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Psychoeducational Interventions with Pediatric Cancer Patients: Part II. Effects of Information and Skills Training on Health-Related Outcomes

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Abstract

In Part I of this paper, we described a model that was used as a framework for reviewing studies of psychoeducational interventions intended to influence illness- and treatment-related behaviors and attitudes in pediatric cancer patients. In Part II, we distinguish between interventions that attempt to influence patients' behaviors just by providing information and interventions that specifically teach skills related to the behaviors they are trying to change. Many types of psychoeducational interventions appear to be effective and those that are training-based generally appear more effective than those that are information-based. Training-based interventions may face a barrier to wide adoption because they are resource-costly, but the development of digital-based training interventions may potentially overcome this barrier.

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References

  • Auerbach, S., Kendall, P., Cuttler, H., & Levitt, N. (1976). Anxiety, locus of control, type of preparatory information, and adjustment to dental surgery. Journal of Consulting and Clinical Psychology, 44, 809–818.

    PubMed  Google Scholar 

  • Auerbach, S., Martelli, M., & Mercuri, L. (1987). Anxiety, information, interpersonal impacts and adjustment to a stressful health care situation. Journal of Personality and Social Psychology, 44, 1284–1296.

    Google Scholar 

  • Baider, L., Uziely, B., & De-Nour, A. (1994). Progressive muscle relaxation and guided imagery in cancer patients. General Hospital Psychiatry, 16, 340–347.

    PubMed  Google Scholar 

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.

    PubMed  Google Scholar 

  • Bandura, A. (2000). Social cognitive theory and a genetic perspective. Annual Review of Psychology, 52, 1–26.

    Google Scholar 

  • Bradlyn, A. S., Beale, I. L., & Kato, P. M. (2003). Psychoeducational interventions with pediatric cancer patients: Part I. Patient information and knowledge. Journal of Child and Family Studies, 12

  • Bridge, L., Benson, P., Pietroni, P., & Priest, R. (1988). Relaxation and imagery in the treatment of breast cancer. British Medical Journal, 297, 1169–1172.

    PubMed  Google Scholar 

  • Chen, E., Joseph, M. H., & Zeltzer, L. K. (2000). Behavioral and cognitive interventions in the treatment on pain in children. Pediatric Clinics of North America, 47, 513–525.

    PubMed  Google Scholar 

  • Christiano, B., & Russ, S. (1988). Matching preparatory information to coping style: The effects on children's distress in the dental setting. Journal of Pediatric Psychology, 23, 17–27.

    Google Scholar 

  • Contrada, R., Leventhal, E., & Anderson, J. (1994). Psychological preparation for surgery: Marshalling individual and social resources to optimise self-regulation. In H. L. S. Maes, & M. Johnston (Ed.), International review of health psychology (Vol. 3, pp. 219–266). Chichester, UK: Wiley.

    Google Scholar 

  • Cotanch, P., & Hockenberry, M. (1985). Self-hypnosis as antiemetic therapy in children resceiving chemotherapy. Oncology Nursing Forum, 12, 41–46.

    Google Scholar 

  • Davis, H. I. (1986). Effects of biofeedback and cognitive therapy on stress in patients with breast cancer. Psychological Reports, 59, 967–974.

    PubMed  Google Scholar 

  • Decker, T., Cline-Elsen, J., & Gallagher, M. (1992). Relaxation therapy as an adjunct in radiation oncology. Journal of Clinical Psychology, 48, 388–393.

    PubMed  Google Scholar 

  • Dragone, M. A., Bush, P. J., Jones, J. K., Bearison, D. J., & Kamani, S. (2002). Development and evaluation of an interactive CD-ROM for children with leukemia and their families. Patient Education and Counselling, 46, 297–307.

    Google Scholar 

  • Eagleton, J. M., Walker, F. S., & Barber, N. D. (1993). An investigation into patient compliance with hospital discharge medication in a local population. International Journal of Pharmacy Practice, 107–109.

