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Impact of a psychoeducational intervention to improve caregiver knowledge and attitudes toward palliative cancer care

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Patient Education and Counseling 2025年 138卷

作者： Brenna Mossman Lisa Molix Damian R. Murray Laura M. Perry Seowoo Kim Michael Hoerger Department of Psychology Tulane University New Orleans LA USA Cancer Prevention and Control Program Lombardi Comprehensive Cancer Center Georgetown University Washington DC USA Department of Medicine Tulane University New Orleans LA USA Center for Health Outcomes Implementation and Community-Engaged Science Tulane University School of Medicine New Orleans LA USA Louisiana Cancer Research Center New Orleans LA USA Department of Psychiatry Tulane University New Orleans LA USA Department of Palliative Medicine & Supportive Care New Orleans LA USA

Objectives To evaluate the efficacy of a psychoeducational intervention in improving palliative care knowledge and attitudes among caregivers, patients’ close friends and families. Methods A total of 150 adult cancer caregivers participated in an online U.S.-based randomized clinical trial (RCT) between December 2021 and March 2022. Participants self-reported their baseline knowledge of palliative care, then viewed a psychoeducational video on palliative care (intervention condition) or nutrition (control condition). Participants then completed outcome measures of palliative care knowledge (aim 1; Palliative Care Knowledge Scale, PaCKS) and attitudes (aim 2; Palliative Care Attitudes Scale-9-Caregiver, PCAS-9C). Regression analyses examined whether group assignment significantly predicted palliative care knowledge and attitudes while controlling for self-reported baseline knowledge and key demographic and clinical characteristics. Results The PaCKS and PCAS-9C demonstrated excellent evidence of reliability, factor structure, and validity in this caregiver sample. The RCT succeeded on the primary outcome of increasing caregivers’ palliative care knowledge ( p  < .001). Attitudes were favorable and did not differ between groups. Conclusions This study demonstrates that a single-session, psychoeducational video can improve understanding of palliative care among close friends and families of those with cancer. Practice implications This work suggests future pathways for helping families make informed decisions about initiating palliative care.

关键词： Caregivers Neoplasms Oncology Palliative care Decision making Health education Attitude

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Correction: Candidate variants in DNA replication and repair genes in early-onset renal cell carcinoma patients referred for germline testing

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BMC genomics 2023年第1期24卷 388页

作者： Elena V Demidova Ilya G Serebriiskii Ramilia Vlasenkova Simon Kelow Mark D Andrake Tiffiney R Hartman Tatiana Kent James Virtucio Gail L Rosen Richard T Pomerantz Roland L Dunbrack Erica A Golemis Michael J Hall David Y T Chen Mary B Daly Sanjeevani Arora Cancer Prevention and Control Program Fox Chase Cancer Center 333 Cottman Avenue Philadelphia PA 19111 USA. Kazan Federal University Kazan 420008 Russia. Program in Cancer Signaling and Microenvironment Fox Chase Cancer Center Philadelphia PA 19111 USA. Department of Biochemistry and Molecular Biophysics University of Pennsylvania Philadelphia PA 19104 USA. Arcadia University Glenside PA USA. Department of Biochemistry & Molecular Biology Sidney Kimmel Cancer Center Thomas Jeferson University Philadelphia PA 19107 USA. Ecological and Evolutionary Signal-Processing and Informatics Laboratory Department of Electrical and Computer Engineering College of Engineering Drexel University Philadelphia PA 19104 USA. Department of Cancer and Cellular Biology Lewis Katz School of Medicine Philadelphia PA 19140 USA. Department of Clinical Genetics Fox Chase Cancer Center 333 Cottman Avenue Philadelphia PA 19111 USA. Department of Surgical Oncology Fox Chase Cancer Center Philadelphia PA 19111 USA. Cancer Prevention and Control Program Fox Chase Cancer Center 333 Cottman Avenue Philadelphia PA 19111 USA. Mary.Daly@fccc.edu. Department of Clinical Genetics Fox Chase Cancer Center 333 Cottman Avenue Philadelphia PA 19111 USA. Mary.Daly@fccc.edu. Cancer Prevention and Control Program Fox Chase Cancer Center 333 Cottman Avenue Philadelphia PA 19111 USA. Sanjeevani.Arora@fccc.edu. Department of Radiation Oncology Fox Chase Cancer Center Philadelphia PA 19111 USA. Sanjeevani.Arora@fccc.edu.

