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Factors Associated With Prostate Cancer Patients' and Their Spouses' Satisfaction With a Family-Based Intervention

Harden, Janet PhD; Falahee, Margaret MSN; Bickes, Joan MSN; Schafenacker, Ann MSN; Walker, Julie MSN; Mood, Darlene PhD; Northouse, Laurel PhD

doi: 10.1097/NCC.0b013e3181b311e9
Articles

Only a few programs are designed to help couples cope with the effects of prostate cancer, and typically, only their intervention outcomes are reported. The purpose of this study was to assess prostate cancer patients' and their spouses' satisfaction with an efficacious supportive-educative, family-based intervention, and factors associated with their satisfaction. We assessed the relationship of overall satisfaction with the intervention to (1) the patients' and spouses' appraisal and the resource and quality-of-life baseline scores and (2) changes in those scores after completing the intervention. Results showed that participants were very satisfied with the program. Patients who had higher scores on baseline measures, indicating more positive appraisal of their illness, better use of resources (eg, coping, self-efficacy), and higher overall quality of life, reported more satisfaction with the intervention. For spouses, few baseline measures were related to their satisfaction; however, spouses who reported positive changes after intervention (less negative appraisal and uncertainty, better communication) reported higher satisfaction with the program. Although satisfied with the program, factors associated with patients' and spouses' satisfaction differed. To translate effective interventions to clinical practice settings, it is important to assess participants' satisfaction with program content and delivery, as well as program outcomes.

Authors' Affiliations: College of Nursing, Wayne State University, Detroit, Michigan (Dr Harden, Mss Falahee and Bickes, and Dr Mood); School of Nursing, University of Michigan, Ann Arbor (Mss Schafenacker and Walker, and Dr Northouse).

This study was supported by grant R01CA90739 from the National Cancer Institute (to Laurel L. Northouse, Primary Investigator).

Corresponding author: Janet Harden, PhD, Wayne State University, College of Nursing, 5557 Cass Ave, Rm 372 Cohn, Detroit, MI 48202 (jharden@wayne.edu).

Accepted for publication June 12, 2009.

© 2009 Lippincott Williams & Wilkins, Inc.