Document Detail


An internet intervention for management of uncertainty during active surveillance for prostate cancer.
MedLine Citation:
PMID:  21875843     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose/Objectives: To provide preliminary data on an Internet intervention that incorporates cognitive reframing and self-management strategies to help older men undergoing active surveillance (AS) self-manage disease-related issues and improve quality of life (QOL).Design: Single-subject design.Setting: Two participating urologic practices at major academic medical centers in the northeastern United States.Sample: 9 patients undergoing AS.Methods: Baseline data were compared to data immediately after completion of the intervention and five weeks later. Telephone interviews were used to determine overall feasibility as well as the ease of use, user friendliness, and acceptability of the intervention in patients undergoing AS.Main Research Variables: Self-efficacy, uncertainty, and QOL.Findings: The results revealed change between baseline (time 1) and intervention completion (time 2) in the majority of variables, with a return toward baseline after the intervention (time 3). Ten of the 12 measures of intervention acceptability were met. The results showed positive trends in the impact of the intervention and good overall acceptability.Conclusions: The results of this pilot study will lead to further research aimed at helping men manage issues related to AS and improve QOL.Implications for Nursing: The intervention may reduce the overtreatment of prostate cancer in men who are clinically appropriate for this management option.
Authors:
Meredith Wallace Kazer; Donald E Bailey; Martin Sanda; John Colberg; William Kevin Kelly
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Oncology nursing forum     Volume:  38     ISSN:  1538-0688     ISO Abbreviation:  Oncol Nurs Forum     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809033     Medline TA:  Oncol Nurs Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  561-8     Citation Subset:  IM; N    
Affiliation:
School of Nursing, Fairfield University in Connecticut.
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