  • Fallowfield, L., Ford, S., & Lewis, S. (1995). No news is not good news: information preferences of patients with cancer. Psychooncology, 4, 197–202.

    PubMed  Google Scholar 

  • Fanurik, D., Zeltzer, L., Roberts, M., & Blount, R. (1993). The relationship between children's coping styles and psychological interventions for cold pressor pain. Pain, 53, 213–222.

    PubMed  Google Scholar 

  • Fawzy, F., Cousins, N., Fawzy, N., Kemeny, M., Elashoff, R., & Morton, D. (1990). A structured psychiatric intervention for cancer patients: 1. Changes over time in methods of coping and affective disturbance. Archives of General Psychiatry, 47, 720–725.

    PubMed  Google Scholar 

  • Fawzy, F., Fawzy, N., Hyun, C., Guthrie, D., Fahey, J., & Morton, D. (1993). Malignant melanoma: Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Archives of General Psychiatry, 50, 681–689.

    PubMed  Google Scholar 

  • Fawzy, I., Fawzy, N. W., & Canada, A. L. (2001). Psychoeducational intervention programs for patients with cancer. In A. Baum & B. Andersen (Eds.), Psychosocial interventions for cancer (pp. 235–268). Washington, DC: American Psychological Association.

    Google Scholar 

  • Festa, R. S., Tamaroff, M. H., Chasalow, F., & Lanzkowsky, P. (1992). Therapeutic adherence to oral medication regimens by adolescents with cancer. I. Laboratory assessment. The Journal of Pediatrics, 120, 807–811.

    PubMed  Google Scholar 

  • Field, T., Alpert, B., Vega-Lahr, N., Goldstein, S., & Perry, S. (1988). Hospitalization stress in children: Sensitizer and repressor coping styles. Health Psychology, 7, 433–445.

    PubMed  Google Scholar 

  • George, C., Waters, W. E., & Nicholas, J. A. (1983). Prescription information leaflets: A pilot study in general practice. British Medical Journal, 287, 1193–1196.

    PubMed  Google Scholar 

  • Greer, S., Moorey, S., & Baruch, J. D. R. (1992). Adjuvant psychological therapy for patients with cancer: A prospective randomized trial. British Medical Journal, 304, 675–680.

    PubMed  Google Scholar 

  • Gruber, B. L., Hersh, S. P., Hall, N. R. S., Waletsky, L. R., Kunz, J. F., Carpenter, J. K., Kverno, K. S., & Weiss, S. M. (1993). Immunological responses of breast cancer patients to behavioral interventions. Biofeedback and Self-Regulation, 18, 1–21.

    PubMed  Google Scholar 

  • Harris, C., Bradlyn, A., Ritchey, A., Olsen, B., & Pisaruk, H. (1994). Individual differences in pediatric cancer patients' reactions to invasive medical procedures: a repeated measures analysis. Pediatric Hematogy and Oncology, 11, 293–299.

    Google Scholar 

  • Haynes, R. B. (1979). Introduction. In R. B. Haynes & D. L. Sackett & D. L. Taylor (Eds.), Compliance in health care (pp. 1–18). Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Haynes, R. B., Sackett, D. L., Gibson, E., Taylor, D. W., Roberts, R., & Johnson, A. L. (1978). Patient compliance with antihypertensive regimens. Patient Counseling and Health Education, 1, 18–21.

    Google Scholar 

  • Hinds, P. S., Quarqnenti, A., Bush, A. J., Pratt, C., Fairclough, D., Rissmiller, G., Betcher, D., & Gilchrist, G. (2000). An evaluation of the impact of a self-care coping intervention on psychological and clinical outcomes in adolescents with newly diagnosed cancer. European Journal of Oncology Nursing, 4, 6–17.

    PubMed  Google Scholar 

  • Hudson, M. M., Tyc, V. L., Srivastava, D. K., Gattuso, J., Quargnenti, A., Crom, D. B., & Hinds, P. (2002). Multi-component behavioral intervention to promote health protective behaviors in childhood cancer survivors: The protect study. Medical Pediatric Oncology, 39, 2–11.

