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Tuinman MA, Nuver J, de Boer A, Looijmans A, Hagedoorn M. Lifestyle changes after cancer treatment in patients and their partners: a qualitative study. Support Care Cancer 2024; 32:248. [PMID: 38528283 PMCID: PMC10963577 DOI: 10.1007/s00520-024-08447-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 03/18/2024] [Indexed: 03/27/2024]
Abstract
PURPOSE Oncologists nowadays promote healthy lifestyle choices more often, focusing on diet, physical activity, smoking, alcohol consumption, and sleep, but the question is whether this is enough to establish actual change. As patients will have to achieve a healthy lifestyle at home in daily life, it is important to understand barriers and facilitators for lifestyle change for both patients and their partners. METHODS A qualitative interview study was done among patients who received chemotherapy for testicular (n = 10) or breast cancer (n = 7) and their partners (n = 17). The interview focused on how much they remembered the lifestyle advice given in hospital, whether and what they had adapted since diagnosis, and what they deemed as facilitators and barriers in maintaining lifestyle change. RESULTS Results showed that many patients and partners recalled that some advice was given in hospital but experienced this as too general and only at the start of treatment. Social contacts and the entire cancer experience helped facilitate change but were also seen as barriers. Other barriers were not considering healthy behaviors a priority or experiencing unhealthy choices as something nice after a trying time. CONCLUSIONS Oncologists and hospitals that provide lifestyle advice should provide cancer- and person-specific lifestyle advice, should offer this advice repeatedly into survivorship, and include the partner, as they are dedicated to improving lifestyle as well. IMPLICATION FOR CANCER SURVIVORS Staying healthy after cancer is important to both patients and their partners, and both experience their own facilitators and barriers to achieving this. Seeing a healthy lifestyle as a joint goal might facilitate change.
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Affiliation(s)
- Marrit Annika Tuinman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
| | - Janine Nuver
- Department of Medical Oncology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands
| | - Anke de Boer
- Department of Psychology, Patyna Elderly Care, Harste 15, 8602 JX, Sneek, The Netherlands
| | - Anne Looijmans
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands
| | - Mariët Hagedoorn
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands
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Sayner AM, Tang CY, Toohey K, Mendoza C, Nahon I. Opportunities and Capabilities to Perform Pelvic Floor Muscle Training Are Critical for Participation: A Systematic Review and Qualitative Meta-Synthesis. Phys Ther 2022; 102:6652914. [PMID: 35913726 DOI: 10.1093/ptj/pzac106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 04/07/2022] [Accepted: 06/09/2022] [Indexed: 11/14/2022]
Abstract
OBJECTIVE Pelvic floor muscle training (PFMT) is considered a behavioral task that requires the interaction of physical, social, and cognitive processes. Enablers and barriers to participation in PFMT have been explored primarily in women. This review aimed to identify the barriers and enablers that influence participation in PFMT in all adult populations. METHODS A systematic review and meta-synthesis of qualitative literature was conducted. The inclusion criteria comprised qualitative studies with populations of people aged 18 years and older who have been recommended for PFMT. Line-by-line coding and an inductive thematic analysis identified themes that were applied to the Theoretical Domains Framework and Capabilities, Opportunities, and Motivation Behavioral Model to determine behavioral influences on PFMT. RESULTS Twenty full-text articles met inclusion criteria. PFMT was mostly influenced by individual opportunities impacted by social determinants and competing demands. Capability of carrying out PFMT was impacted by knowledge, understanding, and appropriate skill acquisition linked to self-efficacy. CONCLUSION Increasing opportunities and capabilities for engagement in PFMT are the most important factors in optimizing positive behavior changes. Ways to address these factors include clear patient communication to boost confidence in skill acquisition and using technology to encourage autonomy and improve convenience. Future research should address the impact of health professionals' beliefs about patient participation, assess the role of social values and gender roles, and explore the timing of the implementation of behavioral change strategies to improve PFMT. IMPACT This is believed to be the first systematic review and qualitative meta-synthesis to consider the enablers and barriers to participation in PFMT for all adult populations, purposes, and symptom complexes. Patient opportunities and capabilities are the greatest influencers on participation and self-efficacy. Individualized treatment approaches that acknowledge and address social influencers and competing demands will optimize self-efficacy and participation. LAY SUMMARY If you have pelvic floor muscle dysfunction, your opportunities and capabilities are the greatest influencers on participation and self-efficacy in PFMT. Your physical therapist can design individualized treatment approaches that acknowledge and address social influencers and competing demands to help you optimize participation.
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Affiliation(s)
- Alesha M Sayner
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,Chronic and Complex Care/Department of Physiotherapy, Western Health, St Albans, Victoria, Australia.,Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,Allied Health Department, Ballarat Health Services, Ballarat, Victoria, Australia
| | - Clarice Y Tang
- Chronic and Complex Care/Department of Physiotherapy, Western Health, St Albans, Victoria, Australia.,School of Health Sciences, Western Sydney University, Penrith, New South Wales, Australia.,School of Allied Health, La Trobe University, Melbourne, Victoria, Australia
| | - Kellie Toohey
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Chennelle Mendoza
- Chronic and Complex Care/Department of Physiotherapy, Western Health, St Albans, Victoria, Australia
| | - Irmina Nahon
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
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Subjective well-being among psychotherapists during the coronavirus disease pandemic: A cross-cultural survey from 12 european countries. J Psychiatr Res 2022; 154:315-323. [PMID: 35994913 PMCID: PMC9357039 DOI: 10.1016/j.jpsychires.2022.07.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 07/25/2022] [Accepted: 07/29/2022] [Indexed: 11/20/2022]
Abstract
OBJECTIVE The aim of this study is to examine the amount of the total variance of the subjective well-being (SWB) of psychotherapists from 12 European countries explained by between-country vs. between-person differences regarding its cognitive (life satisfaction) and affective components (positive affect [PA] and negative affect [NA]). Second, we explored a link between the SWB and their personal (self-efficacy) and social resources (social support) after controlling for sociodemographics, work characteristics, and COVID-19-related distress. METHODS In total, 2915 psychotherapists from 12 countries (Austria, Bulgaria, Cyprus, Finland, Great Britain, Serbia, Spain, Norway, Poland, Romania, Sweden, and Switzerland) participated in this study. The participants completed the Satisfaction with Life Scale (SWLS), the International Positive and Negative Affect Schedule Short Form (I-PANAS-SF), the General Self-Efficacy Scale, and the Multidimensional Scale of Perceived Social Support. RESULTS Cognitive well-being (CWB; satisfaction with life) was a more country-dependent component of SWB than affective well-being (AWB). Consequently, at the individual level, significant correlates were found only for AWB but not for CWB. Higher AWB was linked to being female, older age, higher weekly workload, and lower COVID-19-related distress. Self-efficacy and social support explained AWB only, including their main effects and the moderating effect of self-efficacy. CONCLUSIONS The results highlight more individual characteristics of AWB compared to CWB, with a more critical role of low self-efficacy for the link between social support and PA rather than NA. This finding suggests the need for greater self-care among psychotherapists regarding their AWB and the more complex conditions underlying their CWB.