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Expanding access to cancer peer support: development of a website to deliver written peer support that meets patients' individual emotional and informational needs while reducing potential harms

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Procedia computer science 2022年 206卷 195-205页

作者： Katrin Bovbjerg Kristi Graves Margaret Waltz David Farrell Betina Yanez Anthony Chicaiza Rahma Omar Rebecca Thompson Mariska Kop Alyssa N Van Denburg Danielle Lorch Scott D Rowley Christine Rini Northwestern University Feinberg School of Medicine Dept of Medical Social Sciences 625 N. Michigan Ave 21-00 Chicago IL 60611 USA. Georgetown University Lombardi Comprehensive Cancer Center Cancer Prevention and Control Program 2115 Wisconsin Ave N Ste. 300 Washington DC 20007 USA. University of North Carolina School of Medicine Department of Social Medicine 333 S Columbia St Chapel Hill NC 27516 USA. People Designs Inc. 1304 Broad Street Durham NC 27705 USA. Robert H. Lurie Comprehensive Cancer Center of Northwestern University 675 N St Clair St. Floor 21 Suite 100 Chicago IL 60611 USA. John Theurer Cancer Center at Hackensack University Medical Center 92 2nd Street Hackensack NJ 07601 USA.

cancer patients often want information from "peers" with the same diagnosis or treatment. To increase access to this valuable resource, we developed a website to deliver written peer support to cancer patients undergoing stem cell transplant. Because little evidence describes how to optimize benefits or reduce potential harms of written peer support, we gathered multiple forms of stakeholder feedback to inform the website's ethical approach, personalization, design, function, and content: a Community Advisory Board; a longitudinal study of patients' written peer support needs and motivations; focus groups; semi-structured interviews; and usability testing. Findings provide a rich foundation for website development.

关键词： hematopoietic stem cell transplant stakeholder engagement website development written peer support

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Correction to: Development and Feasibility Testing of a Multilevel Intervention to Increase Hepatitis C Virus Screening Among Baby Boomers in Primary Care

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Journal of cancer education : the official journal of the American Association for cancer Education 2023年第2期38卷 730页

作者： Monica L Kasting Alfu Laily Lauren D Nephew Cleveland G Shields Rivienne Shedd-Steele Susan M Rawl Department of Public Health Purdue University 812 W. State Street Room 216 West Lafayette IN 47907 USA. mlkastin@purdue.edu. Cancer Prevention and Control Program Indiana University Simon Comprehensive Cancer Center Indianapolis IN USA. mlkastin@purdue.edu. Department of Public Health Purdue University 812 W. State Street Room 216 West Lafayette IN 47907 USA. Department of Medicine Division of Gastroenterology and Hepatology Indiana University School of Medicine Indianapolis IN USA. Department of Human Development and Family Sciences Purdue University West Lafayette IN USA. Cancer Prevention and Control Program Indiana University Simon Comprehensive Cancer Center Indianapolis IN USA. Indiana University School of Nursing Indianapolis IN USA.

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Human Rabies Postexposure Prophylaxis Knowledge and Retention Among Health Professionals by Using an Online Continuing Education Module: Arizona, 2012 to 2015

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Pedagogy in Health Promotion 2019年第1期5卷 14-23页

作者： Venkat, Heather Matthews, James Narang, Jigna Sunenshine, Rebecca Adams, Laura E. Bunko, Andrean M. White, Jessica R. Levy, Craig Sylvester, Tammy Centers for Disease Control and Prevention Epidemic Intelligence Service Program Division of Scientific Education and Professional Development Atlanta GA United States Maricopa County Department of Public Health Phoenix AZ United States Arizona Department of Health Services Phoenix AZ United States Centers for Disease Control and Prevention Office of Public Health Preparedness and Response Career Epidemiology Field Officer Program Division of State and Local Readiness Atlanta GA United States

