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Meeting psychosocial needs of cancer...

Kim, Sojung C.

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Meeting psychosocial needs of cancer patients through integrated e-health intervention: A theory-based mediation approach.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Meeting psychosocial needs of cancer patients through integrated e-health intervention: A theory-based mediation approach./
作者:	Kim, Sojung C.
面頁冊數:	139 p.
附註:	Source: Dissertation Abstracts International, Volume: 73-03, Section: A, page: 8230.
Contained By:	Dissertation Abstracts International73-03A.
標題:	Mass communication. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3488648
ISBN:	9781267062642

Meeting psychosocial needs of cancer patients through integrated e-health intervention: A theory-based mediation approach.
Kim, Sojung C.

Meeting psychosocial needs of cancer patients through integrated e-health intervention: A theory-based mediation approach. - 139 p.

Source: Dissertation Abstracts International, Volume: 73-03, Section: A, page: 8230.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 2011.

The goal of this dissertation is to understand how the use of an interactive e-health intervention could facilitate positive psychosocial changes and how these changes in turn benefit quality of life-related health outcomes in breast cancer patients. Two competing theoretical approaches---the Self-Determination Theory and competency theory---were put forward to carefully examine how an e-health intervention influences such psychosocial processes. Although both theories support the notion of intervening mechanisms when it comes down to intervention effects on patients' quality of life and well-being, they argue for different mediating processes. Little research, however, has provided empirical evidence to support one theory over the other. Therefore, there is still much to understand about mechanisms of intervention effect and important advances are needed to enhance such impact on patient care.

ISBN: 9781267062642Subjects--Topical Terms:

2144804
Mass communication.

Meeting psychosocial needs of cancer patients through integrated e-health intervention: A theory-based mediation approach.
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245 1 0 $a Meeting psychosocial needs of cancer patients through integrated e-health intervention: A theory-based mediation approach.
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500 $a Source: Dissertation Abstracts International, Volume: 73-03, Section: A, page: 8230.
500 $a Adviser: Dhavan Shah.
502 $a Thesis (Ph.D.)--The University of Wisconsin - Madison, 2011.
520 $a The goal of this dissertation is to understand how the use of an interactive e-health intervention could facilitate positive psychosocial changes and how these changes in turn benefit quality of life-related health outcomes in breast cancer patients. Two competing theoretical approaches---the Self-Determination Theory and competency theory---were put forward to carefully examine how an e-health intervention influences such psychosocial processes. Although both theories support the notion of intervening mechanisms when it comes down to intervention effects on patients' quality of life and well-being, they argue for different mediating processes. Little research, however, has provided empirical evidence to support one theory over the other. Therefore, there is still much to understand about mechanisms of intervention effect and important advances are needed to enhance such impact on patient care.
520 $a Data analyzed in this dissertation came from 328 women with breast cancer recruited from different U.S. locations (CT, TX, and WI). The patients were randomized to one of the three treatment conditions: Internet-only, CHESS-only, and CHESS plus Mentor. As an Interactive Cancer Communication System (ICCS), CHESS is the Comprehensive Health Enhancement Support System, which provides different information, communication, and collaboration services to breast cancer patients. Moreover, the CHESS plus Mentor condition offers customized interpersonal services from a cancer specialist in addition to the same services provided in the CHESS-only intervention.
520 $a After the employment of a series of Structural Equation Modeling (SEM) techniques, results revealed interesting patterns. First, the findings indicated that the Self-Determination Theory (SDT)-based models had little explanatory power in understanding how e-health intervention effects worked to improve overall health conditions of breast cancer patients. Second, the competence theory-based models were an appropriate approach to account for how the intervention effects and subsequent psychosocial processes operated among women with breast cancer. Further, the CHESS plus Mentor intervention produced the best possible synergy effects for the patient by effectively connecting computer-mediated intervention services with interpersonal support. The study implications as well as suggestions for the next generation of an e-health communication research and practices are discussed.
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