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Continuous Psychological Nursing Based on Grey Clustering Algorithm in Patients after Transurethral Resection of Prostate. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:5400479. [PMID: 35936363 PMCID: PMC9352487 DOI: 10.1155/2022/5400479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 07/13/2022] [Accepted: 07/15/2022] [Indexed: 11/28/2022]
Abstract
Objective To explore the effect of continuous psychological nursing based on the grey clustering algorithm on erectile function, bad psychological emotion, and complications in patients after transurethral resection of prostate (TURP). Methods 98 patients who underwent TURP were randomly divided into observation and control groups (routine nursing). The observation group first used the grey clustering algorithm to evaluate the psychological intelligence, found patients with abnormal psychological behavior, and then implemented continuous psychological nursing combined with pelvic floor muscle exercise. The patients were followed up for 4 months. The International Index of Erectile Function-5 (IIEF-5), the incidence of complications, the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA) scores, and the nursing satisfaction were analyzed and compared between these two groups. Results The grey clustering algorithm can accurately reflect the characteristics of patients' psychological changes. After targeted nursing, compared with the control group, the IIEF-5 in the observation group was higher [(24.87 ± 1.85) vs. (22.24 ± 1.47), P < 0.05], the incidence of total complications was lower (10.20% vs. 26.53%, P < 0.05), the score of HAMA was lower [(6.11 ± 2.57) vs. (10.98 ± 2.29), P < 0.05], the score of HAMD was lower [(6.97 ± 2.85) vs. (11.35 ± 2.19), P < 0.05], and the nursing satisfaction was higher (100% vs. 85.71%, P < 0.05). Conclusion Mental intelligence evaluation based on the grey clustering algorithm combined with pelvic floor muscle exercise can significantly improve the rehabilitation effect of erectile function in patients after TURP, reduce the incidence of postoperative complications, and alleviate patients' anxiety and depression.
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Smith AJ, Shoji K, Griffin BJ, Sippel LM, Dworkin ER, Wright HM, Morrow E, Locke A, Love TM, Harris JI, Kaniasty K, Langenecker SA, Benight CC. Social cognitive mechanisms in healthcare worker resilience across time during the pandemic. Soc Psychiatry Psychiatr Epidemiol 2022; 57:1457-1468. [PMID: 35217891 PMCID: PMC8881189 DOI: 10.1007/s00127-022-02247-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Accepted: 01/22/2022] [Indexed: 12/18/2022]
Abstract
PURPOSE Healthcare workers are at increased risk for mental health problems during disasters such as the COVID-19 pandemic. Identifying resilience mechanisms can inform development of interventions for this population. The current study examined pathways that may support healthcare worker resilience, specifically testing enabling (social support enabled self-efficacy) and cultivation (self-efficacy cultivating support) models. METHODS Healthcare workers (N = 828) in the Rocky Mountain West completed self-report measures at four time points (once per month from April to July of 2020). We estimated structural equation models to explore the potential mediating effects that received social support and coping self-efficacy had (at time 2 and time 3) between traumatic stress symptom severity (at time 1 and time 4). Models included covariates gender, age, minority status, and time lagged co-variations between the proposed mediators (social support and coping self-efficacy). RESULTS The full model fit the data well, CFI = .993, SRMR = .027, RMSEA = .036 [90% CIs (0.013, 0.057)]. Tests of sequential mediation supported enabling model dynamics. Specifically, the effects of time 1 traumatic stress severity were mediated through received social support at time 2 and time 3 coping self-efficacy, in sequential order to reduce time 4 traumatic stress severity. CONCLUSIONS Findings show the importance of received social support and coping self-efficacy in mitigating psychopathology risk. Interventions can support mental health by focusing on social resource engagement that facilitates coping empowerment, which may decrease risk for mental health job-related problems among frontline healthcare workers exposed to highly stressful events.
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Affiliation(s)
- Andrew J Smith
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
- Department of Psychiatry, Huntsman Mental Health Institute, University of Utah School of Medicine, 501 Chipeta Way, Salt Lake City, UT, 84018, USA.
- Lyda Hill Institute for Human Resilience, Colorado Springs, USA.
