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Social and medical risk factors associated with supportive needs in the first year following localized prostate cancer treatment
J Cancer Surviv. 2021 Feb;15(1) :110-118
PMID: 32681305 PMCID: PMC7872345 URL: https://www.ncbi.nlm.nih.gov/pubmed/32681305
AbstractPURPOSE: 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 with 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.
Notes1932-2267 Tagai, Erin K Hudson, Shawna V Diefenbach, Michael A Xu, Jenny Bator, Alicja Marziliano, Allison Miller, Suzanne M Orcid: 0000-0002-7296-9318 R01CA224918/CA/NCI NIH HHS/United States P30CA006927/CA/NCI NIH HHS/United States P30CA072720/CA/NCI NIH HHS/United States T32CA009035/CA/NCI NIH HHS/United States UL1TR003017/TR/NCATS NIH HHS/United States U01OH011690/CC/CDC HHS/United States RSG-15-021-01-CPPB/American Cancer Society/ Journal Article United States J Cancer Surviv. 2020 Jul 18. doi: 10.1007/s11764-020-00916-5.