Caregiver Influences on Colorectal Cancer Quality of Life

Little is known about the frequency or impact of these common forms of violence among men diagnosed with cancer. Data from the National Intimate Partner and Sexual Violence Survey strongly suggests that both men and women experience IPV and SV. Kentucky’s IPV and SV rates are among this Nation’s highest. Women and men can benefit from having violence identified and addressed by health care providers. AIMS: In preparation for an NCI grant resubmission, we seek addition preliminary data to determine sex differences in 1) patient acceptability of in-clinic tablet facilitated screening for past IPV/SV and current partner interfering, controlling or abusive (PICA) behaviors among those recently diagnosed with CRC, 2) the frequency of current and past violence around CRC diagnosis, and 3) new PICA behaviors within the first 6 months after CRC diagnosis using smart-phone technology targeting treatment milestones. EXPECTED OUTCOMES: In-clinic IPV/SV/PICA screening will be acceptable for both men and women. Rates of past IPV/SV and current PICA behaviors will be similar among men and women recently diagnosed with CRC. New PICA behaviors during cancer treatment will be similar among men and women. Lastly, current and past IPV/SV will be associated with poorer QOL post-CRC diagnosis for both sexes. Significance: How will clinical and/or psych-oncology services will be changed if the proposed aims are achieved? This clinical research will address the Institute of Medicine’s recommendation of a “survivorship care plan” including cancer diagnosis, treatment, and access to psychological and support services. If as anticipated interpersonal trauma is associated with consistently poorer cancer-related QOL, clinical and/or psych-oncology services would include interpersonal trauma screening as part of the currently required distress screening. This approach may not only improve cancer outcomes but could additionally reduce symptoms of depression, anxiety, and may affect negative health behaviors affecting cancer survivorship (e.g., substance abuse, limited exercise, nutrient poor diet). Distress screening is now required for all patients seen in cancer centers [9] ‘at pivotal’ times during treatment, recovery, or progression. Screening and intervention for distress has the exciting potential to significantly improve QOL for women and men.