A spotlight on avoidance coping to manage fear of recurrence among breast cancer survivors in an eHealth intervention

被引:0
|
作者
Hall, Daniel L. [1 ]
Levine, Beverly J. [2 ]
Jeter, Elizabeth [2 ]
Chandler, Allison [2 ]
Tooze, Janet A. [2 ]
Duffecy, Jenna [3 ]
Victorson, David [4 ]
Gradishar, William [4 ]
Leach, Joseph [5 ]
Saphner, Thomas [6 ]
Smith, Mary Lou [7 ]
Penedo, Frank [8 ]
Mohr, David C. [4 ]
Cella, David [4 ]
Wagner, Lynne, I [2 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, 100 Cambridge St,16th Floor, Boston, MA 02114 USA
[2] Wake Forest Univ, Bowman Gray Sch Med, Winston Salem, NC USA
[3] Univ Illinois, Chicago, IL USA
[4] Northwestern Univ, Chicago, IL 60611 USA
[5] Minnesota Oncol, Minneapolis, MN USA
[6] Aurora NCORP, Milwaukee, WI USA
[7] Res Advocacy Network, Plano, TX USA
[8] Univ Miami, Coral Gables, FL 33124 USA
基金
美国国家卫生研究院;
关键词
Fear of recurrence; Cancer; Survivorship; eHealth; Avoidance; QUALITY-OF-LIFE; EVENT SCALE; HEALTH; VALIDATION; PROGRESSION; STRATEGIES; OUTCOMES; STRESS; IMPACT; WOMEN;
D O I
10.1007/s10865-022-00349-8
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background Fear of recurrence (FoR) is prevalent among breast cancer survivors (BCS) and may be exacerbated by avoidance coping. This study examined BCS with avoidance coping and their engagement in a FoR eHealth intervention (FoRtitude). Methods BCS (N = 196) with elevated FoR participated in FoRtitude. Patient-reported measures assessed avoidance coping with FoR and baseline emotional and behavioral health. Intervention engagement was measured quantitatively (e.g., website logins, telecoaching attendance) and qualitatively (i.e., telecoaching notes). Results 38 BCS (19%) endorsed avoidance coping, which was associated with more severe post-traumatic anxiety-related symptoms and worse global mental health (ps < .05), but not anxiety (p = .19), depression (p = .11), physical health (p = .12), alcohol consumption (p = .85), or physical activity (p = .39). Avoidance coping was not associated with engagement levels (ps > .05) but did characterize engagement-related motivators and barriers. Conclusions Avoidance coping was not a barrier to FoRtitude engagement. eHealth delivery is a promising modality for engaging survivors with avoidance coping in FoR interventions.
引用
收藏
页码:771 / 781
页数:11
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