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Dyadic planning of health-behavior change after prostatectomy : a randomized-controlled planning intervention

Dyadic planning of health-behavior change after prostatectomy : a randomized-controlled planning intervention

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BURKERT, Silke, Urte SCHOLZ, Oliver GRALLA, Jan ROIGAS, Nina KNOLL, 2011. Dyadic planning of health-behavior change after prostatectomy : a randomized-controlled planning intervention. In: Social Science & Medicine. 73(5), pp. 783-792. ISSN 0277-9536. eISSN 1873-5347. Available under: doi: 10.1016/j.socscimed.2011.06.016

@article{Burkert2011-09Dyadi-19086, title={Dyadic planning of health-behavior change after prostatectomy : a randomized-controlled planning intervention}, year={2011}, doi={10.1016/j.socscimed.2011.06.016}, number={5}, volume={73}, issn={0277-9536}, journal={Social Science & Medicine}, pages={783--792}, author={Burkert, Silke and Scholz, Urte and Gralla, Oliver and Roigas, Jan and Knoll, Nina} }

Burkert, Silke Gralla, Oliver In this study, we investigated the role of dyadic planning for health-behavior change. Dyadic planning refers to planning health-behavior change together with a partner. We assumed that dyadic planning would affect the implementation of regular pelvic-floor exercise (PFE), with other indicators of social exchange and self-regulation strategies serving as mediators. In a randomized-controlled trial at a German University Medical Center, 112 prostatectomy-patients with partners were randomly assigned to a dyadic PFE-planning condition or one of three active control conditions. Questionnaire data were assessed at multiple time points within six months post-surgery, measuring self-reported dyadic PFE-planning and pelvic-floor exercise as primary outcomes and social exchange (support, control) and a self-regulation strategy (action control) as mediating mechanisms. There were no specific intervention effects with regard to dyadic PFE-planning or pelvic-floor exercise, as two active control groups also showed increases in either of these variables. However, results suggested that patients instructed to plan dyadically still benefited from self-reported dyadic PFE-planning regarding pelvic-floor exercise. Cross-sectionally, received negative control from partners was negatively related with PFE only in control groups and individual action control mediated between self-reported dyadic PFE-planning and PFE for participants instructed to plan PFE dyadically. Longitudinally, action control mediated between self-reported dyadic PFE-planning and pelvic-floor exercise for all groups. Findings provide support for further investigation of dyadic planning in health-behavior change with short-term mediating effects of behavior-specific social exchange and long-term mediating effects of better self-regulation. Burkert, Silke 2012-05-02T07:35:34Z deposit-license eng Knoll, Nina 2011-09 Scholz, Urte 2012-05-02T07:35:34Z Roigas, Jan Scholz, Urte Knoll, Nina Publ. in: Social Science & Medicine ; 73 (2011), 5. - pp. 783-792 Dyadic planning of health-behavior change after prostatectomy : a randomized-controlled planning intervention Gralla, Oliver Roigas, Jan

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