Cognitive behavioral stress management (CBSM) is effective in reducing symptom burden and improving health-related quality of life (HRQoL) in prostate cancer (PC) survivors but limited work has targeted racial/ethnic minority patients, comprehensively assessed intra- and inter-personal mechanisms (e.g., self- and emotional-regulation) in patients and spouses/partners, or collected “real time” data that maps onto psychological and physiological adjustment. This revised study will address these shortcomings by assessing how CBSM's impact on primary study outcomes of symptom burden and HRQoL operate through Science of Behavioral Change (SOBC) measures in the self-regulation, interpersonal/ social processes and stress domains, and by using “real time” ecological momentary assessments of social connectivity, positive/negative mood, stress management skills and physiological arousal (SNS & HPAC activation) through mHealth technologies. Further, this revision considers the experience of both patients and their spouses/partners, by conducting spousal/partner. This is a competitive revision application to a RCT evaluating the effects of a group-based linguistically translated and culturally adapted cognitive-behavioral stress and self-management (C-CBSM) intervention on symptom burden and health related quality of life (HRQoL) in Hispanic men treated for localized prostate cancer (PC).
University of Miami
College of Arts and Sciences & Miller School of Medicine
Dr. Penedo is the Sylvester Professor of Psychology and Medicine and Associate Director for Cancer Survivorship and Translational Behavioral Sciences at the University of Miami Sylvester Comprehensive Cancer Center. He also serves as program Co-Leader of the Cancer Control Program and Director of Survivorship. He earned a PhD in Clinical Health Psychology in 1999 from the University of Miami, and completed his clinical psychology residency at the University of Pittsburgh, Western Psychiatric Institute and Clinic and the University of Pittsburgh Cancer Center. He is current President of the International Society of Behavioral Medicine. Dr. Penedo's research program is supported by several NIH funded studies that address the underlying psychosocial, sociocultural and biobehavioral mechanisms of chronic diseases processes and health outcomes. His current research program focuses on four broad domains of chronic disease management: Behavioral and Psychosocial Processes in Health Outcomes, Sociocultural Determinants of Health, Biobehavioral Mechanisms & Chronic Disease Management Interventions.