Predictors of engagement in a coping and communication support intervention for older patients with advanced cancer.

Journal of the American Geriatrics Society
Julia H RoseElizabeth E O'Toole

Abstract

To examine patterns and predictors of engagement in a coping and communication support (CCS) intervention tailored to the preferences of middle-aged and older patients in the early treatment phase for late-stage cancer. Randomized controlled trial examining processes and outcomes of a CCS intervention for patients with late-stage cancer over time. Two ambulatory cancer clinics providing care for underserved populations in Cleveland. One hundred nine middle-aged (MA: aged 40-60) and 101 young-old (YO: aged 61-80) patients randomized to the CCS intervention, surviving to 3 months after enrollment and averaging 2 months of 24/7 access to the intervention. Engagement was assessed in the average number of patient-CCS practitioner (CCSP) contacts per month during the initial 2 months of access to the intervention. Baseline data from patient interviews and chart reviews were used to test a model of prediction. MA patients averaged more patient-CCSP contacts per month than YO patients (mean 2.6 +/- 2.5 vs 2.0 +/- 1.2, P=.02), although both age groups were engaged. African-American patients (P=.007) and those with a higher blunting style (P<.01), reporting more family discord in cancer communication (P=.009), and receiving fewer active ...Continue Reading

References

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Dec 25, 2007·Wiener medizinische Wochenschrift·Wolfgang Hilbe
May 21, 2008·Clinical Interventions in Aging·Julia Hannum RoseElizabeth E O'Toole

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Citations

Sep 30, 2010·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Steven Paul WoodsUNKNOWN HIV Neurobehavioral Research Center (HNRC) Group
Apr 6, 2013·Contemporary Clinical Trials·Desiree RiversGwendolyn P Quinn
Feb 4, 2014·Journal of Behavioral Medicine·Pagona Roussi, Suzanne M Miller
Oct 13, 2015·Intellectual and Developmental Disabilities·Tamar HellerDora Fisher
Aug 20, 2018·BMJ Supportive & Palliative Care·Suman BudhwaniDoris Howell

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