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Published in: Annals of Behavioral Medicine 2/2016

01-04-2016 | Original Article

Enabling or Cultivating? The Role of Prostate Cancer Patients’ Received Partner Support and Self-Efficacy in the Maintenance of Pelvic Floor Exercise Following Tumor Surgery

Authors: Diana Hilda Hohl, Dipl-Psych, Nina Knoll, PhD, Amelie Wiedemann, PhD, Jan Keller, MSc, Urte Scholz, PhD, Mark Schrader, MD, Silke Burkert, PhD

Published in: Annals of Behavioral Medicine | Issue 2/2016

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Abstract

Background

To manage incontinence following tumor surgery, prostate cancer patients are advised to perform pelvic floor exercise (PFE). Patients’ self-efficacy and support from partners were shown to facilitate PFE. Whereas support may enhance self-efficacy (enabling function), self-efficacy may also cultivate support (cultivation function).

Purpose

Cross-lagged inter-relationships among self-efficacy, support, and PFE were investigated.

Method

Post-surgery patient-reported received support, self-efficacy, PFE, and partner-reported provided support were assessed from 175 couples at four times. Autoregressive models tested interrelations among variables, using either patients’ or partners’ reports of support.

Results

Models using patients’ data revealed positive associations between self-efficacy and changes in received support, which predicted increased PFE. Using partners’ accounts of support provided, these associations were partially cross-validated. Furthermore, partner-provided support was related with increases in patients’ self-efficacy.

Conclusion

Patients’ self-efficacy may cultivate partners’ support provision for patients’ PFE, whereas evidence of an enabling function of support as a predictor of self-efficacy was inconsistent.
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Metadata
Title
Enabling or Cultivating? The Role of Prostate Cancer Patients’ Received Partner Support and Self-Efficacy in the Maintenance of Pelvic Floor Exercise Following Tumor Surgery
Authors
Diana Hilda Hohl, Dipl-Psych
Nina Knoll, PhD
Amelie Wiedemann, PhD
Jan Keller, MSc
Urte Scholz, PhD
Mark Schrader, MD
Silke Burkert, PhD
Publication date
01-04-2016
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 2/2016
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9748-6

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