| | - Kotaro Shoji
- Lyda Hill Institute for Human Resilience, Colorado Springs, USA
- University of Human Environments, Okazaki, Japan
| | - Brandon J Griffin
- Lyda Hill Institute for Human Resilience, Colorado Springs, USA
- Mental Health Service, Central Arkansas VA Health Care System, Little Rock, USA
- Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Lauren M Sippel
- VA Northeast Program Evaluation Center, West Haven, CT, USA
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
- National Center for PTSD, West Haven, CT, USA
| | - Emily R Dworkin
- Lyda Hill Institute for Human Resilience, Colorado Springs, USA
- University of Washington School of Medicine, Seattle, USA
| | - Hannah M Wright
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - Ellen Morrow
- University of Utah, Resiliency Center, Salt Lake City, USA
| | - Amy Locke
- University of Utah, Resiliency Center, Salt Lake City, USA
| | - Tiffany M Love
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - J Irene Harris
- Bedford VA Healthcare System, University of Minnesota, Minneapolis, USA
| | - Krzysztof Kaniasty
- Department of Psychology, Indiana University of Pennsylvania, Indiana, USA
- Institute of Psychology, Polish Academy of Sciences (Poland), Warsaw, Poland
| | - Scott A Langenecker
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - Charles C Benight
- Lyda Hill Institute for Human Resilience, Colorado Springs, USA
- Department of Psychology, University of Colorado-Colorado Springs, Colorado Springs, USA
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Huelsnitz CO, Jones RE, Simpson JA, Joyal-Desmarais K, Standen EC, Auster-Gussman LA, Rothman AJ. The Dyadic Health Influence Model. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2021; 26:3-34. [PMID: 34873983 DOI: 10.1177/10888683211054897] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Relationship partners affect one another's health outcomes through their health behaviors, yet how this occurs is not well understood. To fill this gap, we present the Dyadic Health Influence Model (DHIM). The DHIM identifies three routes through which a person (the agent) can impact the health beliefs and behavior of their partner (the target). An agent may (a) model health behaviors and shape the shared environment, (b) enact behaviors that promote their relationship, and/or (c) employ strategies to intentionally influence the target's health behavior. A central premise of the DHIM is that agents act based on their beliefs about their partner's health and their relationship. In turn, their actions have consequences not only for targets' health behavior but also for their relationship. We review theoretical and empirical research that provides initial support for the routes and offer testable predictions at the intersection of health behavior change research and relationship science.
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Affiliation(s)
| | | | | | - Keven Joyal-Desmarais
- Concordia University, Montreal, Quebec, Canada.,Montreal Behavioural Medicine Centre, Quebec, Canada
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Kroemeke A, Sobczyk-Kruszelnicka M. Interaction effect of coping self-efficacy and received support in daily life of hematopoietic cell transplant patient-caregiver dyads. PLoS One 2021; 16:e0260128. [PMID: 34788348 PMCID: PMC8598009 DOI: 10.1371/journal.pone.0260128] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Accepted: 11/03/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES According to the social cognitive theory, social support and self-efficacy may interact with each other i.e. compete or account jointly for better adaptation. This study examined the nature of the interaction between coping self-efficacy and received social support in daily lives of patient-caregiver dyads after cancer treatment. We tested whether the effect of daily fluctuations in coping self-efficacy and received support on daily affect was synergistic (positive jointed effect), compensatory (positive competing effect), or interference (negative competing effect). DESIGN A dyadic daily-diary study conducted for 28 days after hospital discharge following hematopoietic cell transplantation. METHODS Coping self-efficacy, received support, and positive and negative affect were measured in 200 patient-caregiver dyads. The analysis was based on the actor-partner interdependence moderation model using multilevel structural equation modeling. RESULTS Statistically significant effect of interaction between daily coping self-efficacy and received support on negative affect was found, although only in the caregivers. In that group, higher daily received support compensated for lower daily coping self-efficacy but had a negative effect when coping self-efficacy was significantly higher than typical. Also, direct beneficial effects of higher daily coping self-efficacy and received support on caregiver positive affect were found. In the patients, higher daily coping self-efficacy was directly associated with better daily affect. CONCLUSIONS Diverse effects of daily coping self-efficacy and received social support were found-the interference effect in the caregivers and the main effect of coping self-efficacy in the patients. Higher daily coping self-efficacy and optimal received social support may provide resilience against affect disturbance after cancer treatment.
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Affiliation(s)
- Aleksandra Kroemeke
- Department of Health Psychology, Faculty of Psychology in Warsaw, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Małgorzata Sobczyk-Kruszelnicka
- Department of Bone Marrow Transplantation and Oncohematology, Maria Skłodowska-Curie National Research Institute of Oncology (MSCNRIO) Gliwice Branch, Gliwice, Poland
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Schwaninger P, Berli C, Lüscher J, Scholz U. Cultivation or enabling? Day-to-day associations between self-efficacy and received support in couples. Soc Sci Med 2021; 287:114330. [PMID: 34455336 DOI: 10.1016/j.socscimed.2021.114330] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 07/23/2021] [Accepted: 08/19/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Theories and empirical findings identify social support and self-efficacy as important variables for behavior change. Two competing hypotheses describe the bidirectional relationship of these two constructs: The cultivation hypothesis assumes that self-efficacy facilitates social support, whereas the enabling hypothesis assumes that social support fosters self-efficacy. To shed more light on the interplay of interpersonal and intrapersonal factors in the behavior change context in daily life, the present study aims to investigate these hypotheses at the within-person level. METHODS In total, 99 overweight heterosexual couples intending to increase their physical activity participated in this dyadic intensive longitudinal study. Both partners independently reported on their self-efficacy and their support receipt from their partner in smartphone-based end-of-day diaries across 14 days. To investigate the competing hypotheses prospective lagged multilevel models were applied. RESULTS For both partners, higher-than-average levels of self-efficacy on a given day predicted higher support receipt the next day, confirming the cultivation hypothesis. We found no effect of higher-than-average levels of support receipt on a given day on self-efficacy the next day, disconfirming the enabling hypothesis. Same-day support receipt and previous day self-efficacy were positively related to daily physical activity. CONCLUSIONS This is the first study investigating the cultivation and the enabling hypothesis on a day-to-day basis using a dyadic intensive longitudinal approach. Findings support the cultivation hypothesis at the within-person level, suggesting that self-efficacy may help to facilitate support receipt close in time. Future studies should use within-person experimental designs and ecological momentary assessments within days to increase our understanding of the temporal dynamics of the cultivation and enabling effect.
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Affiliation(s)
- Philipp Schwaninger
- Department of Psychology, University of Zurich, Binzmuehlestrasse 14/ Box 14, 8050, Zurich, Switzerland.
| | - Corina Berli
- Department of Psychology, University of Zurich, Binzmuehlestrasse 14/ Box 14, 8050, Zurich, Switzerland.
| | - Janina Lüscher
- Department of Psychology, University of Zurich, Binzmuehlestrasse 14/ Box 14, 8050, Zurich, Switzerland.
| | - Urte Scholz
- Department of Psychology, University of Zurich, Binzmuehlestrasse 14/ Box 14, 8050, Zurich, Switzerland.
