Enabling or Cultivating? The Role of Prostate Cancer Patients' Received Partner Support and Self-Efficacy in the Maintenance of Pelvic Floor Exercise Following Tumor Surgery.

To manage incontinence following tumor surgery, prostate cancer patients are advised to perform pelvic floor exercise (PFE). Patients' self-efficacy and support from partners were shown to facilitate PFE.

Whereas support may enhance self-efficacy (enabling function), self-efficacy may also cultivate support (cultivation function).

Cross-lagged inter-relationships among self-efficacy, support, and PFE were investigated.

Post-surgery patient-reported received support, self-efficacy, PFE, and partner-reported provided support were assessed from 175 couples at four times. Autoregressive models tested interrelations among variables, using either patients' or partners' reports of support.

Models using patients' data revealed positive associations between self-efficacy and changes in received support, which predicted increased PFE. Using partners' accounts of support provided, these associations were partially cross-validated. Furthermore, partner-provided support was related with increases in patients' self-efficacy.

Patients' self-efficacy may cultivate partners' support provision for patients' PFE, whereas evidence of an enabling function of support as a predictor of self-efficacy was inconsistent.

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2015 Oct 21 [Epub ahead of print]

Diana Hilda Hohl, Nina Knoll, Amelie Wiedemann, Jan Keller, Urte Scholz, Mark Schrader, Silke Burkert

Department of Educational Sciences and Psychology, Division of Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.  Department of Educational Sciences and Psychology, Division of Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany. , Department of Educational Sciences and Psychology, Division of Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany. , Department of Educational Sciences and Psychology, Division of Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany. , Department of Psychology, University of Zurich, Zurich, Switzerland. , Department of Urology, Helios Klinikum Berlin-Buch, Berlin, Germany. , Institute of Medical Psychology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

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