Rabies postexposure prophylaxis (PEP) is administered for rabies prevention after a human exposure to a potentially rabid animal, such as a bite. Previous studies have reported that rabies PEP is often inappropriately administered. Health professional education was proposed as one potential solution to address inappropriate PEP use. We assessed baseline knowledge, knowledge gain, and knowledge retention among health professionals in Arizona of rabies epidemiology and appropriate PEP administration. Maricopa County department of Public Health created an online rabies PEP continuing education module and measured knowledge before and after module completion using a 10-question test. The same test was administered three times (pretest, posttest, and retention test at ≥3 months). To assess knowledge gain and retention, we compared median scores using nonparametric methods. A total of 302 respondents completed the pretest (median score, 60%) and posttest (median score, 90%;p <.001);98 respondents completed all three tests with median scores 60% (pretest), 90% (posttest, p <.01), and 80% (retention test and compared with pretest, p <.01). Sixty-nine (70%) respondents improved their pretest to retention test score by a mean of 2.4 points out of a total 10 points (median: 2 points;range: −5 to 7 points). Only 48% of pretest respondents correctly answered that PEP should not be administered immediately to anyone bitten by a healthy dog. However, 81% and 70% answered correctly on the posttest (p <.0001) and retention test (p =.002), respectively. Respondents demonstrated rabies epidemiology and PEP knowledge gain and ≥3-month knowledge retention after completing the online continuing education module. © 2018 Society for Public Health Education.

关键词： continuing education PEP public health rabies

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Bayesian Kernel Machine Regression for Estimating the Prostate cancer Risk of Heavy Metal Mixtures in the EPIC-Spain Cohort

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SSRN 2022年

作者： dos Santos Gonçalves, Karen Rodríguez-Barranco, Miguel Fernández-Martínez, Nicolás Francisco Gómez-Ariza, Jose Luis Agudo, Antonio Molina-Montes, Esther Pérez-Gómez, Beatriz Olmedo-Requena, Rocío Sanchez, María-José Ubago-Guisado, Esther Granada18011 Spain Rio de Janeiro21040-900 Brazil Instituto de Investigación Biosanitaria ibs.GRANADA. Granada18012 Spain Madrid28029 Spain Unidad de Gestión Clínica Interniveles de Prevención Promoción y Vigilancia de la Salud Hospital Universitario Reina Sofía Córdoba14004 Spain Córdoba14004 Spain Department of Chemistry Faculty of Experimental Sciences Research Center for Natural Resources Health and the Environment University of Huelva. Huelva21007 Spain Unit of Nutrition and Cancer Catalan Institute of Oncology - ICO Nutrition and Cancer GroupEpidemiology Public Health Cancer Prevention and Palliative Care Program Bellvitge Biomedical Research Institute - IDIBELL L'Hospitalet de Llobregat 08908 Spain 'José Mataix' Biomedical Research Centre University of Granada Granada18071 Spain Public Health Teaching Unit National School of Public Health Carlos III Institute of Health Department of Epidemiology of Chronic Diseases National Centre for Epidemiology Carlos III Institute of Health Madrid Spain Department of Preventive Medicine and Public Health University of Granada. Granada Spain

