title: Factors associated with prostate cancer patients' and their spouses' satisfaction with a family-based intervention.
abstract: Only a few programs are designed to help couples cope with the effects of prostate cancer, and typically, only their intervention outcomes are reported. The purpose of this study was to assess prostate cancer patients' and their spouses' satisfaction with an efficacious supportive-educative, family-based intervention, and factors associated with their satisfaction. We assessed the relationship of overall satisfaction with the intervention to (1) the patients' and spouses' appraisal and the resource and quality-of-life baseline scores and (2) changes in those scores after completing the intervention. Results showed that participants were very satisfied with the program. Patients who had higher scores on baseline measures, indicating more positive appraisal of their illness, better use of resources (eg, coping, self-efficacy), and higher overall quality of life, reported more satisfaction with the intervention. For spouses, few baseline measures were related to their satisfaction; however, spouses who reported positive changes after intervention (less negative appraisal and uncertainty, better communication) reported higher satisfaction with the program. Although satisfied with the program, factors associated with patients' and spouses' satisfaction differed. To translate effective interventions to clinical practice settings, it is important to assess participants' satisfaction with program content and delivery, as well as program outcomes.
authors.affiliation: College of Nursing, Wayne State University, Detroit, Michigan 48202, USA. jharden@wayne.edu
authors.forename: Janet
authors.initials: J
authors.lastname: Harden
authors.forename: Margaret
authors.initials: M
authors.lastname: Falahee
authors.forename: Joan
authors.initials: J
authors.lastname: Bickes
authors.forename: Ann
authors.initials: A
authors.lastname: Schafenacker
authors.forename: Julie
authors.initials: J
authors.lastname: Walker
authors.forename: Darlene
authors.initials: D
authors.lastname: Mood
authors.forename: Laurel
authors.initials: L
authors.lastname: Northouse
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D005195:Family Relations; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D055809:Illness Behavior; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011184:Postoperative Period; D011336:Probability; D011471:Prostatic Neoplasms / Q000523:psychology* / Q000601:surgery; D011788:Quality of Life; D018570:Risk Assessment; D012944:Social Support; D018454:Spouses / Q000193:education / Q000523:psychology*