Abstract
Objective: This study outlined the implementation and feasibility of delivering PROMIS® computer adaptive tests (CATs) using a web-based method to evaluate the impact of a technological adaptation of Cognitive-Behavioral Stress Management (CBSM) on the psychosocial functioning of men with advanced prostate cancer (APC) undergoing hormone therapy. Method: Patients were randomized to a CBSM group intervention (n 95) or a health promotion (HP) attention-matched control condition (n 97). Participants attended all sessions via video conference using tablets, and completed PROMIS® computer adaptive tests (CATs) assessing anxiety, depression, fatigue, pain interference, and physical function weekly during the 10-week intervention. Results: Assessment completion rates <50% at week 1 and week 10 demonstrated moderate feasibility of repeatedly administering PROMIS® CATs using a web-based method. Multilevel modeling demonstrated no significant group-by-time interactions from week 1 to week 10 for any of the assessed PROMIS® domains adjusting for sociodemographic and medical covariates. However, simple effects demonstrated decreases in PROMIS® anxiety scores from week 1 to 10 for both groups. Results also demonstrated significant relationships of medical variables to psychosocial functioning across time points. Conclusions: Results highlight the feasibility and benefits of utilizing PROMIS® CATs to repeatedly assess psychosocial functioning using a web-based method and indicate that web-based interventions may be effective for decreasing psychosocial distress and adverse symptoms among men with APC undergoing hormone therapy.
Original language | English (US) |
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Pages (from-to) | 403-409 |
Number of pages | 7 |
Journal | Health Psychology |
Volume | 38 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2019 |
Keywords
- Distress
- E-Health
- PROMIS®
- Prostate cancer
- Psychosocial
ASJC Scopus subject areas
- Applied Psychology
- Psychiatry and Mental health