title: Who benefits from a psychosocial counselling versus educational intervention to improve psychological quality of life in prostate cancer survivors?
abstract: OBJECTIVE
  We examined selected survivor characteristics to determine what factors might moderate the response to two psychosocial interventions.
  
  
  METHODS
  Seventy-one prostate cancer survivors (PCSs) were randomly assigned to either a telephone-delivered health education (THE) intervention or a telephone-delivered interpersonal counselling (TIP-C) intervention.
  
  
  METHODS
  Psychological quality of life (QOL) outcomes included depression, negative and positive affect, and perceived stress.
  
  
  RESULTS
  For three of the psychological outcomes (depression, negative affect and stress), there were distinct advantages from participating in THE. For example, more favourable depression outcomes occurred when men were older, had lower prostate specific functioning, were in active chemotherapy, had lower social support from friends and lower cancer knowledge. Participating in the TIP-C provided a more favourable outcome for positive affect when men had higher education, prostate specific functioning, social support from friends and cancer knowledge.
  
  
  CONCLUSIONS
  Unique survivor characteristics must be considered when recommending interventions that might improve psychological QOL in PCSs. Future research must examine who benefits most and from what components of psychosocial interventions to enable clinicians to recommend appropriate psychosocial care.
authors.affiliation: College of Nursing, The University of Arizona, Tucson, AZ, USA.
authors.forename: Terry A
authors.initials: TA
authors.lastname: Badger
authors.forename: Chris
authors.initials: C
authors.lastname: Segrin
authors.forename: Aurelio J
authors.initials: AJ
authors.lastname: Figueredo
authors.forename: Joanne
authors.initials: J
authors.lastname: Harrington
authors.forename: Kate
authors.initials: K
authors.lastname: Sheppard
authors.forename: Stacey
authors.initials: S
authors.lastname: Passalacqua
authors.forename: Alice
authors.initials: A
authors.lastname: Pasvogel
authors.forename: Maria
authors.initials: M
authors.lastname: Bishop
mesh_terms: D000339:Affect; D000368:Aged; D003376:Counseling / Q000379:methods*; D003863:Depression / Q000209:etiology; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011471:Prostatic Neoplasms / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D013315:Stress, Psychological / Q000209:etiology; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D013689:Telephone