    Google Scholar 

  • Jacobs, C., Ross, R., Walker, I., & Stockdale, R. (1983). Behavior of cancer patients: A randomized study of the effects of education and peer support groups. American Journal of Clinical Oncology, 6, 347–350.

    PubMed  Google Scholar 

  • Jay, S. M., Elliott, C. H., Ozolins, M., Olson, R. A., & Pruitt, S. D. (1985). Behavioral management of children's distress during painful medical procedures. Behavior Research and Therapy, 23, 513–520.

    Google Scholar 

  • Jay, S. M., Elliott, C. H., Woody, P. D., & Siegel, S. (1991). An investigation of cognitive-behavior therapy combined with oral valium for children undergoing painful medical procedures. Health Psychology, 10, 317–322.

    PubMed  Google Scholar 

  • Johnston, M., & Vogele, C. (1993). Benefits of psychological preparation for surgery: A meta-analysis. Behavioral Medicine, 15, 145–256.

    Google Scholar 

  • Koocher, G., & O'Malley, J. (1981). The Damocles syndrome: Psychosocial consequences of surviving childhood cancer. New York: McGraw-Hill.

    Google Scholar 

  • Kyngas, H. A., Kroll, T., & Duffy, M. E. (2000). Compliance in adolescents with chronic diseases: A review. Journal of Adolescent Health, 26, 379–388.

    PubMed  Google Scholar 

  • McQuellon, R., Wells, M., Hoffman, S., Craven, B., Russell, G., Cruz, J., Hurt, G., DeChatelet, P., Andrykowski, M., & Savage, P. (1998). Reducing distress in cancer patients with an orientation program. Psychooncology, 7, 207–217.

    PubMed  Google Scholar 

  • Melamed, B., Meyer, R., Gee, C., & Soule, L. (1976). The influence of time and type of preparation on children's adjustment to hospitalization. Journal of Pediatric Psychology, 1, 31–37.

    Google Scholar 

  • Melamed, B., & Siegel, L. (1975). Reduction of anxiety in children facing hospitalization and surgery by the use of filmed modeling. Journal of Consulting and Clinical Psychology, 43, 511–521.

    PubMed  Google Scholar 

  • Miller, S. M. (1987). Monitoring and blunting: Validation of a questionnaire to assess styles of information seeking under threat. Journal of Personality and Social Psychology, 52, 345–353.

    PubMed  Google Scholar 

  • Mohide, E. A., Whelan, T. J., & Rath, D. (1996). A randomized trial of two information packages distributed to new cancer patients before their initial appointment at a regional cancer centre. British Journal of Cancer, 73, 1588–1593.

    PubMed  Google Scholar 

  • Montgomery, C., Lydon, A., & Lloyd, K. (1999). Psychological distress among cancer patients and informed consent. Journal of Psychosomatic Research, 46, 241–245.

    PubMed  Google Scholar 

  • Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259–282.

    PubMed  Google Scholar 

  • Olson, R., Kaufman, K., Ware, L., & Chaney, J. (1986). Compliance with treatment regimens. Seminars in Oncology Nursing, 2, 104–111.

    PubMed  Google Scholar 

  • Partridge, A. H., Avorn, J., Wang, P. S., & Winer, E. P. (2002). Adherence to therapy with oral antineoplastic agents. Journal of the National Cancer Institute, 94, 652–661.

    PubMed  Google Scholar 

  • Pruitt, B., Waligora-Serafin, B., McMahon, T., Byrd, G., Besselman, L., Kelly, G., Drake, D., & Cueller, D. (1992). An educational intervention for newly-diagnosed cancer patients undergoing radiotherapy. Psychooncology, 2, 55–62.

    Google Scholar 

  • Rainey, L. (1985). Effects of preparatory patient education for radiation oncology patients. Cancer, 56, 1056–1061.

    PubMed  Google Scholar 

  • Richardson, J. L., Marks, G., Johnson, C. A., Graham, J. W., Chan, K. K., Selser, J. N., Kishbaugh, C., Barranday, Y., & Levine, A. M. (1987). Path model of multidimensional compliance with cancer therapy. Health Psychology, 6, 183–207.

