Dataset Information

The sexual health of female rectal and anal cancer survivors: results of a pilot randomized psycho-educational intervention trial.

ABSTRACT:

Background

Sexual dysfunction is a frequently reported consequence of rectal/anal cancer treatment for female patients.

Purpose

The purpose of this study was to conduct a small randomized controlled trial to assess the efficacy of a telephone-based, four-session Cancer Survivorship Intervention-Sexual Health (CSI-SH).

Methods

Participants (N = 70) were stratified by chemotherapy, stoma, and menopause statuses before randomization to CSI-SH or assessment only (AO). Participants were assessed at baseline, 4 months (follow-up 1), and 8 months (follow-up 2).

Results

The intervention had medium effect sizes from baseline to follow-up 1, which decreased by follow-up 2. Effect sizes were larger among the 41 sexually active women. Unadjusted means at the follow-ups were not significantly different between the treatment arms. Adjusting for baseline scores, demographics, and medical variables, the intervention arm had significantly better emotional functioning at follow-ups 1 and 2 and less cancer-specific stress at follow-up 1 compared to the AO arm.

Conclusion

The data supported the hypothesized effects on improved sexual and psychological functioning and quality of life in CSI-SH female rectal/anal cancer survivors compared to the AO condition. This pilot study (N = 70) of CSI-SH supported the impact of this intervention on sexual and psychological functioning and quality of life on rectal and anal cancer survivors compared with an AO condition. However, intervention effects were stronger at follow-up 1 as compared to follow-up 2 and were stronger for sexually active women.

Implications for cancer survivors

Women may benefit from a brief, four-session, sexual health intervention after treatment from rectal and anal cancer.

SUBMITTER: DuHamel K

PROVIDER: S-EPMC4864056 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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Publications

The sexual health of female rectal and anal cancer survivors: results of a pilot randomized psycho-educational intervention trial.

DuHamel Katherine K Schuler Tammy T Nelson Christian C Philip Errol E Temple Larissa L Schover Leslie L Baser Raymond E RE Starr Tatiana D TD Cannon Kathleen K Jennings Sabrina S Jandorf Lina L Carter Jeanne J

Journal of cancer survivorship : research and practice 20151214 3

<h4>Background</h4>Sexual dysfunction is a frequently reported consequence of rectal/anal cancer treatment for female patients.<h4>Purpose</h4>The purpose of this study was to conduct a small randomized controlled trial to assess the efficacy of a telephone-based, four-session Cancer Survivorship Intervention-Sexual Health (CSI-SH).<h4>Methods</h4>Participants (N = 70) were stratified by chemotherapy, stoma, and menopause statuses before randomization to CSI-SH or assessment only (AO). Participa ...[more]

PMID: 26667358

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Project description:Interventions: The intervention is a face-to-face educational psychoanalysis program.Intervention group:Intervention method: Training groups will be 4 to 6 people and the training is done in a classroom formed at the infirmary, the training class includes:A: Educational pamphlet provided to the learner at the beginning of the classB: PowerPoint using a computer and monitorThe training time will be 60 minutes. At the beginning of the session and before the training, the researcher gives the questionnaires to patients and asks them to complete those questionnaires, then the training begins by the researcher. According to the educational pamphlet, the researcher first outlines the importance of conducting these examinations and notes the dangers of non-timely examinations and its non-adherence. Then explains the examination method with the help of images that represent how the examination will be performed. These images are available on Pamphlet and PowerPoint; Images and explanations will be based on how to make such examinations scientifically as well as the special procedure of the surgeon. Through these images and descriptions, we help the patients to learn how to prepare themselves for examinations. We explain to patients the cause of each question doctor asks and they will be asked to answer the questions correctly and tell the doctor real signs and symptoms in order to help the doctor identify the actual diagnosis. The duration of this training phase is estimated 30 minutes. After the training stage, the psychological preparation of patients begins. Fellow psychologist who is already coordinated with the research project, talks with patients and makes them mentally prepared to accept such examinations. The duration of this psychological counseling will be 30 minutes. During this psychologica Primary outcome(s): Anexiety_ embarrassment_ concern about judgment. Timepoint: Before intervention and after intervention. Method of measurement: Measurement of Beck’s Anxiety Scale and measurement of embarrassment and concern are judgments of the medical embarrassment questionnaire. Study Design: Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention, Randomization description: Sample selection: the method of selecting admission days of this surgeon for the intervention and control group will be randomly and by using random number table in block method. Visitation days for the mentioned surgeon will be done by randomized block design, and weekdays will be allocated to two groups through block method. First, the researcher constitutes different permutations of A (indicating the visitation date of intervention group) and B (indicating the visitation date of control group) which consist of 6 different modes: for example (1-AABB, 2-ABAB… 6-ABAB). Then to select specific days for control group and intervention group from the table, randomly moves his finger from a point in the random number table in a row or column direction. If a number between one and six is observed, its permutation will be noted. For example, if

Dataset Information

The sexual health of female rectal and anal cancer survivors: results of a pilot randomized psycho-educational intervention trial.

Background

Purpose

Methods

Results

Conclusion

Implications for cancer survivors

Publications

The sexual health of female rectal and anal cancer survivors: results of a pilot randomized psycho-educational intervention trial.

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