Psychosocial mechanisms of a behavioral treatment for urinary incontinence of prostate cancer survivors |
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| Authors: | Amy Y. Zhang Christopher Burant Alex Z. Fu Gerald Strauss Donald R. Bodner Lee Ponsky |
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| Affiliation: | 1. Case Western Reserve University School of Nursing, Cleveland, Ohio, USA;2. amy.zhang@case.edu;4. Cancer Prevention and Control Program, Georgetown University Medical Center, Washington, DC, USA;5. Case Western Reserve University School of Medicine, Cleveland, Ohio, USA;6. Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA;7. Department of Urology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA |
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| Abstract: | AbstractPurpose: 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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| Keywords: | pelvic floor muscle exercises prostate cancer self-efficacy social support urinary incontinence |
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