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Facilitating research participation and improving quality of life for African American prostate cancer survivors and their intimate partners†

A pilot study of telephone-based coping skills training

  1. Lisa C. Campbell PhD1,‡,*,
  2. Francis J. Keefe PhD1,
  3. Cindy Scipio BA1,
  4. Daphne C. McKee PhD1,
  5. Christopher L. Edwards PhD2,
  6. Steven H. Herman PhD3,
  7. Lawrence E. Johnson4,
  8. O. Michael Colvin MD5,
  9. Colleen M. McBride PhD6,
  10. Craig Donatucci MD7

Article first published online: 15 DEC 2006

DOI: 10.1002/cncr.22355

Issue

Cancer

Cancer

Supplement: Exploring Models to Eliminate Cancer Disparities Among African American and Latino Populations: Research and Community Solutions

Volume 109, Issue Supplement 2, pages 414–424, 15 January 2007

Additional Information

How to Cite

Campbell, L. C., Keefe, F. J., Scipio, C., McKee, D. C., Edwards, C. L., Herman, S. H., Johnson, L. E., Colvin, O. M., McBride, C. M. and Donatucci, C. (2007), Facilitating research participation and improving quality of life for African American prostate cancer survivors and their intimate partners. Cancer, 109: 414–424. doi: 10.1002/cncr.22355

Author Information

  1. 1

    Pain Prevention and Treatment Research, Department of Psychiatry and Behavioral Medicine, Duke University Medical Center, Durham, North Carolina

  2. 2

    Pain Management Program, Duke University Medical Center, Durham, North Carolina

  3. 3

    Department of Psychiatry and Behavioral Medicine, Division of Medical Psychology, Duke University Medical Center, Durham, North Carolina

  4. 4

    North Carolina Conference of United Methodist Church, Raleigh, NC

  5. 5

    Department of Medicine, Division of Hematology/Oncology, Duke University Medical Center, Durham, North Carolina

  6. 6

    Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland

  7. 7

    Department of Surgery, Division of Urology, Duke University Medical Center, Durham, North Carolina

  1. ‡

    Fax: (919)416-3458

*Pain Prevention and Treatment Research Program, Duke University Medical Center, 2200 West Main Street, Suite 340, Durham, NC 27704

  1. †

    Presented at Exploring Models to Eliminate Cancer Disparities Among African American and Latino Populations: Research and Community Solutions, Atlanta, GA, April 21–22, 2005.

Publication History

  1. Issue published online: 8 JAN 2007
  2. Article first published online: 15 DEC 2006
  3. Manuscript Accepted: 6 SEP 2006
  4. Manuscript Received: 30 JUN 2006

Funded by

  • The National Cancer Institute. Grant Number: CA14236-2853

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Keywords:

  • prostate cancer;
  • African Americans;
  • intimate partners;
  • caregivers;
  • symptoms;
  • side-effects;
  • coping skills training

Abstract

African American men experience worse prostate cancer outcomes compared with those of Caucasian men, not only in incidence and mortality rates, but also in coping with the side effects of treatment. Unfortunately, African American men have been significantly under-represented in research evaluating the efficacy of psychosocial interventions for improving coping in prostate cancer survivors. This pilot study explored the feasibility and efficacy of coping skills training (CST), an intervention developed to enhance coping with treatment side effects in a sample of African American prostate cancer survivors and their intimate partners. The intervention was delivered in a telephone-based format designed to facilitate research participation. A total of 40 couples were randomized to either 6 sessions of CST or usual care. Survivors completed measures of disease-specific quality of life (QOL) related to urinary, sexual, bowel, and hormonal symptom domains, as well as measures of global QOL (i.e., physical functioning and mental health). Partners completed measures of caregiver strain, mood, and vigor. Analysis of data from 30 couples (12 couples in CST, 18 couples in usual care) indicated that CST produced moderate to large treatment effects for QOL related to bowel, urinary, sexual, and hormonal symptoms. Partners who underwent CST reported less caregiver strain, depression, and fatigue, and more vigor, with moderate effect sizes observed that approached conventional levels of statistical significance. These preliminary findings suggest that telephone-based CST is a feasible approach that can successfully enhance coping inAfrican American prostate cancer survivors and their intimate partners. Cancer 2007. © 2006 American Cancer Society.

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