The association of exposure to several heavy metals with prostate cancer risk has been assessed in some studies, but the effects of complex interactions among heavy metals remain unclear. We aim to assess the association between metal mixtures exposure and prostate cancer risk in the European Prospective Investigation into cancer and Nutrition (EPIC) cohort. Fifteen heavy metals were measured in plasma samples of 62 prostate cancer cases and 242 non-cases from the EPIC-Granada cohort (south Spain) by ICP-MS-ORS. Bayesian kernel machine regression and distributed lag models (BKMR-DLM) were applied to assess the effect of mixtures of metals on prostate cancer risk, which allows accounting for nonlinear, interactive, joint effects and time-varying cumulative effects of mixture exposures. From these models we derived the excess prostate cancer risk for exposure to the mixture at the 75th percentile compared to the 25th percentile, keeping all other metals not involved in the mixture at the 50th percentile. The results demonstrated that four heavy metals (tungsten, copper, mercury, and vanadium) were significantly and positively associated with prostate cancer risk in the adjusted models for potential confounders . Using Bayesian kernel machine regression and distributed lag model (BKMR-DLM), the mixture vanadium+mercury+copper combined with another metal (arsenic, zinc, or cadmium) showed higher associations with prostate cancer risk (RR from 1.59 to 1.46) . The mixture vanadium+mercury had also a positive significant association in combination with cadmium, zinc, arsenic, or selenium. The overall mixture of 8 metals was also significantly associated with the prostate cancer risk (RR=1.45;95% CI: 1.21 to 1.68). In conclusion, we found positive associations between the plasma levels of four metals (tungsten, copper, mercury, and vanadium) and prostate cancer risk. The overall mixture concentrations were also associated with increased prostate cancer risk. Future studies

关键词： Mixtures

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The Association between Sexual Satisfaction and Interest with Quality of Life and Psychological Distress in Hematopoietic Stem Cell Transplant Recipients

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Transplantation and Cellular Therapy 2024年第2期30卷 S347-S348页

作者： Markovitz, Netana H., MD Reese, Jennifer Barsky, PhD Traeger, Lara, PhD Dizon, Don, MD Vanderklish, Julie, CNP Horick, Nora Newcomb, Richard Andrew, MD DeFilipp, Zachariah, MD Chen, Dr. Yi-Bin, MD Temel, Jennifer, MD El-Jawahri, Areej R., MD Department of Internal Medicine Beth Israel Deaconess Medical Center Boston MA Cancer Prevention and Control Program Fox Chase Cancer Center Philadelphia PA Psychology Massachusetts General Hospital Boston MA Rhode Island Hospital Rhode Island RI Hematopoietic Cell Transplant and Cellular Therapy Program Massachusetts General Hospital Boston MA Massachusetts General Hospital Boston MA Medicine Division of Hematology & Oncology Massachusetts General Hospital Boston MA Medicine Massachusetts General Hospital Boston MA

BackgroundTreatment-related sexual dysfunction affects the majority of hematopoietic stem cell transplant (HSCT) survivors. Data regarding the relationship between sexual health domains and patient-reported quality of life (QOL) and psychological distress are limited, particularly in this population. MethodsWe conducted a secondary analysis of a cross-sectional study that included 125 autologous and allogeneic HSCT survivors. All were at least 3 months post-HSCT and endorsed sexual dysfunction causing distress. This was based on the two-question approach from the 2015 National Comprehensive cancer Network (NCCN) survivorship guidelines assessing 1) problems with sexual functioning and 2) whether these problems were causing distress. We assessed global satisfaction with sex and interest in sex (PROMIS), QOL (Functional Assessment of cancer Therapy-Bone Marrow Transplant [FACT-BMT]), and psychological distress (Hospital Anxiety and Depression-Scale [HADS]). We used multivariate regression analyses, adjusting for age, race, and gender, to examine the association between the sexual health domains with QOL and psychological distress. ResultsStudy participants had a median age of 55.0 (SD 14), and the majority were male (67.2%; 84/125). Female sex was associated with lower global satisfaction with sex (B= -2.14, P=0.019) and lower interest in sex (B= - 1.69, P<0.001). In multivariable regression analyses, global satisfaction with sex was associated with better QOL (B=0.86, P=0.015) but not with depression (B= -0.12, P=0.056) or anxiety (B= -0.10, P=0.180) symptoms. Patient's interest in sex was associated with their QOL (B=3.28, P<0.001), depression (B= -0.51, P=0.002), and anxiety (B= -0.39, P=0.032) symptoms. ConclusionsSexual health domains including global satisfaction with sex and interest in sex were associated with QOL and psychological distress at baseline in HSCT survivors. These findings underscore the need for supportive care interventions to improve sexual sat

