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05-08-2022

A spotlight on avoidance coping to manage fear of recurrence among breast cancer survivors in an eHealth intervention

Auteurs: Daniel L. Hall, Beverly J. Levine, Elizabeth Jeter, Allison Chandler, Janet A. Tooze, Jenna Duffecy, David Victorson, William Gradishar, Joseph Leach, Thomas Saphner, Mary Lou Smith, Frank Penedo, David C. Mohr, David Cella, Lynne I. Wagner

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2022

Abstract

Background

Fear of recurrence (FoR) is prevalent among breast cancer survivors (BCS) and may be exacerbated by avoidance coping. This study examined BCS with avoidance coping and their engagement in a FoR eHealth intervention (FoRtitude).

Methods

BCS (N = 196) with elevated FoR participated in FoRtitude. Patient-reported measures assessed avoidance coping with FoR and baseline emotional and behavioral health. Intervention engagement was measured quantitatively (e.g., website logins, telecoaching attendance) and qualitatively (i.e., telecoaching notes).

Results

38 BCS (19%) endorsed avoidance coping, which was associated with more severe post-traumatic anxiety-related symptoms and worse global mental health (ps < .05), but not anxiety (p = .19), depression (p = .11), physical health (p = .12), alcohol consumption (p = .85), or physical activity (p = .39). Avoidance coping was not associated with engagement levels (ps > .05) but did characterize engagement-related motivators and barriers.

Conclusions

Avoidance coping was not a barrier to FoRtitude engagement. eHealth delivery is a promising modality for engaging survivors with avoidance coping in FoR interventions.

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Titel: A spotlight on avoidance coping to manage fear of recurrence among breast cancer survivors in an eHealth intervention
Auteurs: Daniel L. Hall
Beverly J. Levine
Elizabeth Jeter
Allison Chandler
Janet A. Tooze
Jenna Duffecy
David Victorson
William Gradishar
Joseph Leach
Thomas Saphner
Mary Lou Smith
Frank Penedo
David C. Mohr
David Cella
Lynne I. Wagner
Publicatiedatum: 05-08-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-022-00349-8

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