Bansal Aasthaa, Koepl Lisel M, Fedorenko Catherine R, Li Chunyu, Smith Judith Lee, Hall Ingrid J, Penson David F, Ramsey Scott D
Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, Seattle, WA, 98109, USA.
School of Pharmacy, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98185, USA.
J Cancer Educ. 2018 Apr;33(2):325-331. doi: 10.1007/s13187-017-1179-6.
Information sources about prostate cancer treatment and outcomes are typically designed for patients. Little is known about the availability and utility of information for partners. The objectives of our study were to evaluate information sources used by partners to understand prostate cancer management options, their perceived usefulness, and the relationship between sources used and satisfaction with treatment experience. A longitudinal survey of female partners of men newly diagnosed with local-stage prostate cancer was conducted in three different geographic regions. Partners and associated patients were surveyed at baseline (after patient diagnosis but prior to receiving therapy) and at 12 months following diagnosis. Information sources included provider, literature, friends or family members, Internet websites, books, traditional media, and support groups. Utility of an information source was defined as whether the partner would recommend it to caregivers of other patients with local-stage prostate cancer. Our study cohort included 179 partner-patient pairs. At diagnosis, partners consulted an average of 4.6 information sources. Non-Hispanic white partners were more likely than others to use friends and family as an information source (OR = 2.44, 95% CI (1.04, 5.56)). More educated partners were less likely to use support groups (OR = 0.31, 95% CI (0.14, 0.71)). At 12-month follow-up, partners were less likely to recommend books (OR = 0.23, 95% CI (0.11, 0.49)) compared to baseline. Partners consulted a large number of information sources in researching treatment options for local-stage prostate cancer and the types of sources accessed varied by race/ethnicity and educational attainment. Additional resources to promote selection of high-quality non-provider information sources are warranted to enable partners to better aid patients in their treatment decision-making process.
有关前列腺癌治疗及治疗结果的信息来源通常是为患者设计的。对于伴侣可获取的信息及其效用,我们却知之甚少。我们研究的目的是评估伴侣用于了解前列腺癌治疗方案的信息来源、他们认为的有用性,以及所使用的信息来源与治疗体验满意度之间的关系。我们在三个不同地理区域对新诊断为局限性前列腺癌男性患者的女性伴侣进行了一项纵向调查。伴侣及其相关患者在基线时(患者确诊后但在接受治疗前)和确诊后12个月接受了调查。信息来源包括医疗服务提供者、文献、朋友或家庭成员、互联网网站、书籍、传统媒体和支持小组。信息来源的效用定义为伴侣是否会将其推荐给其他局限性前列腺癌患者的护理人员。我们的研究队列包括179对伴侣-患者组合。在确诊时,伴侣平均咨询4.6个信息来源。非西班牙裔白人伴侣比其他伴侣更有可能将朋友和家人作为信息来源(比值比=2.44,95%置信区间(1.04, 5.56))。受教育程度较高的伴侣使用支持小组的可能性较小(比值比=0.31,95%置信区间(0.14, 0.71))。在12个月的随访中,与基线相比,伴侣推荐书籍的可能性较小(比值比=0.23,95%置信区间(0.11, 0.49))。伴侣在研究局限性前列腺癌的治疗方案时会咨询大量信息来源,并且所获取的信息来源类型因种族/民族和教育程度而异。有必要提供更多资源以促进高质量非医疗服务提供者信息来源的选择,使伴侣能够更好地帮助患者进行治疗决策。