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. Issue 2 (21st October 2015)

• Record Type: Journal Article
• Authors: Hohl, Diana Hilda; Knoll, Nina; Wiedemann, Amelie; Keller, Jan; Scholz, Urte; Schrader, Mark; Burkert, Silke
• Is Part Of: Annals of behavioral medicine. Volume 50:Issue 2(2016)
• Page Start: 247
• Page End: 258
• Publication Date: 2015-10-21
• Subjects: Enabling hypothesis -- Cultivation hypothesis -- Pelvic floor exercise -- Prostate cancer -- Received social support -- Self-efficacy; Medicine and psychology -- Periodicals; Sick -- Psychology -- Periodicals; Behavioral Medicine; 616.0019
• DOI: 10.1007/s12160-015-9748-6
• Languages: English
• ISSNs: 0883-6612

Abstract

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.