Current Search:   Robinson, Diane (x)

View All Items

  • CSV Spreadsheet
(1 - 3 of 3)
Telephone-Delivered Cognitive Behavioral Therapy for Insomnia in Patients with Cancer: A Randomized Controlled Trial
Title
Telephone-Delivered Cognitive Behavioral Therapy for Insomnia in Patients with Cancer: A Randomized Controlled Trial.
Creator
Nicasio, Andel, Blaney, Cerissa, Robinson, Diane, Bedwell, Jeffrey, Modianos, Doan, Robinson, Diane, University of Central Florida
Abstract / Description
This study examined the efficacy and feasibility of a brief telephone-delivered CBT-I (TeleCBT-I) intervention in cancer patients compared to a control group. The study used a randomized controlled trial design. The TeleCBT-I program consisted of a brief four-week CBT-I program adapted for cancer patients. Patients completed assessment measures at pre-treatment, post-treatment and one-month follow-up. Out of 184 patients screened, 39 were randomly assigned, and 35 (TeleCBT-I, n = 19; Control,...
Show moreThis study examined the efficacy and feasibility of a brief telephone-delivered CBT-I (TeleCBT-I) intervention in cancer patients compared to a control group. The study used a randomized controlled trial design. The TeleCBT-I program consisted of a brief four-week CBT-I program adapted for cancer patients. Patients completed assessment measures at pre-treatment, post-treatment and one-month follow-up. Out of 184 patients screened, 39 were randomly assigned, and 35 (TeleCBT-I, n = 19; Control, n = 16) completed pre- and post-treatment measures and were included in the analyses. Compared to control group, the TeleCBT-I group reported decreased insomnia severity symptoms (p (<) .014), improved sleep quality (p (<) .023), and reduced dysfunctional beliefs about sleep (p = .039) at post-treatment with sustained treatment effects at one-month follow-up. Sleep measures yielded large effect sizes (Hedges' g, 0.84-2.7). Although the TeleCBT-I group indicated improvements in fatigue, general functioning, physical well-being, functional well-being, and physical quality of life, effects at follow-up were observed only for fatigue, functional well-being and physical quality of life. No effects were found on depression at any of the time points. In terms of feasibility, TeleCBT-I demonstrated high adherence, high homework completion and high overall satisfaction. These results advance the empirical evidence of CBT-I in cancer patients and support the use of telephone-delivered CBT-I to widely disseminate and implement among patients with cancer.
Show less
Date Issued
2019
Identifier
CFE0007694, ucf:52439
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007694
DOES CHRONIC STRESS ACCELERATE LATE-AGING COGNITIVE DECLINE IN MEMORY AND EXECUTIVE FUNCTIONING?
Title
DOES CHRONIC STRESS ACCELERATE LATE-AGING COGNITIVE DECLINE IN MEMORY AND EXECUTIVE FUNCTIONING?.
Creator
Robinson, Diane, Bedwell, Jeffrey, University of Central Florida
Abstract / Description
Few studies exist examining the relationship between self-reported stress and cognitive function in healthy nonpsychiatric older adults, and even less studies have examined whether high levels of self-reported stress accelerate the cognitive decline found in normal late-aging populations. A group of older nonpsychiatric adults, ages 54 years and above, were asked to complete three measures assessing their self-perceived stress over the past month, past year, and their lifetime. Sixty-one...
Show moreFew studies exist examining the relationship between self-reported stress and cognitive function in healthy nonpsychiatric older adults, and even less studies have examined whether high levels of self-reported stress accelerate the cognitive decline found in normal late-aging populations. A group of older nonpsychiatric adults, ages 54 years and above, were asked to complete three measures assessing their self-perceived stress over the past month, past year, and their lifetime. Sixty-one adults between the ages of 54 and 88 (52% female) participated in a second phase in which neuropsychological tasks were administered to assess three cognitive domains; memory, learning, and executive functioning. A hierarchical regression examined each of the three domain scores to explore whether self-perceived acute and chronic stress, after covaring for state anxiety, was related to neuropsychological performance. No statistically significant regressions were found, which was predicted for the learning domain, but contrary to the hypotheses for the memory and executive functioning domain. The potential influence of age in this study was explored in a series of ANOVAs examining the interactions between the three stress measures with state anxiety and age on the three cognitive domains. A statistically significant interaction was found between age and perceived lifetime stress when examining the memory domain score. In the young-old participants an increase in stress showed a non-significant relationship with a decrease in memory performance, while in the older-old participants the opposite non-significant tendency was found. The current study also partially replicated an earlier report of a relationship between an increase in recent self-reported stress and a decrease in performance on a specific divided attention task, and extended this finding to include older adults. While the majority of the studyÂÂ's hypotheses were not supported, these preliminary findings provide the field with interesting areas to explore in future studies.
