Social and Medical Risk Factors Associated with Supportive Needs in the First Year Following Localized Prostate Cancer Treatment

Details

• Alternative Title:
  J Cancer Surviv
• Personal Author:
  Tagai, Erin K. ; Hudson, Shawna V. ; Diefenbach, Michael A. ; Xu, Jenny ; Bator, Alicja ; Marziliano, Allison ; Miller, Suzanne M.
• Description:
  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 to 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.
  
  
• Subjects:
  Adaptation, Psychological Article Cancer Survivorship Coping Humans Male Middle Aged Palliative Care Prostate Cancer Prostatic Neoplasms Quality Of Life Risk Factors Self-efficacy Social Determinants Of Health Social Support

  More +
• Source:
  J Cancer Surviv. 15(1):110-118
• Pubmed ID:
  32681305
• Pubmed Central ID:
  PMC7872345
• Document Type:
  Journal Article
• Funding:
  U01OH011690/CC/CDC HHSUnited States/ ; P30 CA072720/CA/NCI NIH HHSUnited States/ ; U01 OH011690/OH/NIOSH CDC HHSUnited States/ ; R01 CA224918/CA/NCI NIH HHSUnited States/ ; U01OH011690/ACL/ACL HHSUnited States/ ; R01 CA158019/CA/NCI NIH HHSUnited States/ ; UL1 TR003017/TR/NCATS NIH HHSUnited States/ ; P30 CA006927/CA/NCI NIH HHSUnited States/ ; T32 CA009035/CA/NCI NIH HHSUnited States/
• Volume:
  15
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:46f9f7c8e6e0fd9f070f2f1fdff8eb195501cffc73919e075832c30c4233e43a
• Download URL:
  https://stacks.cdc.gov/view/cdc/102588/cdc_102588_DS1.pdf
• File Type:
  [PDF - 475.66 KB ]