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Midtgaard J, Tjørnhøj-Thomsen T, Rørth M, Kronborg M, Bjerre ED, Oliffe JL. Female partner experiences of prostate cancer patients' engagement with a community-based football intervention: a qualitative study. BMC Public Health 2021; 21:1398. [PMID: 34266389 PMCID: PMC8281704 DOI: 10.1186/s12889-021-11448-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 07/05/2021] [Indexed: 12/04/2022] Open
Abstract
Background Prostate cancer is often labelled a couple’s disease wherein the partner plays an important role in the man’s illness management and related health promotion activities. The aim of this study was to explore partner experiences of prostate cancer patients’ engagement with a community-based football program. Methods Eight audio-visual recorded semi-structured focus group interviews were conducted with a total of 39 female partners of men with prostate cancer who participated in a community-based football program as part of the nationwide FC Prostate Community Trial (NCT02430792). Data was managed with the software program Nvivo 11 and analysed inductively to derive thematic findings. Results The four thematic findings were: 1) ‘Hope of a new beginning’ which included stories of hope that football would mitigate the negative effects of men’s prostate cancer treatment [s]; 2) ‘My new partner’ was characterized by attributing connections between physical activity and elevated mood as a by-product of men’s involvement in the program; 3) ‘Football first’ included assertions of the couples mutual commitment to the football program; and 4) ‘Invisible needs’ contrasted insecurity, and unforeseen challenges for partners feeling somewhat neglected. Overall, the results confirm the need for cohesion and flexibility amongst couple-dyads to ensure partners and men with prostate cancer benefit from their involvement in football programs. Conclusions This study indicates that partners of prostate cancer survivors’ engaging with community-based football align to idealized gender relations, roles and identities. In many instances, these gendered dimensions aided positive dyadic coping and long-term exercise adherence. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11448-7.
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Affiliation(s)
- Julie Midtgaard
- The University Hospitals Centre for Health Research, Copenhagen University Hospital, Rigshospitalet, Department 9701, Blegdamsvej 9, DK-2100, Copenhagen Ø, Denmark. .,Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, DK-2200, Copenhagen N, Denmark. .,Mental Health Centre Glostrup, University of Copenhagen, Nordstjernevej 41, DK-2600, Glostrup, Denmark.
| | - Tine Tjørnhøj-Thomsen
- National Institute of Public Health, Department of Health and Social Context, University of Southern Denmark, Studiestræde 6, DK-1455, Copenhagen K, Denmark
| | - Mette Rørth
- The University Hospitals Centre for Health Research, Copenhagen University Hospital, Rigshospitalet, Department 9701, Blegdamsvej 9, DK-2100, Copenhagen Ø, Denmark
| | - Malene Kronborg
- The University Hospitals Centre for Health Research, Copenhagen University Hospital, Rigshospitalet, Department 9701, Blegdamsvej 9, DK-2100, Copenhagen Ø, Denmark
| | - Eik D Bjerre
- The University Hospitals Centre for Health Research, Copenhagen University Hospital, Rigshospitalet, Department 9701, Blegdamsvej 9, DK-2100, Copenhagen Ø, Denmark
| | - John L Oliffe
- The University of British Columbia, School of Nursing, Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.,The University of Melbourne, Department of Nursing, Parkville, Melbourne, Victoria, 3052, Australia
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Banik A, Zarychta K, Knoll N, Luszczynska A. Cultivation and Enabling Effects of Social Support and Self-Efficacy in Parent-Child Dyads. Ann Behav Med 2021; 55:1198-1210. [PMID: 33772544 PMCID: PMC8601043 DOI: 10.1093/abm/kaab004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background There are two alternative mechanisms, elucidating the reciprocal relationship between self-efficacy and social support when explaining health outcomes: self-efficacy beliefs may operate as the establisher of social support (the cultivation model) or social support may enable the formation of self-efficacy beliefs (the enabling model). Purpose In line with the cultivation hypothesis, it was tested if self-efficacy (measured in parents and children) would indirectly predict parental and child moderate-to-vigorous physical activity (MVPA), via the mediator, social support (parent-provided, child-received). In line with the enabling hypothesis, it was tested if social support would predict MVPA indirectly, via the mediator, self-efficacy. Methods A total of 879 parent–child dyads (1758 individuals; 52.4% girls, aged 5–11 years old, 83.2% mothers) provided self-reports at the baseline (T1) and the 7- to 8-month follow-up (T2). Body weight and height were measured objectively. Manifest path analyses were performed, controlling for the baseline levels of the mediator and dependent variables. Results A similar number of significant simple indirect effects was found for the cultivation and the enabling model. Across the models, the indirect effects followed similar patterns: (a) within-individual indirect effects in children; (b) across-individual indirect effects, with the independent variable measured in children and the mediator/dependent variables measured in parents (e.g., child self-efficacy predicted parental support provision and, indirectly, parental MVPA); (c) across-individual indirect effects, accounting for self-efficacy and MVPA measured in children, combined with parental reports of social support. Conclusions The findings provide support for both cultivation and enabling models in the context of MVPA among parent–child dyads.
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Affiliation(s)
- Anna Banik
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Karolina Zarychta
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Nina Knoll
- Freie Universität Berlin, Department of Education and Psychology, Berlin, Germany
| | - Aleksandra Luszczynska
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.,National Institute for Human Resilience, University of Colorado at Colorado Springs, Colorado Springs, CO, USA
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Shoji K, Smith AJ, Sano R, Samuelson KW, Benight CC. Social engagement, self-efficacy, and posttraumatic stress symptoms across 6 months of psychotherapy. J Clin Psychol 2020; 77:60-77. [PMID: 32761903 DOI: 10.1002/jclp.23034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Revised: 05/15/2020] [Accepted: 07/17/2020] [Indexed: 12/15/2022]
Abstract
OBJECTIVE The current study was conducted in a naturalistic treatment setting to examine whether and how perceptions about social engagement, trauma coping self-efficacy, and posttraumatic stress symptoms (PTS) influence one another across 6 months of psychotherapy for trauma survivors. METHOD The sample included 183 clients who reported exposure to traumatic events and significant PTS (PCL-5 ≥ 33). Participants (Mage = 37.8, 53.6% female) completed surveys at intake, 3 months, and 6 months into treatment. A cross-lagged panel analysis was used to test the relationships among perceived social engagement, coping self-efficacy, and PTS across three assessment points. RESULTS PTS at 3-months was a mediator in the relationship between intake perceived social engagement and 6-month coping self-efficacy and between intake perceived social engagement and 6-month perceived social engagement. CONCLUSIONS PTS several months into treatment may serve as a mechanism between intake perceived social engagement and functional outcomes such as coping self-efficacy.
