A Communal Coping Intervention for Couples Managing Chronic Illness: Proof-of-Concept Study.

IF 12.5 1区 医学 Q1 ONCOLOGY Cancer research Pub Date : 2024-09-01 Epub Date: 2022-09-22 DOI:10.1037/cfp0000234
Melissa Zajdel, Vicki S Helgeson
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Abstract

Introduction: Communal coping is an interpersonal coping strategy defined as the appraisal of a problem as shared and collaboration to manage it. Despite evidence establishing links of communal coping to health, few interventions have involved communal coping. This study seeks to establish proof of concept that an intervention rooted in communal coping theory can impact couple members' communal coping and intermediary outcomes.

Methods: Couples (n = 40) in which one person has type 2 diabetes were randomly assigned to intervention versus control in a parallel randomized trial with 1:1 allocation. The intervention consisted of a single session focused on discussion of shared stressors, communal coping education, and collaborative implementation intentions followed by 7 days of text message reinforcement. Couples were interviewed in-person, received the intervention or active control, and completed 7 daily questionnaires. Communal coping and intermediary outcomes associated with communal coping were assessed daily. Feasibility and acceptability were also assessed.

Results: The intervention increased reports of both patient and partner shared appraisal and collaboration and impacted some intermediary outcomes of communal coping. Compared to control, intervention participants reported greater perceived partner responsiveness, patient support receipt, and partner confidence in patient illness self-efficacy.

Discussion: This study provides initial proof of concept that an intervention based on communal coping theory can increase couples' communal coping-both shared appraisal and collaboration. Additionally, the intervention was able to impact some intermediary outcomes that may be linked to downstream health outcomes for both patients and partners.

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针对慢性病夫妇的共同应对干预:概念验证研究
简介共同应对是一种人际应对策略,其定义是将问题视为共同问题,并通过合作加以解决。尽管有证据表明共同应对与健康有关,但很少有干预措施涉及共同应对。本研究试图证明,以共同应对理论为基础的干预措施能够影响夫妻双方的共同应对和中间结果:方法:在1:1分配的平行随机试验中,将一方患有2型糖尿病的夫妇(n = 40)随机分配到干预组和对照组。干预包括一次会议,重点讨论共同的压力源、共同应对教育和合作实施意向,随后进行为期 7 天的短信强化。夫妻双方均接受了面谈、干预或积极对照,并填写了 7 份每日问卷。每天对共同应对和与共同应对相关的中间结果进行评估。此外,还对可行性和可接受性进行了评估:结果:干预增加了患者和伴侣对共同评价和合作的报告,并影响了一些共同应对的中间结果。与对照组相比,干预参与者报告了更高的伴侣响应度、患者支持度和伴侣对患者疾病自我效能的信心:本研究初步证明了基于共同应对理论的干预可以提高夫妻共同应对能力--包括共同评估和协作。此外,该干预措施还能够影响一些中间结果,这些结果可能与患者和伴侣的下游健康结果相关联。
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
Cancer research
Cancer research 医学-肿瘤学
CiteScore
16.10
自引率
0.90%
发文量
7677
审稿时长
2.5 months
期刊介绍: Cancer Research, published by the American Association for Cancer Research (AACR), is a journal that focuses on impactful original studies, reviews, and opinion pieces relevant to the broad cancer research community. Manuscripts that present conceptual or technological advances leading to insights into cancer biology are particularly sought after. The journal also places emphasis on convergence science, which involves bridging multiple distinct areas of cancer research. With primary subsections including Cancer Biology, Cancer Immunology, Cancer Metabolism and Molecular Mechanisms, Translational Cancer Biology, Cancer Landscapes, and Convergence Science, Cancer Research has a comprehensive scope. It is published twice a month and has one volume per year, with a print ISSN of 0008-5472 and an online ISSN of 1538-7445. Cancer Research is abstracted and/or indexed in various databases and platforms, including BIOSIS Previews (R) Database, MEDLINE, Current Contents/Life Sciences, Current Contents/Clinical Medicine, Science Citation Index, Scopus, and Web of Science.
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