CAAPS: Coping in African American Prostate Cancer Survivors

Sponsor
Duke University (Other)
Overall Status
Completed
CT.gov ID
NCT00589966
Collaborator
United States Department of Defense (U.S. Fed)
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35
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Study Details

Study Description

Brief Summary

This study will test the effectiveness of an 8-week group intervention for African American men who have been treated for prostate cancer. The group intervention is based on 1) the cognitive-behavioral theoretical approach to improving adjustment to cancer and 2) masculinity theory as it relates to coping strengths and preferences in men. We will test the effectiveness of this coping skills intervention for improving survivors' quality of life in 4 areas: 1) distress related to sexual, urinary, and bowel symptoms; 2) self-confidence for managing symptoms; 3) overall emotional functioning; and 4) overall physical functioning. The effect of the coping skills group intervention in these 4 areas will be compared to a comparison intervention in which African American men will receive basic education about prostate cancer, but will not participate in coping skills training.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Coping Skills Training
  • Behavioral: Prostate Cancer Education
N/A

Detailed Description

African American men have higher diagnosis and death rates from prostate cancer than any other ethnic group. After treatment for prostate cancer, African American men also report slower recovery, including physical symptoms (e.g., sexual dysfunction, urinary incontinence) that can persist well beyond the immediate post-treatment period. Despite the evidence that African American men have poorer outcomes following prostate cancer treatment, very little is known about how to improve quality of life and enhance recovery in this group of survivors.

This study will test the effectiveness of an 8-week group intervention for African American men who have been treated for prostate cancer. The group intervention is based on 1) the cognitive-behavioral theoretical approach to improving adjustment to cancer and 2) masculinity theory as it relates to coping strengths and preferences in men. In this group intervention African American prostate cancer survivors will be taught a variety of coping skills for managing both the physical and emotional challenges of living with prostate cancer. The coping skills training groups will consist of 6-8 survivors and will be conducted in both medical center clinic settings and community settings (e.g., churches). Each group session will be co-led by an African American psychologist and an African American male lay person. We will test the effectiveness of this coping skills intervention for improving survivors' quality of life in 4 areas: 1) distress related to sexual, urinary, and bowel symptoms; 2) self-confidence for managing symptoms; 3) overall emotional functioning; and 4) overall physical functioning. The effect of the coping skills group intervention in these 4 areas will be compared to a comparison intervention in which African American men will receive basic education about prostate cancer, but will not participate in coping skills training. The recruitment goal for this project is 154 African American men treated for early stage prostate cancer.

Due to the comprehensive nature of the coping skills training intervention (i.e., a variety of coping skills targeting both physical and emotional challenges of prostate cancer), we expect coping skills training to be significantly more effective than cancer education. Ultimately, findings from this study could fill a significant gap that exists in the research literature regarding our understanding of how to help African American men achieve the fullest possible recovery following prostate cancer treatment.

Study Design

Study Type:
Interventional
Actual Enrollment :
62 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Supportive Care
Official Title:
Coping Skills Training Groups to Enhance Recovery From Prostate Cancer in African American Men
Study Start Date :
May 1, 2007
Actual Primary Completion Date :
Apr 1, 2010
Actual Study Completion Date :
Apr 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: Coping Skills Training

Behavioral: Coping Skills Training
Coping Skills Training teaches skills for managing physical, emotional, and social challenges of symptoms commonly experienced by men who have undergone treatment for early stage prostate cancer. Coping skills include activity pacing, managing negative mood, communication enhancement, and applied relaxation.

Active Comparator: Prostate Cancer Education

Behavioral: Prostate Cancer Education
Prostate Cancer Education provides information on the following topics: common treatment side-effects, medical options for symptom management, nutrition to support recovery, and guidelines for communicating with your healthcare team.

Outcome Measures

Primary Outcome Measures

  1. Symptom distress [pretreatment, posttreatment, 3 mo followup]

Secondary Outcome Measures

  1. Emotional functioning [pretreatment, posttreatment, 3 mo followup]

  2. Physical functioning [pretreatment, posttreatment, 3 mo followup]

  3. Self-efficacy for symptom management [pretreatment, posttreatment, 3 mo followup]

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
Male
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Diagnosis of early stage, localized prostate cancer (T1-T3)

  • Must have received treatment within previous 2 years

  • Capable of self-care per Karnofsky Performance Status score of 60+

  • African American

  • Must have physician who can confirm treatment history

Exclusion Criteria:
  • Undergoing primary treatment 2 or more years ago

  • Having regional or metastatic prostate cancer at time of screening

Contacts and Locations

Locations

Site City State Country Postal Code
1 Duke University Medical Center Durham North Carolina United States 27704

Sponsors and Collaborators

  • Duke University
  • United States Department of Defense

Investigators

  • Principal Investigator: Francis J Keefe, Ph.D., Duke University
  • Study Director: Lisa C Campbell, Ph.D., Duke University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Duke University
ClinicalTrials.gov Identifier:
NCT00589966
Other Study ID Numbers:
  • Pro00000351
  • W81XWH-07-0091
First Posted:
Jan 10, 2008
Last Update Posted:
Mar 1, 2013
Last Verified:
Feb 1, 2013

Study Results

No Results Posted as of Mar 1, 2013