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Affiliation(s)
- Kotaro Shoji
- Trauma, Health, & Hazards Center, University of Colorado Colorado Springs, Colorado Springs, Colorado, USA
| | - Andrew J Smith
- Department of Psychiatry, University of Utah School of Medicine, Salt Lake City, Utah, USA.,VA Salt Lake City Healthcare System, Salt Lake City, Utah, USA
| | - Riko Sano
- Faculty of Nursing, Gifu University of Medical Science, Gifu, Japan
| | - Kristin W Samuelson
- Department of Psychology, University of Colorado Colorado Springs, Colorado Springs, Colorado, USA
| | - Charles C Benight
- Trauma, Health, & Hazards Center, University of Colorado Colorado Springs, Colorado Springs, Colorado, USA.,Department of Psychology, University of Colorado Colorado Springs, Colorado Springs, Colorado, USA
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Zhang AY, Burant C, Fu AZ, Strauss G, Bodner DR, Ponsky L. Psychosocial mechanisms of a behavioral treatment for urinary incontinence of prostate cancer survivors. J Psychosoc Oncol 2019; 38:210-227. [PMID: 31762400 DOI: 10.1080/07347332.2019.1678547] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Purpose: We examined underlying psychosocial processes of a behavioral treatment for urinary incontinence (UI) of prostate cancer survivors.Design: Secondary analysis of data collected from a clinical trial.Sample: Two hundred forty-four prostate cancer survivors who participated in a clinical trial of behavioral intervention to UI as intervention or control subjects.Methods: The participants had a 3-month behavioral intervention or usual care and were followed up for an additional 3 months. They were assessed at baseline, 3, and 6 months. Latent growth curve models were performed to examine trajectories of each study variable and relationships among the variables.Findings: Increasing self-efficacy and social support were significantly and independently associated with more reduction of urinary leakage frequency over time.Implications for psychosocial oncology: Providing problem-solving skills and social support, including peer support, are essential for empowering patients to reduce UI.
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Affiliation(s)
- Amy Y Zhang
- Case Western Reserve University School of Nursing, Cleveland, Ohio, USA
| | | | - Alex Z Fu
- Cancer Prevention and Control Program, Georgetown University Medical Center, Washington, DC, USA
| | - Gerald Strauss
- Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.,Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA
| | - Donald R Bodner
- Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.,Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.,Department of Urology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
| | - Lee Ponsky
- Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.,Department of Urology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
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Hohl DH, Schultze M, Keller J, Heuse S, Luszczynska A, Knoll N. Inter-Relations between Partner-Provided Support and Self-Efficacy: A Dyadic Longitudinal Analysis. Appl Psychol Health Well Being 2019; 11:522-542. [PMID: 31231970 DOI: 10.1111/aphw.12166] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Existing evidence indicates that social support may enhance recipients' self-efficacy (enabling hypothesis) or that self-efficacy facilitates support receipt (cultivation hypothesis). However, less is known about the time-lagged support-self-efficacy relationship in couples. Our aim was to disentangle reciprocal interrelations among stable and time-varying components of support provision and self-efficacy in couples over time. METHODS We conducted secondary analyses of a published randomised controlled trial with six assessments, spanning 1 year and N = 338 heterosexual couples (age range: 18-80 years). Women's and men's reports on physical activity-specific provided support and physical activity-specific self-efficacy were analysed. RESULTS Based on the actor-partner interdependence model, we compared nested random intercepts cross-lagged panel models. The final model revealed no gender effects. Stable levels of both partners' support provision and self-efficacy were positively associated. At the time-varying level, one partner's self-efficacy predicted the other partner's support provision later on. No lagged-association emerged for the opposite predictive direction. CONCLUSIONS Partners' stable shares of provided support and self-efficacy were interrelated, whereas higher time-varying self-efficacy of one partner seemed to activate support provision from the other partner, confirming the cultivation hypothesis but not the enabling hypothesis.
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Affiliation(s)
| | | | - Jan Keller
- Freie Universität Berlin, Berlin, Germany
| | - Silke Heuse
- University of Applied Sciences Europe, Campus Berlin, Germany
| | - Aleksandra Luszczynska
- SWPS University of Social Sciences and Humanities, Wroclaw, Poland.,University of Colorado at Colorado Springs, Colorado Springs, Colorado, USA
| | - Nina Knoll
- Freie Universität Berlin, Berlin, Germany
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Lüscher J, Stadler G, Scholz U. A Daily Diary Study of Joint Quit Attempts by Dual-Smoker Couples: The Role of Received and Provided Social Support. Nicotine Tob Res 2018; 20:100-107. [PMID: 28387852 DOI: 10.1093/ntr/ntx079] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 04/05/2017] [Indexed: 11/12/2022]
Abstract
Introduction Smoking individuals often have a romantic partner who also smokes. Social support from a partner is assumed to be beneficial for successful smoking cessation. To date, no study has examined daily support and smoking in dual-smoker couples jointly attempting to quit. The aim was to test the hypothesis that smokers cut down more on days with higher received and provided emotional and instrumental support. Men are expected to benefit more from support provision of their female partners than vice versa. Aims and Methods In this dyadic diary study, 83 dual-smoker couples reported in daily mobile phone diaries number of cigarettes smoked, how much emotional and instrumental support they received from the other partner, and how much they provided to their partners for 22 consecutive days from a joint quit date on applying the Actor-Partner Interdependence Model. Results Evidence was found for a support-smoking link for emotional and instrumental support. On days when women and men reported more received and provided support than usual, they smoked fewer cigarettes (actor effects for both). For men only, partner support was related to smoking: On days when women reported providing more support than usual, men smoked fewer cigarettes (partner effect for men). Conclusions Social support plays a key role for one's own daily smoking in dual-smoker couples. Support provided by women but not by men was related to less smoking in partners. Findings emphasize the need for dyadic and daily assessments in longitudinal studies and trials to understand the dynamics of support in smoking cessation. Implications This study is the first to provide insights into the association between daily smoking and social support after a joint self-set quit attempt of dual-smoker couples using a dyadic intensive longitudinal approach. Received and provided emotional and instrumental support play a key role for one's own daily smoking in dual-smoker couples after a joint self-set quit date. Furthermore, support provided by women was related to less smoking in partners. Because smokers with a romantic partner who also smokes have lower quit success, it is remarkable that this study replicates findings from a prior study with smoker-nonsmoker couples showing the central role of social support after a quit attempt.
