Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2200 W. Main St, Ste 340, Durham, NC, 27705, USA.
NorthShore University HealthSystem, Evanston, IL, USA.
Support Care Cancer. 2021 Jun;29(6):3267-3275. doi: 10.1007/s00520-020-05848-5. Epub 2020 Oct 26.
To test feasibility and preliminary efficacy of a couple-based supportive communication (CSC) intervention for head and neck cancer (HNC) delivered during patients' oncology treatment.
Twenty couples were randomly assigned to either a four-session CSC or a treatment-as-usual (TAU) condition. The CSC intervention primarily focused on increasing couple emotional disclosure, supportive listening, and social support. Patients and partners completed measures of individual and relationship functioning at baseline, post-intervention, and 6-month follow-up.
Ninety-eight percent of CSC sessions were completed and couples reported high levels of satisfaction with the intervention. Between-group effect sizes indicated that patients and partners in CSC reported improvements in individual and relationship functioning, relative to those in the TAU condition.
A couple-based communication intervention delivered during oncology treatment is feasible and acceptable in the context of HNC and may lead to improvements in individual and relationship functioning. Preliminary efficacy results are interpreted in the context of social-cognitive processing and intimacy theories.
The trial was registered on www.clinicaltrials.gov (NCT01785576) first posted on February 7, 2013.
测试在头颈癌（HNC）患者接受肿瘤治疗期间提供的基于伴侣的支持性沟通（CSC）干预措施的可行性和初步疗效。
将 20 对夫妇随机分配到四节 CSC 或常规治疗（TAU）组。CSC 干预主要侧重于增加夫妻双方的情感表达、支持性倾听和社会支持。患者和伴侣在基线、干预后和 6 个月随访时完成个体和关系功能的测量。
98%的 CSC 疗程完成，夫妇对干预措施的满意度很高。组间效应大小表明，与 TAU 组相比，CSC 组的患者和伴侣在个体和关系功能方面都有所改善。
在 HNC 背景下，在肿瘤治疗期间提供的基于伴侣的沟通干预是可行且可接受的，可能会改善个体和关系功能。初步疗效结果是根据社会认知加工和亲密关系理论进行解释的。
该试验在 www.clinicaltrials.gov（NCT01785576）上注册，首次于 2013 年 2 月 7 日发布。
