Psycho-oncology
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Randomized Controlled Trial
Evaluation of the making sense of brain tumor program: a randomized controlled trial of a home-based psychosocial intervention.
Despite significant psychosocial morbidity, there are few controlled trials of psychological support for people with brain tumor. This study evaluated the efficacy of the Making Sense of Brain Tumor (MSoBT) program, a home-based psychosocial intervention. ⋯ The MSoBT program appears to have efficacy for enhancing psychological well-being and quality of life after brain tumor.
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Randomized Controlled Trial
Inflammation and psychosocial factors mediate exercise effects on sleep quality in breast cancer survivors: pilot randomized controlled trial.
To improve mechanistic understanding, this pilot randomized controlled trial examined mediators of an exercise intervention effects on sleep in breast cancer survivors (BCS). ⋯ Inflammation and psychosocial factors may mediate or enhance sleep response to our exercise intervention. Further study is warranted to confirm our results and translate our findings into more effective interventions aimed at improving sleep quality in BCS.
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Randomized Controlled Trial
Testing the differential effects of symptom management interventions in cancer.
The purpose of this study was to test for moderating effects of patient characteristics on self-management interventions developed to address symptoms during cancer treatment. Patient's age, education, and depressive symptomatology were considered as potential moderators. ⋯ Clinicians need to carefully consider the age of the population when using or testing interventions to manage symptoms among cancer patients.
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Randomized Controlled Trial
Reducing the psychological distress of family caregivers of home based palliative care patients: longer term effects from a randomised controlled trial.
Palliative care incorporates comprehensive support of family caregivers because many of them experience burden and distress. However, evidence-based support initiatives are few. ⋯ These results are consistent with the aim of the intervention, and they support existing evidence demonstrating that relatively short psychoeducational interventions can help family caregivers who are supporting a dying relative. The sustained benefit during the bereavement period may also have positive resource implications, which should be the subject of future inquiry.
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Randomized Controlled Trial
A pathway linking patient participation in cancer consultations to pain control.
To test a pathway through which a tailored, pain management education-coaching intervention could contribute to better cancer pain control through the effects of patients' communication about pain on physician prescribing of pain medication. ⋯ Cancer patients who ask questions, express concerns, and state preferences about pain-related matters can prompt physicians to change their pain management regimen, which in turn may lead to better pain control. Future research should model pathways through which clinician-patient communication can lead to better cancer outcomes.