Erin K Tagai1, Shawna V Hudson2,3, Michael A Diefenbach4, Jenny Xu1, Alicja Bator2, Allison Marziliano4, Suzanne M Miller5. 1. Fox Chase Cancer Center, 333 Cottman Ave, Philadelphia, PA, 19111, USA. 2. Rutgers Robert Wood Johnson Medical School, The State University of New Jersey, 125 Patterson St, New Brunswick, NJ, 08901, USA. 3. Division of Population Science, Rutgers Cancer Institute of New Jersey, The State University of New Jersey, 195 Little Albany St, New Brunswick, NJ, 08903, USA. 4. Center for Health Innovation and Outcomes Research, Feinstein Institute for Medical Research, Northwell Health, 300 Community Dr, Manhasset, NY, 11030, USA. 5. Fox Chase Cancer Center, 333 Cottman Ave, Philadelphia, PA, 19111, USA. Suzanne.Miller@fccc.edu.
Abstract
PURPOSE: Individuals who completed treatment for prostate cancer (PCa) often report poor coping and practical concerns when adapting to new roles in their lives-and strong patient-provider communication is critical for this period. However, there is limited research identifying factors associated with supportive needs after the completion of PCa treatment. This study aimed to identify the social and medical risk factors associated with supportive needs for adapting among individuals who completed treatment for localized PCa. METHODS: Using baseline data from a study evaluating a web-based support system for patients in the first year following treatment for localized PCa, self-efficacy for re-entry (e.g., maintaining relationships, symptom management), medical interactions, and practical concerns (e.g., insurance, exercise) were assessed. Multivariable regression analyses were completed to identify risk factors for low readiness. RESULTS: Participants (N = 431) with lower health literacy or income or with depressive symptoms had lower self-efficacy for re-entry, more negative interactions with medical providers, and more practical concerns (ps < .05). Lastly, non-Hispanic White participants reported greater readiness compared with all other races (ps < .05). CONCLUSIONS: Multiple social and medical risk factors are associated with greater supportive needs when adapting to new roles after PCa treatment. Understanding the risk factors for supportive needs in this period is critical. Future research is needed to help providers identify and support individuals at risk for poorer coping and greater practical concerns after treatment completion. IMPLICATIONS FOR CANCER SURVIVORS: Identifying individuals with greater supportive needs following treatment for localized PCa treatment will help ensure successful adaptation to new roles.
PURPOSE: Individuals who completed treatment for prostate cancer (PCa) often report poor coping and practical concerns when adapting to new roles in their lives-and strong patient-provider communication is critical for this period. However, there is limited research identifying factors associated with supportive needs after the completion of PCa treatment. This study aimed to identify the social and medical risk factors associated with supportive needs for adapting among individuals who completed treatment for localized PCa. METHODS: Using baseline data from a study evaluating a web-based support system for patients in the first year following treatment for localized PCa, self-efficacy for re-entry (e.g., maintaining relationships, symptom management), medical interactions, and practical concerns (e.g., insurance, exercise) were assessed. Multivariable regression analyses were completed to identify risk factors for low readiness. RESULTS: Participants (N = 431) with lower health literacy or income or with depressive symptoms had lower self-efficacy for re-entry, more negative interactions with medical providers, and more practical concerns (ps < .05). Lastly, non-Hispanic White participants reported greater readiness compared with all other races (ps < .05). CONCLUSIONS: Multiple social and medical risk factors are associated with greater supportive needs when adapting to new roles after PCa treatment. Understanding the risk factors for supportive needs in this period is critical. Future research is needed to help providers identify and support individuals at risk for poorer coping and greater practical concerns after treatment completion. IMPLICATIONS FOR CANCER SURVIVORS: Identifying individuals with greater supportive needs following treatment for localized PCa treatment will help ensure successful adaptation to new roles.
Entities:
Keywords:
Cancer survivorship; Coping; Prostate cancer; Self-efficacy; Social determinants of health
Authors: Julie L Halverson; Ana P Martinez-Donate; Mari Palta; Ticiana Leal; Sam Lubner; Matthew C Walsh; Jeanne Schaaf Strickland; Paul D Smith; Amy Trentham-Dietz Journal: J Health Commun Date: 2015-07-10
Authors: Allison Marziliano; Michael A Diefenbach; Shawna V Hudson; Erin K Tagai; Elizabeth A Handorf; Alicja Bator; Suzanne M Miller Journal: J Med Internet Res Date: 2022-03-21 Impact factor: 7.076