This study consists of three parts.
Part 1 involves developing and pilot testing a hand-held computer program designed to assess antecedents, behaviors, and consequences of patient pain, as well as spouse response to pain. Five couples will complete a baseline survey and carry the hand-held computer for two weeks. They will be interviewed for feedback to refine the program.
Part 2 is a longitudinal assessment of the psychological and relationship functioning of metastatic breast cancer patients and their spouses.
The Optional Procedure for Part 2 involves using electronic diaries (EDs) to measure the cancer pain experience for patients with metastatic breast cancer and their spouses.
Part 3 is a one-time needs assessment and service preferences questionnaire that will be used to guide future psychosocial interventions that will stem from this research.
The primary objectives (specific aims) of this study are:
(1) To examine patient pain, spouse response to patient pain, and patient behaviors in response to pain over the course of 6 months in couples facing metastatic breast cancer.
(2) To test the biopsychosocial model of chronic pain in breast cancer; expanding it to include the influence of patient psychological functioning, spouse psychological functioning, and relationship functioning, on patient pain, spouse behaviors, and patient behaviors in response to pain.
(3) To use ecological momentary assessment to characterize patient pain, spouse response to patient pain, and patient behaviors in response to pain.
The secondary objective of this study is to describe the psychosocial service needs and preferences of metastatic breast cancer patients and their partners. |