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Affiliation(s)
- Janina Lüscher
- Applied Social and Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Gertraud Stadler
- Institute of Applied Health Sciences, University of Aberdeen, Scotland
| | - Urte Scholz
- Applied Social and Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland
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15
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Radtke T, Luszczynska A, Schenkel K, Biddle S, Scholz U. A cluster randomized controlled trial comparing the effectiveness of an individual planning intervention with collaborative planning in adolescent friendship dyads to enhance physical activity (TWOgether). BMC Public Health 2018; 18:911. [PMID: 30041603 PMCID: PMC6056914 DOI: 10.1186/s12889-018-5818-6] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 07/10/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Most adolescents do not meet the recommendations for physical activity (PA) of at least 1 h per day. Individual planning (IP) interventions, including forming plans for when, where and how (action planning) to engage in a behavior, as well as the planning for how to deal with arising barriers (coping planning), are effective to enhance PA in adults. Collaborative planning (CP) is conjoint planning of two individuals regarding a behavior which is performed together. It is assumed that CP stimulates social exchange processes between the planning partners. However, it remains unclear whether planning interventions of PA in adolescents are successful and which planning intervention is more effective. Thus, this cluster randomized controlled trial (RCT) examines changes in daily moderate-to-vigorous PA in adolescents' friendship dyads resulting from planning. Individual self-regulating mechanism and social exchange processes are proposed as mediating mechanisms of the effects of planning for health behavior change. METHODS A single-blind four-arm parallel-group cluster-RCT is used. The sample consists of 400 friendship dyads between 14 and 18 years of age. As the recruitment takes place in schools, a cluster randomization of the schools is used to enroll dyads to (a) an IP intervention, (b) a CP intervention or (c) one of the two no-planning control conditions. Devise-measured and self-reported PA as the primary outcomes, self-regulatory strategies, and social exchange processes as secondary outcomes are assessed at three or four time points. After baseline measurement, the baseline ecological momentary assessment of the main variables takes place for 8 days followed by the intervention and a 7-days diary phase. Follow-ups are 1 month and 6 months later. Subsequent to the six-month follow-up, another 7-days diary phase takes place. DISCUSSION This is the first study examining IP in comparison to CP in adolescents applying a single-blind cluster RCT. Consequently, the study allows for understanding the efficacy of individual and collaborative planning and the underlying mechanisms in adolescent dyads. TRIAL REGISTRATION This RCT was funded by the Swiss National Science Foundation (100019_169781/1) and was registered on 18/06/2018 at ClinicalTrials.gov : NCT03575559 .
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Affiliation(s)
- Theda Radtke
- Department of Psychology, Applied Social and Health Psychology, University of Zurich, Binzmuehlestrasse 14/14, 8050, Zurich, Switzerland. .,Institute for Resilient Regions, University of Southern Queensland, Education City, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia.
| | - Aleksandra Luszczynska
- SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, PL-53-238, Wroclaw, Poland.,Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, 1420 Austin Bluffs Pkwy, Colorado Springs, CO, 80918, USA
| | - Konstantin Schenkel
- Department of Psychology, Applied Social and Health Psychology, University of Zurich, Binzmuehlestrasse 14/14, 8050, Zurich, Switzerland
| | - Stuart Biddle
- Institute for Resilient Regions, University of Southern Queensland, Education City, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Urte Scholz
- Department of Psychology, Applied Social and Health Psychology, University of Zurich, Binzmuehlestrasse 14/14, 8050, Zurich, Switzerland
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Knoll N, Hohl DH, Motter S, Keller J, Lange D, Felsenberg D, Martus P, Ertel W, Schwarzer R. Facilitating physical activity and reducing symptoms in patients with knee osteoarthritis: study protocol of a randomized controlled trial to test a theory-based PrevOP-psychological adherence program (PrevOP-PAP). BMC Musculoskelet Disord 2018; 19:221. [PMID: 30021578 PMCID: PMC6052630 DOI: 10.1186/s12891-018-2158-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 06/26/2018] [Indexed: 01/15/2023] Open
Abstract
Background The present randomized controlled trial, which is crossed with the “PREVenting the impairment of primary Osteoarthritis by high impact long-term Physical exercise regimen” Main Medical Trial (PrevOP-MMT), aims to evaluate a psychological adherence program (PrevOP-PAP), and is designed to support persons with knee osteoarthritis (OAK) in the uptake and maintenance of regular physical activity to reduce OAK symptoms. The PrevOP-PAP is based on the Health Action Process Approach (HAPA), a social-cognitive theory predicting health behavior change in individuals, extended here by social network characteristics and social exchange processes. It is expected that participants with OAK receiving the PrevOP-PAP will maintain higher levels of regular physical activity throughout a 24-month period and consequently report lower levels of OAK symptoms than participants of an active control condition. Methods A total of N = 240 participants with medically verified moderate OAK will be randomly assigned to an intervention condition (PrevOP-PAP-I; 50%) or an active control condition (PrevOP-PAP-CTRL). The PrevOP-PAP-I includes a motivational intervention, repeated self-regulation interventions, and a network creation intervention delivered over 12 months. Modes of intervention delivery include a paper-pencil motivation leaflet with a quiz, a computer-assisted face-to-face intervention, four computer assisted phone-based interventions, and activity calendars. The PrevOP-PAP-CTRL includes the motivational intervention only. Primary outcome will be OAK symptoms. Secondary outcomes include objectively and subjectively measured physical activity and indicators of quality of life. Other outcomes are HAPA-derived self-regulatory indicators as well as proposed social network and social exchange mechanisms of health behavior change. Assessments take place at baseline, 6 months, 12 months, 18 months, and 24 months following baseline. Discussion Based on the extended HAPA, this study seeks to reveal the self-regulatory and social mechanisms of the uptake and maintenance of physical activity and their relation to disease symptoms in persons with OAK. The design and evaluation of this program are intended to become a yardstick for future development and implementation of digitalized psychological adherence programs in this population. Trial registration German Clinical Trials Register; also available at http://apps.who.int/trialsearch/; registration number: DRKS00009677; date of registration: 26 January 2016.
