Mutual communication intervention for colorectal cancer patient–spousal caregiver dyads: A randomized controlled trial

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-06-07 DOI:10.1111/bjhp.12734

Junrui Zhou, Zhiming Wang, Xuan Chen, Chunyan Lin, Jie Zhao, Alice Yuen Loke, Qiuping Li

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Abstract

Objective

Gender could impact the psychosocial outcomes and coping strategies of cancer patients and their spousal caregivers (SCs). This study aims to develop a gender-concerned program for colorectal cancer (CRC) couple-based mutual communication intervention (MCI) and to assess its effectiveness on the intra-couple relationship and the individual functions of the partners.

Design

A randomized clinical trial with two study groups was utilized.

Methods

A total of 144 CRC patients and their SCs were randomly assigned to either MCI or usual care (UC) groups, and all of them were required to complete the measurements at baseline and post-intervention. The primary outcome was for mutual communication, and the secondary outcomes included dyadic coping, relationship satisfaction, anxiety, depression, benefit finding and quality of life. The data were analysed by multi-level modelling.

Results

The MCI program was feasible and acceptable for Chinese CRC couples and was effective for the improvement of the intra-couple relationship and the individual functions of each partner. CRC patients showed more improvement in mutual communication and dyadic coping than their SCs in the MCI group. Also, this intervention effectiveness was found to be independent of gender.

Conclusions

The MCI program is beneficial for Chinese CRC couple's adaptation outcomes. This suggests that clinical medical staff should consider the gender tendency during the implementation of interventions. More researches are needed to extend the application of the MCI program to different participants (e.g. patients with the diagnosis of other types of cancer and their SCs).

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针对结直肠癌患者-配偶照顾者二人组的相互沟通干预：随机对照试验。

目的性别会影响癌症患者及其配偶照顾者（SCs）的社会心理结果和应对策略。本研究旨在为结肠直肠癌（CRC）患者制定一项基于夫妻相互沟通干预（MCI）的性别关注计划，并评估其对夫妻内部关系和伴侣个人功能的影响：设计：采用随机临床试验，分为两个研究组：共有 144 名 CRC 患者及其 SC 被随机分配到 MCI 组或常规护理组（UC），所有患者均需完成基线和干预后的测量。主要结果为相互沟通，次要结果包括：患者的应对能力、关系满意度、焦虑、抑郁、受益发现和生活质量。数据采用多层次模型进行分析：结果：MCI项目对于中国的CRC夫妇来说是可行和可接受的，并能有效改善夫妇内部关系和双方的个人功能。与 SC 相比，MCI 组的 CRC 患者在相互沟通和双向应对方面表现出更大的改善。此外，干预效果与性别无关：结论：MCI项目有利于中国CRC夫妇的适应结果。结论：MCI项目有利于中国CRC夫妇的适应结果，这表明临床医务人员在实施干预时应考虑性别倾向。还需要开展更多的研究，将MCI项目的应用范围扩大到不同的参与者（如确诊为其他类型癌症的患者及其SC）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.