INFLUENCING SELF-CARE--FOCUSED REVIEW AND FOLLOW-UP

  • Nail, Lillian, (PI)

    Project: Research project

    Project Details

    Description

    The purpose of the proposed research is to test the effects of
    interventions that vary on locus of responsibility (LR) for self-
    care decisions (patient or health care provider) on the use of self-
    care behaviors and subsequent health outcomes among cancer
    patients receiving chemotherapy in the ambulatory care setting.
    The effects of an individual difference variable, desire for
    behavioral control of health care (BC), and various demographic
    variables will also be studied. Specific hypotheses about LR and
    BC effects on outcomes of coping (negative mood and disruption
    in day-to-day activities), morbidity, and utilization of self-care
    behaviors will be tested. The sample will consists of 162 patients
    beginning chemotherapy treatment on an outpatient basis. Patients will be randomly assigned to one of three groups, (i.e.,
    usual care control, LR=patient or LR=professional responsibility).
    All subjects will receive a standardized informational
    intervention. The two experimental groups will listen to a tape
    recorded message focusing responsibility for decisions about self-
    care on either the patient or the professional and also will receive
    a follow-up telephone call from the nurse. Data on the outcomes
    of coping will be collected using the shortened Profile of Mood
    States and Selby's measure of disruption in day-to-day activity
    three times during each of the first two treatment cycles and
    again six months after the beginning of treatment. Side effect
    intensity and distress will be measured at the same times as the
    outcomes of coping. Data on use and efficacy of self-care
    behaviors will be collected during the second and ninth days of the
    first two treatment cycles. Coping strategies and use of general
    preventive strategies will be measure nine days after treatment
    for treatment cycles one and two. Repeated measures ANCOVA
    with subsequent contrast analyses will be used to test the
    hypotheses. Descriptive and correlational analysis will be used to
    identify the patterns of side effects and use/efficacy of self-care
    behaviors and to identify mediating variables that may explain the
    effects of the interventions.
    StatusFinished
    Effective start/end date9/1/886/30/91

    Funding

    • National Institutes of Health
    • National Institutes of Health: $163,452.00
    • National Institutes of Health

    ASJC

    • Medicine(all)

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