Show less
Date Issued
2010
Identifier
CFE0003256, ucf:48515
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0003256
Identification of Areas of Patient Need Using the Cancer Support Source Program
Title
Identification of Areas of Patient Need Using the Cancer Support Source Program.
Creator
Ross, Emily, Cassisi, Jeffrey, Jensen, Bernard, Robinson, Diane, University of Central Florida
Abstract / Description
Understanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines (")psychosocial distress(") as extending on a continuum, (")ranging from common normal feelings of vulnerability, sadness, and fears to problems that can...
Show moreUnderstanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines (")psychosocial distress(") as extending on a continuum, (")ranging from common normal feelings of vulnerability, sadness, and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual crisis(") ((")National Comprehensive Cancer Network,(") n.d.). Findings have indicated the significant impact of poor quality of life and psychosocial distress in the cancer patient population. Elevated levels of psychosocial distress increases the risk of developing depression, anxiety, immune suppression, and may lead to high levels of stress. Studies have also revealed associations between increased psychosocial distress levels, relapse, treatment and healing outcomes, and survival rates (Anderson, Kiecolt-Glaser, (&) Glaser, 1994; Spiegel (&) Nemeroff, 1997). Evidence also shows that heightened psychosocial distress negatively influences a patient's capability to adhere to their medical plan and treatment (Allison et al., 1995; Pirl et al., 2007; Zabora, Brintzenhofeszoc, Curbow, Hooker, (&) Piantadosi, 2001). Attending to these negative outcomes of psychosocial distress and providing supportive care is a crucial action of oncology practice today. The American College of Surgeons Commission on Cancer responded to the imperative of addressing psychosocial needs in cancer care by mandating national cancer centers for accreditation purposes to screen for psychosocial distress and provide appropriate referral and resources (Standard 3.2). UF Health Cancer Center (-) Orlando Health began psychosocial distress screening on January 1st, 2015 with the utilization of the Web-based, HIPPA compliant, and action based Cancer Support Source Program. Patient data responses collected with the Cancer Support Source Program over the first calendar year of the implementation of the American College of Surgeons Commission on Cancer standards were analyzed for this research study. A sample of 317 patient data responses was included to conduct an exploratory factor analysis (EFA) on the Cancer Support Source Program test items. Specifically, a Principal Component Analysis (PCA) with an oblique rotational procedure (Promax) was conducted on the resulting data set for interpretation. Factorial interpretation was made to ascertain latent dimensions in the Cancer Support Source Program. A five factor structure model was found with adequate discriminant and face validity. Factors were grouped by conceptual basis and item-loading composition: Distress, Treatment Management and Decisions, Lifestyle, Relationship, and Substance Use. These factors were collectively termed the Concern Subscales. The Distress, Treatment Management and Decisions, and Lifestyle Factors were found to present the most psychometrically sound and internally consistent model. Further analysis was conducted to examine the resulting factorial structure model on four cancer location groups: breast, head and neck, lung, and gynecological cancer. Results displayed that no significant differences were found between cancer location groups and the five extracted factors. However, an ad hoc test (Tukey's HSD) revealed two significant differences between the Lifestyle Factor and cancer location groups at the p (<) 0.05 level. The Breast Cancer group's Lifestyle scores were higher than the Gynecologic Cancer group, and the Breast Cancer group scores were lower than the Lung Cancer group. Additionally, the action scores were summed to examine correlation between the five extracted Concern Subscales. A high correlation was found, indicating that the action items in the Cancer Support Source questionnaire correspond with the extracted Concern Subscales and do not need to undergo dimension reduction. Furthermore, a high correlation was also found with the extracted Distress Concern Subscale and the existing depression subscale in the Cancer Support Source Program.Results indicated that the Cancer Support Source Program could indeed benefit from dimension reduction to ascertain more parsimonious areas of need presented by the cancer patient population. The 25 single-items in the Cancer Support Source questionnaire may inhibit the ability to indicate other concerns that may be expressed by the patient. By identifying the latent dimensions in this exploratory endeavor, we were able to demonstrate how the Cancer Support Source questionnaire could be refined to include easily scored Concern subscales to better identify areas of need for each individual patient that is screened for psychosocial distress. These findings provide an opportunity to impact patient care, opportunities for referral, and resources for cancer care in a hospital setting using this psychosocial distress screening instrument.
Show less
Date Issued
2017
Identifier
CFE0006650, ucf:51254
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006650