© 2000 by Oxford University Press
Journal of the National Cancer Institute, Vol. 92, No. 17, 1381-1387,
September 6, 2000
© 2000 Oxford University Press
COMMENTARY |
Behavioral Science Research in the Cooperative Group Setting: the Southwest Oncology Group Experience
Affiliations of authors: C. C. Gotay, Cancer Research Center of Hawaii, University of Hawaii, Honolulu; C. M. Moinpour, Southwest Oncology Group Statistical Center, Seattle, WA; S. Moody-Thomas, Louisiana State University Health Sciences Center, Stanley S. Scott Cancer Center, New Orleans; E. R. Gritz, The University of Texas M. D. Anderson Cancer Center, Houston; K. S. Albain, Loyola University of Chicago, Stritch School of Medicine, Maywood, IL; E. DeAntoni, University of Colorado Health Sciences Center, Denver; L. Hansen, Columbia River Community Clinical Oncology Program, Portland, OR; P. A. Ganz, Jonsson Comprehensive Cancer Center, University of California, Los Angeles.
Correspondence to: Carolyn Cook Gotay, Ph.D., Cancer Research Center of Hawaii, University of Hawaii, 1236 Lauhala St., Honolulu, HI 96813 (e-mail: cgotay@crch.hawaii.edu).
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BACKGROUND |
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Cancer prevention, detection, treatment, and continuing care require individuals to behave in specified ways, whether abstaining from certain behaviors (e.g., sun exposure) or adopting others (e.g., following recommendations for state-of-the-art treatment). Thus, behavior is one of the keys to controlling cancer. Much progress in cancer control has stemmed from behavioral research and interventions. For example, reductions in tobacco use are largely responsible for lower rates of lung cancer (1), and increased use of mammography has led to decreases in breast cancer mortality (2). Moreover, a recent meta-analysis of psychosocial interventions in adult cancer patients (3) concluded that such interventions have a positive effect on emotional, physical, and social outcomes. According to Dr. Richard Klausner (4), Director of the National Cancer Institute (NCI), Bethesda, MD, "behavioral research is fundamental to the mission of [NCI] and the broader social goal of reducing cancer incidence,
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BEHAVIORAL RESEARCH IN THE SWOG |
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Outcome Assessment Research
Intervention Research
Primary Prevention
Lung cancer. Prostate cancer prevention. Screening/Secondary Prevention
Breast self-examination. Cancer screening in Hispanic women. Tertiary Prevention
Enhancing well-being in women experiencing breast cancer recurrence.
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CONDUCTING BEHAVIORAL RESEARCH IN A COOPERATIVE GROUP: BENEFITS AND CHALLENGES |
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Benefits
Access to a Large and Varied Cancer Patient Population Access to a Large and Varied Patient and Physician Base Emphasis on Quality Control Organizational Infrastructure Challenges
Quality-Control Mechanisms Geared Toward Clinical Outcomes Behavioral Science Not the Major Focus Within Cooperative Groups Competing Priorities of Institutional Staff
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CONCLUSIONS |
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NOTES |
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REFERENCES |
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