Facilitating Treatment Decision Making, Adjustment, and Coping in Men Newly Diagnosed with Prostate Cancer. Addendum
Final addendum 1 Nov 2004-30 Apr 2005
FOX CHASE CANCER CENTER PHILADELPHIA PA
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This study evaluated the efficacy of a patient-spouse centered cognitive-affective counseling session CARE cognitive-affective reactions and expectations, to facilitate treatment decision-making for localized prostate cancer PrCa. Methods CARE identified treatment-related values and goals and focused on improving knowledge about treatment options. A time and attention matched General Health Information GHI session provided nutrition information. Couples N300 were enrolled after diagnosis with PrCa, but before a definite treatment decision was made. Data were assessed separately for patients and spouses at baseline, at 6-months, and at 12 months post intervention. Results Both sessions were well accepted among participants. The goal of CARE to facilitate treatment decision making was best achieved for spouses and among those patientpartners who chose a non-invasive treatment option. Partners were more distressed about the treatment decision compared to patients, especially in the CARE condition and when considering invasive procedures. We interpret this result as an indication that participants in CARE processed the relevant information and that momentarily higher levels of distress were the cost of such processing. At 6-mo this effect disappears, underscoring its temporal nature. Conclusions The results demonstrate the usefulness of integrating a brief counseling session into the decision-making process, and that increases in perceived difficulty of decision-making are short-term.
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