    PubMed  Google Scholar 

  • Richardson, J. L., Shelton, D. R., Krailo, M., & Levine, A. M. (1990). The effect of compliance with treatment on survival among patients with hematologic malignancies. Journal of Clinical Oncology, 8, 356–364.

    PubMed  Google Scholar 

  • Roter, D. L., Hall, J. A., Merisca, R., Nordstrom, B., Cretin, D., & Svarstad, B. (1998). Effectiveness of interventions to improve patient compliance. Medical Care, 36, 1138–1161.

    PubMed  Google Scholar 

  • Slavin, L. A., O'Malley, J. E., Koocher, G. P., & Foster, D. J. (1982). Communication of the cancer diagnosis to pediatric patients: Impact on long-term adjustment. American Journal of Psychiatry, 139, 179–183.

    PubMed  Google Scholar 

  • Speca, M., Carlson, L., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62, 613–622.

    PubMed  Google Scholar 

  • Suls, J., & Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis. Health Psychology, 4, 249–288.

    PubMed  Google Scholar 

  • Swanson, H. (1993). Principles and procedures in strategy use. In L. J. Meltzer (Ed.), Strategy assessment and instruction for students with learning disabilities (pp. 61–92). Austin, TX: Pro-Ed.

    Google Scholar 

  • Tamaroff, M. H., Robert S. Festa, Andrew R. Adesman, and Gary A. Walco. (1992). Therapeutic adherence to oral medication regimens by adolescents with cancer. II. Clinical and psychologic correlates. The Journal of Pediatrics, 120, 812–817.

    PubMed  Google Scholar 

  • Tebbi, C. K. (1993). Treatment compliance in childhood and adolescence. Cancer Supplement, 71, 3441–3449.

    Google Scholar 

  • Tebbi, C. K., Cummings, K. M., Zevon, M. A., Smith, L., Richards, M., & Mallon, J. (1986). Compliance of pediatric and adolescent cancer patients. Cancer, 58, 1179–1184.

    PubMed  Google Scholar 

  • Thomas, R., Daly, M., Perryman, B., & Stockton, D. (2000). Forewarned is forearmed-benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy: A randomized controlled trial. European Journal of Cancer, 36, 1536–1543.

    PubMed  Google Scholar 

  • Vernon, D., Schulman, J., & Foley, J. (1966). Changes in children's behavior after hospitalization. American Journal of the Diseases of Children, 111, 581–593.

    Google Scholar 

  • Wells, M. E., McQuellon, R. P., Hinkle, J. S., & Cruz, J. M. (1995). Reducing anxiety in newly diagnosed cancer patients: a pilot program. Cancer Practitioner, 3, 100–104.

    Google Scholar 

  • Worden, J. W., & Weisman, A. D. (1984). Preventive psychosocial intervention with newly diagnosed cancer patients. General Hospital Psychiatry, 6, 243–249.

    PubMed  Google Scholar 

  • Zeltzer, L., LeBaron, S., & Zeltzer, P. M. (1984). The effectiveness of behavioral intervention for reduction of nausea and vomiting in children and adolescents receiving chemotherapy. Journal of Clinical Oncology, 2, 683–690.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Hopelab, Palo Alto, CA

    Ivan L. Beale (Director of Research)

  2. Health Behavior Research Center, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV

    Andrew S. Bradlyn (Associate Professor)

  3. HopeLab Foundation, Palo Alto, CA

    Pamela M. Kato (C.E.O.)

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  1. Ivan L. Beale
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  2. Andrew S. Bradlyn
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  3. Pamela M. Kato
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Beale, I.L., Bradlyn, A.S. & Kato, P.M. Psychoeducational Interventions with Pediatric Cancer Patients: Part II. Effects of Information and Skills Training on Health-Related Outcomes. Journal of Child and Family Studies 12, 385–397 (2003). https://doi.org/10.1023/A:1026007922274

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