Mediators of an Internet-based psychosocial intervention for women with breast cancer.
نویسندگان
چکیده
OBJECTIVE Many interventions have been designed to promote psychological adjustment in cancer survivors; however, notably few studies have specified the mediating processes through which these interventions work. The primary aim of this research is to examine theoretically and empirically grounded mediators of an Internet-based psychosocial intervention for women with breast cancer. METHOD Women (N = 88) diagnosed with breast cancer were randomly assigned to participate in a 3-hr workshop for creation of personal websites or a waitlist control. Mediating variables and dependent variables were assessed at baseline, 1 month, and 6 months following workshop participation. Indirect effects were tested using single and multiple mediator models. RESULTS Relative to control participants, women randomized to Project Connect Online (PCO) evidenced statistically significant benefit 6 months after the workshop on depressive symptoms, positive mood, and life appreciation, as well as on hypothesized mediators (i.e., coping self-confidence, loneliness, social support from friends, but not emotional processing and expression). Change over 6 months in coping self-confidence, loneliness, and social support from friends mediated the relationship between the intervention and improvement in depressive symptoms. Coping self-confidence mediated the relationship between PCO and enhanced positive mood, and social support from friends mediated the relationship between PCO and increased life appreciation. CONCLUSIONS Findings indicate how PCO promoted adaptive change and highlighted modifiable factors, including coping self-confidence, loneliness, and social support from friends, which contributed to positive adjustment to breast cancer. Additional potential mediators and ways in which the intervention can be enhanced are addressed.
منابع مشابه
Project connect online: user and visitor experiences of an Internet-based intervention for women with breast cancer.
OBJECTIVE This study's purpose was to characterize the experience of patients with breast cancer randomly assigned to the intervention arm of Project Connect Online (PCO), a randomized controlled trial of an Internet-based intervention, and to examine relationships between website use variables and psychosocial outcomes. METHODS In the larger PCO trial, patients with breast cancer (n = 88) we...
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عنوان ژورنال:
- Health psychology : official journal of the Division of Health Psychology, American Psychological Association
دوره 34 5 شماره
صفحات -
تاریخ انتشار 2015