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Affiliation(s)
- Nina Knoll
- Department of Education and Psychology, Health Psychology Division, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.
| | - Diana Hilda Hohl
- Department of Education and Psychology, Health Psychology Division, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - Susannah Motter
- Department of Education and Psychology, Health Psychology Division, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - Jan Keller
- Department of Education and Psychology, Health Psychology Division, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - Daniela Lange
- Department of Education and Psychology, Health Psychology Division, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - Dieter Felsenberg
- Centre for Muscle- and Bone Research, Department of Traumatology and Reconstructive Surgery, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Germany
| | - Peter Martus
- Institute for Clinical Epidemiology and Applied Biometry, Universitätsklinikum Tübingen, Silcherstr. 5, 72076, Tübingen, Germany
| | - Wolfgang Ertel
- Department of Traumatology and Reconstructive Surgery, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Germany
| | - Ralf Schwarzer
- Department of Education and Psychology, Health Psychology Division, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.,SWPS University of Social Sciences and Humanities, ul. Ostrowskiego 30b, 53-238, Wrocław, Poland
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Azevedo C, Mata LRFD, Braga PP, Chavez GM, Lopes MR, Penha CS. A PERCEPÇÃO DE HOMENS E COMPANHEIRAS ACERCA DA DISFUNÇÃO ERÉTIL PÓS-PROSTATECTOMIA RADICAL. TEXTO & CONTEXTO ENFERMAGEM 2018. [DOI: 10.1590/0104-070720180004870016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: analisar a percepção de pacientes prostatectomizados e de suas companheiras acerca dos desafios vivenciados após a cirurgia, relacionados à sexualidade do casal e aos efeitos da disfunção erétil. Método: estudo descritivo-exploratório, de abordagem qualitativa com coleta de dados a partir de um roteiro semiestruturado aplicado com nove casais. A análise dos dados ocorreu por meio do levantamento de unidades de sentidos e formação de categorias empíricas a partir do referencial da Teoria Social Cognitiva. Resultados: o tempo de realização da prostatectomia variou entre um ano e oito meses a três anos e dois meses. Dentre os homens, a média de idade foi de 65 anos e das mulheres 59 anos. O processo de análise dos dados permitiu a identificação de duas categorias empíricas e os resultados apontam que os desafios enfrentados pelos pacientes se referem à dificuldade de diálogo e ao distanciamento entre o casal e a consequente introspecção dos homens, a preocupação com o fator idade, o medo de abandono e a insegurança dos homens quanto ao uso de medidas terapêuticas para recuperação da capacidade de ereção. Entretanto, outros casais vivenciaram aspectos positivos baseados na compreensão e apoio psicológico, e até mesmo em mudanças na forma de pensarem e viverem após a cirurgia. Conclusão: a cirurgia de prostatectomia gera repercussões no cotidiano dos pacientes e de suas companheiras, sendo que a percepção do casal em relação às implicações da cirurgia é fator determinante no processo de recuperação e enfrentamento dos desafios advindos do tratamento.
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18
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Hohl DH, Lüscher J, Keller J, Heuse S, Scholz U, Luszczynska A, Knoll N. Inter-relations among negative social control, self-efficacy, and physical activity in healthy couples. Br J Health Psychol 2018. [PMID: 29520947 DOI: 10.1111/bjhp.12305] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES In romantic relationships, partners can influence each other's health-relevant behaviour by exerting negative social control (e.g., pressuring), however, with mixed success. To elucidate this phenomenon, we examined couples motivated to increase their physical activity and investigated the degree to which both partners exerted negative control on each other, their self-efficacy, reciprocal associations among the two behaviour-specific constructs, and their relationship with moderate-to-vigorous physical activity (MVPA). DESIGN This was a longitudinal study with three assessment periods (T0, T2, T3) spanning 7 weeks. METHODS We performed secondary analyses with data from the control condition (N = 113 heterosexual couples) of a published randomized controlled trial. Dyadic mediator models specified either both partners' self-efficacy as predictors and provided negative partner control to each other as mediators or vice versa. The outcomes comprised both partners' accelerometer-assessed MVPA. Mediators and outcomes were controlled for their T0 values. RESULTS The first model showed that women's and men's provided negative partner control (T0) was positively related to the other partners' self-efficacy (T2). Testing the alternative predictive direction, the second model showed that only women's self-efficacy (T0) was associated with more provided negative partner control (T2) by men. Women and men showed less MVPA (T3) when their partners had provided them with more negative control at T2. CONCLUSIONS As negative control provided to partners may be detrimental to their behaviour change, interventionists should advise couples to avoid it. However, active ingredients of negative control that may benefit recipients' self-efficacy beliefs should be investigated in future work. Statement of contribution What is already known on this subject? Couples often try to change each other's health behaviour not just using supportive tactics, but also controlling ones. Negative partner control (e.g., rebuking and nagging) was found to have adverse or no effects on control recipients' health behaviour change. To understand underlying mechanisms of this relationship, reactance and negative affect of recipients have been investigated, but only rarely their self-efficacy, a consistent individual predictor of behaviour change that is likely to share reciprocal relations with social exchange processes, including negative social control. What does this study add? Although harmful for behaviour change, negative partner control may increase control recipients' self-efficacy. Higher self-efficacy of one partner may also increase provided negative partner control by the other.
