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A pilot, multisite, randomized controlled trial of a self-directed coping skills training intervention for couples facing prostate cancer: accrual, retention, and data collection issues

journal contribution
posted on 01.02.2016, 00:00 authored by S D Lambert, P McElduff, A Girgis, J V Levesque, T W Regan, J Turner, H Candler, Cathy Mihalopoulos, Ting-Fang Shih, K Kayser, P Chong
Purpose: To examine the acceptability of the methods used to evaluate Coping-Together, one of the first self-directed coping skill intervention for couples facing cancer, and to collect preliminary efficacy data. Methods: Forty-two couples, randomized to a minimal ethical care (MEC) condition or to Coping-Together, completed a survey at baseline and 2 months after, a cost diary, and a process evaluation phone interview. Results: One hundred seventy patients were referred to the study. However, 57 couples did not meet all eligibility criteria, and 51 refused study participation. On average, two to three couples were randomized per month, and on average it took 26 days to enrol a couple in the study. Two couples withdrew from MEC, none from Coping-Together. Only 44 % of the cost diaries were completed, and 55 % of patients and 60 % of partners found the surveys too long, and this despite the follow-up survey being five pages shorter than the baseline one. Trends in favor of Coping-Together were noted for both patients and their partners. Conclusions: This study identified the challenges of conducting dyadic research, and a number of suggestions were put forward for future studies, including to question whether distress screening was necessary and what kind of control group might be more appropriate in future studies.

History

Journal

Supportive Care in Cancer

Volume

24

Issue

2

Pagination

711 - 722

ISSN

0941-4355

eISSN

1433-7339

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2015, Springer