This study tests the effectiveness of a family-based program of care in improving clinical outcomes, and tests the ability of a model to predict which patients and spouses are at increased risk of poorer quality of life.
Aim 1. Determine if the family-based intervention can improve proximal clinical outcomes (better family communication, higher self-efficacy, more problem-focused coping, and less threat, uncertainty, and hopelessness) and improve the distal clinical outcome, better quality of life, in a culturally and socioeconomically diverse sample of men with prostate cancer and their spouses.
Aim 2. Test a stress-coping model designed to predict which prostate cancer patients and their spouses are at increased risk of poorer long-term quality of life.
Men with prostate cancer and their spouses (N=263 couples) will be followed over a 12-month period of time.