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Absenteeism and Health Behavior Trends Associated With Acute Respiratory Illness Before and During the COVID-19 Pandemic in a Community Household Cohort, King County, Washington

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AJPM Focus 2024年第4期3卷 100248-100248页

作者： Chung, Erin Wang, Yongzhe Chow, Eric J. Emanuels, Anne Heimonen, Jessica Ogokeh, Constance E. Rolfes, Melissa A. Hughes, James P. Uyeki, Timothy M. Starita, Lea M. Hoag, Samara Boeckh, Michael Englund, Janet A. Chu, Helen Y. Department of Pediatrics University of Washington Seattle Children's Hospital Seattle WA United States Division of Allergy and Infectious Diseases Department of Medicine University of Washington Seattle WA United States Public Health - Seattle & King County Seattle WA United States Department of Epidemiology University of Washington Seattle WA United States Influenza Division National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention Georgia Atlanta Georgia Military and Health Research Foundation Laurel Maryland United States Vaccine and Infectious Disease Division Fred Hutchinson Cancer Research Center Seattle WA United States Department of Biostatistics University of Washington Seattle WA United States Fred Hutchinson Cancer Research Center Seattle WA United States Brotman Baty Institute for Precision Medicine Seattle WA United States Department of Genome Sciences University of Washington Seattle WA United States Student Health Services Seattle Public Schools Seattle WA United States University of Washington School of Medicine Seattle WA United States

Introduction: Longitudinal data on how acute respiratory illness (ARI) affects behavior, namely school or work participation, and nonpharmaceutical intervention (NPI) usage before and during the COVID-19 pandemic is limited. The authors assessed how ARIs and specific symptoms affected school, work, and health-related behaviors over time. Methods: From November 2019 to June 2021, participating households with children in King County, Washington, were remotely monitored for ARI symptoms weekly. Following ARIs, participants reported illness-related effects on school, work, and NPI use. Using logistic regression with generalized estimating equations, the authors examined associations between symptoms and behaviors. Results: Of 1,861 participants, 581 (31%) from 293 households reported 884 ARIs and completed one-week follow-up surveys. Compared with the prepandemic period, during the period of the pandemic pre–COVID-19 vaccine, ARI-related school (56% vs 10%, p<0.001) absenteeism decreased and masking increased (3% vs 28%, p<0.001). After vaccine authorization in December 2020, more ARIs resulted in masking (3% vs 48%, p<0.001), avoiding contact with non-household members (26% vs 58%, p<0.001), and staying home (37% vs 69%, p<0.001) compared with the prepandemic period. Constitutional symptoms such as fever were associated with work disruptions (OR=1.91;95% CI=1.06, 3.43), staying home (OR=1.55;95% CI=1.06, 2.27), and decreased contact with non-household members (OR=1.58;95% CI=1.05, 2.36). Conclusions: This remote household study permitted uninterrupted tracking of behavioral changes in families with children before and during the COVID-19 pandemic, identifying increased use of some NPIs when ill but no additional illness-associated work or school disruptions. © 2024 The Authors

关键词： absenteeism COVID-19 households illness behavior non-pharmaceutical interventions viral infections

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Obesity, Dietary inflammation, and Frailty among Older Adults: Evidence from the National Health and Nutrition Examination Survey

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Journal of Nutrition in Gerontology and Geriatrics 2019年第1期38卷 18-32页

作者： Lohman, Matthew C. Resciniti, Nicholas V. Wirth, Michael D. Shivappa, Nitin Hébert, James R. Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia SC United States Cancer Prevention and Control Program University of South Carolina Columbia SC United States College of Nursing University of South Carolina Columbia SC United States Connecting Health Innovations LLC Columbia SC United States