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Affiliation(s)
- Diana Hilda Hohl
- Department of Education and Psychology, Freie Universität Berlin, Germany
| | - Janina Lüscher
- Department of Psychology, University of Zurich, Switzerland
| | - Jan Keller
- Department of Education and Psychology, Freie Universität Berlin, Germany
| | - Silke Heuse
- Institute of Medical Psychology, Charité-Universitätsmedizin Berlin, Germany
| | - Urte Scholz
- Department of Psychology, University of Zurich, Switzerland
| | - Aleksandra Luszczynska
- SWPS University of Social Sciences and Humanities, Wroclaw, Poland.,Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Colorado Springs, Colorado, USA
| | - Nina Knoll
- Department of Education and Psychology, Freie Universität Berlin, Germany
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Berli C, Bolger N, Shrout PE, Stadler G, Scholz U. Interpersonal Processes of Couples' Daily Support for Goal Pursuit: The Example of Physical Activity. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2017; 44:332-344. [PMID: 29121824 DOI: 10.1177/0146167217739264] [Citation(s) in RCA: 78] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Little is known about how couples' social support facilitates the pursuit of important goals in daily life. Using an interpersonal perspective, we examined the effects of support provision and receipt on same-day physical activity, and studied the role of partners' joint engagement in activities. One hundred nineteen heterosexual couples reported on target persons' received and partners' provided support across 28 diary days, yielding 2,854 valid days. A dyadic report on couples' joint engagement was obtained from a subset of 88 couples. Target persons' daily activity was objectively assessed via accelerometers. On days with high versus low levels of provided support, target persons' activity was 25 min higher. Support receipt mediated 20% of this effect. Joint engagement accounted for around half of the effects of provided and received support. Support provision is uniquely linked to goal implementation in everyday life. Joint engagement in activities may be one explanation for how support is facilitated.
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Affiliation(s)
| | | | | | - Gertraud Stadler
- 2 Columbia University, New York, NY, USA.,4 University of Aberdeen, UK
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Banik A, Schwarzer R, Pawlowska I, Boberska M, Cieslak R, Luszczynska A. Women with family cancer history are at risk for poorer physical quality of life and lower self-efficacy: a longitudinal study among men and women with non-small cell lung cancer. Health Qual Life Outcomes 2017; 15:62. [PMID: 28376887 PMCID: PMC5381144 DOI: 10.1186/s12955-017-0645-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 03/30/2017] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND We investigated the determinants of trajectories of physical symptoms related to lung cancer (a quality of life [QOL] aspect) and self-efficacy among patients with non-small cell lung cancer (NSCLC). It was hypothesized that gender and family cancer history in first-degree relatives would have synergistic effects on QOL-lung cancer specific symptoms and self-efficacy. Women with family cancer history were expected to be at risk of poorer adjustment. METHODS Quantitative, longitudinal design was applied. Participants provided their responses at 3-4 days after surgery, 1-month follow-up, and 4-month follow-up. We recruited 102 in-patients (men: 51%) with NSCLC who underwent surgery aimed at removing a lung tumor. Self-report data were collected with QLQ-LC13 and a scale for self-efficacy for managing illness. RESULTS Mixed-models analysis indicated that trajectories of physical quality of life (symptoms of lung cancer) as well as self-efficacy were unfavorable among women with family cancer history. CONCLUSIONS Among NSCLC patients, gender and family cancer history may be considered basic screening criteria for identifying groups of patients at risk for poorer physical QOL (higher level of physical symptoms related to lung cancer) and lower incline of self-efficacy after cancer surgery.
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Affiliation(s)
- Anna Banik
- CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Ralf Schwarzer
- Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
- Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW Australia
| | - Izabela Pawlowska
- CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Monika Boberska
- CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Roman Cieslak
- Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
- Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Bluffs Pkwy, Colorado Springs, CO 80918 USA
| | - Aleksandra Luszczynska
- CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
- Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Bluffs Pkwy, Colorado Springs, CO 80918 USA
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Self-efficacy and Associated Factors in Patients With Temporary Ostomies. J Wound Ostomy Continence Nurs 2016; 43:623-629. [DOI: 10.1097/won.0000000000000274] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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22
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Keller J, Wiedemann AU, Hohl DH, Scholz U, Burkert S, Schrader M, Knoll N. Predictors of dyadic planning: Perspectives of prostate cancer survivors and their partners. Br J Health Psychol 2016; 22:42-59. [PMID: 27743412 DOI: 10.1111/bjhp.12216] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 09/18/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Extending individual planning of health behaviour change to the level of the dyad, dyadic planning refers to a target person and a planning partner jointly planning the target person's health behaviour change. To date, predictors of dyadic planning have not been systematically investigated. Integrating cognitive predictors of individual planning with four established predictor domains of social support provision, we propose a framework of predictors of dyadic planning. Including target persons' and partners' perspectives, we examine these predictor domains in the context of prostate cancer patients' rehabilitative pelvic floor exercise (PFE) following radical prostatectomy. DESIGN Longitudinal data from 175 patients and their partners were analysed in a study with four post-surgery assessments across 6 months. METHODS PFE-related dyadic planning was assessed from both partners together with indicators from four predictor domains: context, target person, partner, and relationship factors. Individual planning and social support served as covariates. RESULTS Findings from two-level models nesting repeated assessments in individuals showed that context (patients' incontinence), target person (i.e., positive affect and self-efficacy), and relationship factors (i.e., relationship satisfaction) were uniquely associated with dyadic planning, whereas partner factors (i.e., positive and negative affects) were not. Factors predicting patients' and partners' accounts of dyadic planning differed. CONCLUSIONS Resembling prior findings on antecedents of support provision in this context, partner factors did not prevail as unique predictors of dyadic planning, whereas indicators from all other predictor domains did. To establish predictive direction, future work should use lagged predictions with shorter intermeasurement intervals. Statement of contribution What is already known on this subject? Dyadic planning has been shown to be linked to health behaviour change. However, its role in behaviour regulation frameworks is not well investigated, especially regarding factors that might be predictive of dyadic planning. What does this study add? A framework of predictors of dyadic planning in the health behaviour change process is presented. The framework is investigated accounting for both planning partners' perspectives. Context, target person, and relationship factors were related to dyadic planning.
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Affiliation(s)
- Jan Keller
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Amelie U Wiedemann
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Diana Hilda Hohl
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Urte Scholz
- Department of Psychology, University of Zurich, Switzerland
| | - Silke Burkert
- Institute of Medical Psychology, Charité - Universitätsmedizin Berlin, Germany
| | - Mark Schrader
- Department of Urology, HELIOS Klinikum Berlin-Buch, Germany
| | - Nina Knoll
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
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Enabling, Not Cultivating: Received Social Support and Self-Efficacy Explain Quality of Life After Lung Cancer Surgery. Ann Behav Med 2016; 51:1-12. [DOI: 10.1007/s12160-016-9821-9] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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