship
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Lifestyle Factors in Cancer Survivorship
Thomas, R. (2020) · CRC Press eBooks · doi:10.1201/9780429026638-35
Robust Detection of Covariate-Treatment Interactions in Clinical TrialsPreprint
Goujaud, B., Tramel, E. W., Courtiol, P., Zaslavskiy, M., & Wainrib, G. (2017) · arXiv (Cornell University) · doi:10.48550/arxiv.1712.08211
“6.2 BCRP The objective of this study was to compare the impact of nutritional and educational interventions on the psychological and physical adjustment after treatment for early-stage breast cancer [27]. The dataset was retrieved from the Quint package [28]. In total, there are 252 patients split into three arms: Arm…”
BackgroundInfluentialEffectiveness of interventions to support male partners of women diagnosed with breast cancer
Kuta, A. (2019) · Cancer Nursing Practice · doi:10.7748/cnp.2019.e1609
Kreitler, S. (2019) · Springer eBooks · doi:10.1007/978-3-030-06126-5_10
Estimating optimal decision trees for treatment assignment: The case of K > 2 treatment alternatives
Sies, A., Doove, L. L., Meers, K., Dusseldorp, E., & Mechelen, I. V. (2024) · Behavior Research Methods · doi:10.3758/s13428-024-02470-9
“In the present paper we will reanalyze, as a motivating running example, data from a randomized clinical trial on three types of after-care administered to 224 younger women with early-stage breast cancer (the Breast Cancer Recovery Project: Scheier et al., 2005, 2007).”
Subgroup Identification Based on Quantitative Objectives
Sun, Y., & Hedayat, A. (2024) · Pharmaceutical Statistics · doi:10.1002/pst.2455
“The bcrp dataset comes from the Breast Cancer Recovery Project (BCRP) for younger women with early-stage breast cancer [25].”
- Authors
- Scheier, M. F., Helgeson, V. S., Schulz, R., Colvin, S., Berga, S. L., Knapp, J., & Gerszten, K.
- Affiliations
- Emory University (US)
- Venue
- Journal of Clinical Oncology
- Published
- 2007-12-20
- Volume
- 25
- Issue
- 36
- Pages
- 5710-5714
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2039055789
- Cited by
- 59
- References
- 45
- Citations by year
- 2024: 3 · 2022: 3 · 2020: 5 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 4 · 2012: 8
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- KiltHub Repository (submittedVersion)
- Figshare (submittedVersion, cc-by)
- KiltHub Repository
- Funders
- University of Pittsburgh (HL076852)
- Carnegie Mellon University (HL076858)
- National Institutes of Health (HL076852, AG024827)
- National Institute on Aging (AG015321, AG 024827, AG028015, R21AG028015, R01AG015321, P30AG024827)
- National Heart, Lung, and Blood Institute (HL 076858, HL 076852, R24HL076852, R24HL076858)
- National Institute of Mental Health (MH-071944, P30MH071944)
- National Cancer Institute (R21CA104078, CA104078)
- National Institute of Nursing Research (R01NR008272, NR 08272)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Keywords
- early breast cancer, young women, treatment moderators, psychosocial interventions, nutrition interventions, patient education, physical function, psychological adjustment, depressive symptoms, unmitigated communion, negative social interactions, personality factors, social environment, comorbidities, adjuvant therapy
- MeSH terms
- Adaptation, Psychological, Adult, Antineoplastic Agents, Breast Neoplasms, Depression, Female, Health Status, Humans, Middle Aged, Patient Education as Topic, Quality of Life, Stress, Psychological, Nutrition Therapy
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