Interactive CD-ROM for Coping with Breast Cancer

DESCRIPTION Breast cancer is the most common cancer among women with over one million new cases reported in the world each year A diagnosis of breast cancer is frequently and understandably associated with high levels of psychosocial distress While support groups and stress management interventions have increased social support reduced psychosocial and physiological stress improved active coping and enhanced psychosocial adjustment less than percent of patients attend these group based interventions This is particularly true of minority and other underserved women In a Phase I project we developed an innovative interactive multimedia instructional CD ROM entitled andquot Living With Breast Cancer andquot This product is unique in that it describes and normalizes the range of emotional reactions women with breast cancer experience organizes and walks women through the medical landscape of breast cancer directs womenandapos s education queries to appropriate sources when they need them and offers skill building strategies for alleviating psychosocial stress and for creating and maintaining constructive social support The goals of this Phase II project are to enhance and further refine our product and to develop a companion web site The web site will provide updated information links to additional valuable carefully screened references and an opportunity for CD ROM users to share their experiences with one another We will recruit a sample of women with breast cancer across two demographically different sites to participate in a randomized controlled trial of the effects of the product and the web site Women will be randomly assigned to Enhanced Usual Care group UC who will receive an educational breast cancer video or to the CD ROM Intervention group CDR who will receive the andquot Living With Breast Cancerandquot product in addition to the video Women will be assessed at baseline and and month follow up on psychosocial stress i e life events perceived stress psychosocial distress i e depression trauma symptoms coping social support physiological stress response i e cortisol breast cancer disease outcomes i e recurrence and consumer satisfaction The products will be marketed to cancer treatment centers independent oncology health care providers pharmaceutical manufacturers and health maintenance organizations