Interest in a psycho-educational group intervention among out-patients with malignant melanoma in relation to their need: which patients are likely to participate?
The aim of this study was to examine the interest which patients with malignant melanoma may have in a six week psycho-educational group intervention and determine factors that are associated with their degree of interest. Of 144 outpatients, 121 (84%) agreed to participate in the interview (78 women, 66 men, mean age 59, SD=15; mean time since surgery=57 months, SD=55). About one-third (29%) of the sample had either nodal or in-transit metastases. A semi-structured interview was conducted to assess patients' interest (perceived need) in the intervention. We administered the Hornheide questionnaire and other psychosocial measures to identify highly distressed patients (expert-defined need). Lower age, being male, having no partner and lower cognitive avoidance emerged as significant predictors for a general interest in the intervention (n=92). A substantial number of patients (42.5%) stated a willingness to participate in the intervention at that time. Two problematic subgroups could be identified in the sample: patients in an expert-defined need of support who lacked any interest ('avoiders') and interested patients without an expert-defined need ('skilled help-seekers'). In order to achieve consistent results when conducting future interventions, the interventions should either be limited to patients with expert-defined need or patients should be carefully controlled for this variable.
Winzer
Alexandra
A
Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Hoppe
Annekatrin
A
Altenhoff
Jürgen
J
Kuwert
Christoph
C
Koch
Uwe
U
Schulz
Holger
H
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D011615:Psychotherapy, Group; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology