Personality Feedback With Tailored Self-Care Recommendations Improves Self-Efficacy for Cancer Management: A Randomized Controlled Trial.

IF 3.3 2区医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-11-01 DOI:10.1002/pon.70023

Laura M Perry, Brenna Mossman, Sofia F Garcia, Sheetal M Kircher, Addison Dunn, Sarah Alonzi, Sanjana Easwar, Michael Hoerger

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Abstract

Objective: To test whether a personality feedback intervention improves three domains of cancer self-management: self-awareness, self-efficacy, and positive affect.

Methods: From 11/2020-02/2021, 372 adults diagnosed with cancer participated in a randomized controlled trial (RCT) of an intervention that entailed reading a brief personality-related excerpt during an online survey. Eligibility included self-reported age ≥ 18 years, current or past cancer diagnosis, and ability to read English. The survey included a baseline assessment with a personality questionnaire, then randomized participants to one of two groups. The intervention group (n = 184) received a personality feedback report with tailored self-care tips, whereas the control group (n = 188) received a generic reading on personality theory. At the end of the survey, participants completed outcome measures of self-awareness (primary), self-efficacy for illness management, and positive affect. General linear models tested between-group differences in changes from baseline to post-test on each outcome.

Results: There was no intervention effect on self-awareness (primary outcome) or positive affect. However, compared to controls, intervention participants experienced a greater increase in self-efficacy for illness management (d = 0.33, p = 0.002), including in 2 of 3 constituent domains: self-efficacy for managing symptoms (d = 0.36, p < 0.001) and self-efficacy for managing treatments/medication (d = 0.22, p = 0.035).

Conclusion: Despite the primary outcome's null results, this was the first RCT of a personality feedback intervention to show improvements in self-efficacy for managing chronic illness. Given the important role of self-efficacy in self-management, the intervention has implications for other cancer outcomes. Follow-up studies on longer-term outcomes such as health behaviors and quality of life should be explored.

Trial registration: NCT04625439.

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个性反馈与量身定制的自我保健建议可提高癌症管理的自我效能：随机对照试验

目的：检验人格反馈干预是否能改善癌症自我管理的三个领域：自我意识、自我效能和积极情绪：测试人格反馈干预是否能改善癌症自我管理的三个方面：自我意识、自我效能和积极情绪：从 2020 年 11 月至 2021 年 2 月，372 名确诊患有癌症的成年人参加了一项随机对照试验（RCT），该试验的干预措施包括在在线调查期间阅读与个性相关的简短摘录。参与资格包括自报年龄≥18岁、目前或过去曾被诊断患有癌症以及具有英语阅读能力。调查包括人格问卷基线评估，然后将参与者随机分为两组。干预组（n = 184）收到一份性格反馈报告，其中包含量身定制的自我保健建议，而对照组（n = 188）则收到一份关于性格理论的普通读物。调查结束后，参与者完成了自我意识（主要）、疾病管理自我效能感和积极情绪的结果测量。一般线性模型检验了各结果从基线到测试后的组间差异：结果：干预对自我意识（主要结果）和积极情绪没有影响。然而，与对照组相比，干预参与者在疾病管理的自我效能方面有了更大的提高（d = 0.33，p = 0.002），其中包括 3 个组成领域中的 2 个：症状管理自我效能（d = 0.36，p = 0.002尽管主要结果为零，但这是第一项人格反馈干预的研究性试验，显示了慢性病管理自我效能的改善。鉴于自我效能在自我管理中的重要作用，该干预对其他癌症结果也有影响。应探索对健康行为和生活质量等长期结果的后续研究：试验注册：NCT04625439。

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

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.