Knowledge related to the relationship between obesity and frailty is limited. This study aimed to investigate associations between obesity, dietary inflammation, and frailty among older adults. Study data came from National Health and Nutrition Examination Survey (2007–2014) examinations of adults age ≥60 years (n = 7182). Dietary inflammatory potential was determined using the Dietary Inflammatory Index (DII ^® ) derived from 24-h dietary recall. We analyzed independent and joint associations of obesity and DII with frailty to evaluate interaction. Multivariable logistic regression revealed that both obesity (Odds Ratio [OR] = 2.24, 95% CI: 1.68, 2.99) and moderately pro-inflammatory DII (OR = 1.68, 95% CI: 1.10, 2.58) were independently associated with greater frailty prevalence. A negative multiplicative interaction between obesity and highest pro-inflammatory diet also was found (adjusted odds in non-obese and obese were 2.07 and 2.37, respectively;p = 0.046). Results indicate the importance of considering obesity and dietary inflammatory potential when screening for frailty or developing treatments. © 2019, © 2019 Taylor & Francis Group, LLC.

关键词： Dietary inflammation frailty interaction obesity

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Long Donor Leukocyte Telomeres Increase the Risk of Severe COVID-19 in Recipients of Allogeneic Hematopoietic Cell Transplant

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Transplantation and Cellular Therapy 2025年第2期31卷 S372-S373页

作者： Mendez, Kyra J.W., PhD, MPH, RN Lai, Tsung-Po, PhD Spellman, Stephen R., MBS Verhulst, Simon, PhD Anderson, James, PhD Saber, Wael Gadalla, Shahinaz M., MD, PhD Aviv, Abraham, MD Clinical Genetics Branch Division of Cancer Epidemiology and Genetics National Cancer Institute Bethesda MD Cancer Prevention Fellowship Program National Cancer Institute Rockville MD Center of Human Development and Aging Rutgers New Jersey Medical School Rutgers NJ CIBMTR® (Center for International Blood and Marrow Transplant Research) NMDP Minneapolis MN Groningen Institute for Evolutionary Life Sciences University of Groningen Groningen Netherlands School of Aquatic and Fishery Sciences University of Washington Seattle WA CIBMTR® (Center for International Blood and Marrow Transplant Research) Department of Medicine Medical College of Wisconsin Milwaukee WI

IntroductionAllogeneic hematopoietic cell transplantation (HCT) may leave recipients with long-term immune dysfunction. About one in four HCT recipients who contract SARS-CoV-2 develops severe Coronavirus disease (COVID-19), and one in six dies. In the general population, short leukocyte telomere length (LTL) is associated with severe COVID-19. ObjectiveIn this study, we examined the relationship between donor LTL and COVID-19 severity in HCT recipients, who contracted SARS-CoV-2 after HCT. MethodsWe studied 87 HCT recipients who were hospitalized for COVID-19. The Telomere Shortest Length Assay (TeSLA) was used to measure LTL of recipients and their matched donors in pre-HCT blood samples from the CIBMTR Biorepository. Study outcomes were: 1) COVID-19 severity defined as mild (no oxygen needed); moderate (oxygen needed, but not mechanical ventilation); or severe (mechanical ventilation needed); and 2) HCT recipient survival four months after hospitalization for COVID-19. We used multinomial logistic regression and Cox regression to test the relationship between two TeSLA parameters— mean LTL and proportion of leukocyte telomeres < 3 kilobases (kb)- and COVID-19 outcomes in the HCT recipient, controlling for recipient and donor age, and recipient sex. ResultsRecipients’ mean age at HCT was 46 years (SD=19) and mean time since HCT was 3.8 years (SD=3). About 64% had a history of grade III/IV acute graft versus host disease (GVHD) and/or extensive chronic GVHD. Ten recipients developed severe COVID-19 at an average of 4.7 years (SD= 3.5) post-HCT. There was no difference in patient or HCT characteristics between the three COVID-19 severity groups, except for mean patient age at HCT (mild= 41, moderate= 57, severe= 57 years; P=0.005). Having severe COVID-19, expressed as respiratory distress, was associated with longer LTL (relative risk [RR]= 148.5, P= 0.005) and lower proportion of leukocyte telomeres < 3 kb in donors (RR= 0.8, P= 0.01), compared to having mild COVID

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