An effective group psychoeducational intervention for improving compliance with vaginal dilation: A randomized controlled trial

被引:63
作者
Jeffries, Sherryl A.
Robinson, John W.
Craighead, Peter S.
Keats, Melanie R.
机构
[1] Tom Baker Canc Clin, Dept Psychosocial Resources, Calgary, AB T2S 3C1, Canada
[2] Calgary Hlth Reg Chron Pain Ctr, Calgary, AB, Canada
[3] Univ Calgary, Dept Oncol, Program Clin Psychol, Calgary, AB T2N 1N4, Canada
[4] Univ Calgary, Dept Oncol, Fac Med, Calgary, AB T2N 1N4, Canada
[5] Tom Baker Canc Clin, Dept Radiat Oncol, Calgary, AB, Canada
[6] Univ Calgary, Fac Kinesiol, Calgary, AB T2N 1N4, Canada
来源
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 2006年 / 65卷 / 02期
关键词
gynecologic cancer; vaginal dilation; radiotherapy; sexuality; quality of life;
D O I
10.1016/j.ijrobp.2005.12.009
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: Although vaginal dilation is often recommended to minimize or prevent vaginal scarring after pelvic radiotherapy, compliance with this recommendation has historically been very low. Therefore, effective intervention strategies are needed to enhance compliance with vaginal dilation after radiotherapy for gynecologic cancer. Methods and Materials: This study was a randomized controlled clinical trial of a psychoeducational intervention specifically designed to increase compliance with vaginal dilation. The information-motivation-behavioral skills model of enhancing compliance with behavioral change was the basis for the intervention design. Forty-two sexually active women, 21 to 65 years of age, diagnosed with Stages Ic-III cervical or endometrial cancer, who received pelvic radiotherapy, were randomized to either the experimental psychoeducational group or the information-only control group. Assessment via questionnaire occurred before treatment and at 6-week, 6-month, 12-month, 18-month, and 24-month follow-up. Assessment via interview also occurred at 6-month, 12-month, 18-month, and 24-month follow-up. Results: The psychoeducational intervention was successful in increasing compliance with vaginal dilation. Conclusions: This study is the first randomized controlled study to demonstrate the effectiveness of an intervention in increasing compliance with the use of vaginal dilators. (c) 2006 Elsevier Inc.
引用
收藏
页码:404 / 411
页数:8
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