Out of the Black Box: Expansion of a theory-based intervention to self-manage the uncertainty associated with active surveillance [AS] for prostate cancer

Authors

Meredith Wallace Kazer, Fairfield UniversityFollow
Donald E. Bailey
Robin Whittemore

Document Type

Article

Publication Date

2010

Abstract

Active surveillance (AS) (sometimes referred to as watchful waiting) is an alternative approach to managing low-risk forms of prostate cancer. This management approach allows men to avoid expensive prostate cancer treatments and their well-documented adverse events of erectile dysfunction and incontinence. However, AS is associated with illness uncertainty and reduced quality of life (QOL; Wallace, 2003). An uncertainty management intervention (UMI) was developed by Mishel et al. (2002) to manage uncertainty in women treated for breast cancer and men treated for prostate cancer. However, the UMI was not developed for men undergoing AS for prostate cancer and has not been adequately tested in this population. This article reports on the expansion of a theory-based intervention to manage the uncertainty associated with AS for prostate cancer. Intervention Theory (Sidani & Braden, 1998) is discussed as a framework for revising the UMI intervention for men undergoing AS for prostate cancer (UMI-AS). The article concludes with plans for testing of the expanded intervention and implications for the extended theory.

Comments

Copyright 2010 Springer Publishing Co.

A link to full text has been provided for authorized users.

Publication Title

Research and Theory for Nursing Practice

Repository Citation

Kazer, Meredith Wallace; Bailey, Donald E.; and Whittemore, Robin, "Out of the Black Box: Expansion of a theory-based intervention to self-manage the uncertainty associated with active surveillance [AS] for prostate cancer" (2010). Nursing and Health Studies Faculty Publications. 132.
https://digitalcommons.fairfield.edu/nursing-facultypubs/132

Published Citation

Kazer, M. W., Bailey, D.E. & Whittemore, R. (2010). Out of the Black Box: Expansion of a theory-based intervention to self-manage the uncertainty associated with active surveillance [AS] for prostate cancer. Research and Theory for Nursing Practice, 24(2), 101-112. doi:10.1891/1541-6577.24.2.101.

DOI

10.1891/1541-6577.24.2.101.

Peer Reviewed