Publications by authors named "Mary Hadeed"
Purpose: Three sequences of telephone symptom management interventions were tested on use of unscheduled health services among cancer survivors with depressive or anxiety symptoms during treatment (N = 334) and their informal caregivers (N = 333).
Methods: The three 12-week intervention sequences were as follows: (1) Symptom Management and Survivorship Handbook (SMSH), (2) a combined 8-week SMSH + Telephone Interpersonal Counseling (TIPC) followed by SMSH for 4 weeks, and (3) SMSH for 4 weeks followed by a combined SMSH + TIPC if no response to SMSH alone. Survivor-caregiver dyads were first randomized to SMSH or a combined SMSH + TIPC.
Context: Many cancer survivors and their informal caregivers experience multiple symptoms during the survivor's treatment.
Objective: Test relative effectiveness and optimal sequencing of two evidence-based interventions for symptom management.
Methods: In this sequential multiple assignment randomized trial (SMART), survivors of solid tumors with elevated depression or anxiety and their caregivers as dyads were initially randomized after baseline assessment in a 3:1 ratio to the Symptom Management and Survivorship Handbook (SMSH, N = 277 dyads) intervention or SMSH plus 8 weeks of telephone interpersonal counseling (TIPC, N = 97 dyads).
Context: Many cancer survivors experience a lingering symptom burden after chemotherapy.
Objectives: In this sequential multiple assignment randomized trial, we tested optimal sequencing of two evidence-based interventions for symptom management.
Methods: Survivors of solid tumors (N = 451) were interviewed at baseline and stratified as high or low need for symptom management based on comorbidity and depressive symptoms.
Background: Cancer survivors (defined as individuals from diagnosis to the end of life) in treatment experience multiple physical and psychological symptoms (e.g., fatigue, pain, depression, anxiety, disturbed sleep) that influence their well-being and treatment outcomes.
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- The study aimed to identify factors that influence health service usage among cancer survivors and their caregivers during treatment.
- The research involved 380 pairs of cancer survivors and their caregivers, analyzing self-reported health service usage and how it relates to social determinants of health.
- Key findings indicated that the number of comorbid conditions and education level significantly affected scheduled care use, while younger age and health insurance availability led to higher unscheduled care usage, suggesting targeted educational initiatives for younger individuals could improve health service optimization.