A pilot randomized study of a telephone-based cognitive-behavioral stress-management intervention to reduce distress in phase 1 oncology trial caregivers.
A pilot randomized study of a telephone-based cognitive-behavioral stress-management intervention to reduce distress in phase 1 oncology trial caregivers.
复制标题
一项基于电话的认知行为压力管理干预的试点随机研究，旨在减少一期肿瘤试验护理人员的痛苦。
DOI：
10.1017/s1478951523000196
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发表时间：
2023
影响因子：
2.2
通讯作者：
Kilbourn,Kristin
中科院分区：
文献类型：
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作者：
Carr,AlainaL;Bilenduke,Emily;Adolf,Esmeralda;Kessler,ElizabethR;Arch,JoannaJ;Ranby,KristaW;Kilbourn,Kristin
成人1期肿瘤学试验患者的照顾者经历了高水平的痛苦，并面临着面对面支持性护理的障碍。第一阶段的照顾者生命线（P1 CaLL）试点研究评估的可行性，可接受性，和一般的影响，一个人的基于电话的认知行为压力管理（CBSM）干预照顾者的第一阶段oncology trial patients.MethodsThe试点研究涉及4周适应CBSM会议，然后由参与者随机分配到4周认知行为治疗会议或元冥想会议。一个混合方法设计使用定量数据从23个照顾者和定性数据从5个照顾者来检查的可行性和可接受的结果。可行性是使用招聘，保留和评估完成率。可接受性评估与自我报告的满意度计划的内容和参与的障碍。基线护理人员的痛苦和其他心理社会后果的干预后的变化进行了评估为8-session intervention.ResultsThe入学率为45.3%，这表明有限的可行性的基础上先验标准入学率为50%。参与者平均完成了4.9节课，其中9/25（36%）完成了所有课程，评估完成率为84%。干预的可接受性很高，参与者发现这些会议有助于管理与1期肿瘤学试验患者经历相关的压力。参与者表现出减少担心和隔离和stress.Significance的resultsThe P1 CaLL研究证明了足够的可接受性和有限的可行性，并提供数据的一般影响的干预照顾者的痛苦和其他心理社会结果。1期肿瘤学试验患者的护理人员将受益于支持性护理服务;基于电话的干预可能会有更多的利用率，从而产生更大的影响。
ObjectivesCaregivers of adult phase 1 oncology trial patients experience high levels of distress and face barriers to in-person supportive care. The Phase 1 Caregiver LifeLine (P1CaLL) pilot study assessed the feasibility, acceptability, and general impact of an individual telephone-based cognitive behavioral stress-management (CBSM) intervention for caregivers of phase I oncology trial patients.MethodsThe pilot study involved 4 weekly adapted CBSM sessions followed by participant randomization to 4 weekly cognitive behavioral therapy sessions or metta-meditation sessions. A mixed-methods design used quantitative data from 23 caregivers and qualitative data from 5 caregivers to examine the feasibility and acceptability outcomes. Feasibility was determined using recruitment, retention, and assessment completion rates. Acceptability was assessed with self-reported satisfaction with program content and participation barriers. Baseline to post-intervention changes in caregiver distress and other psychosocial outcomes were assessed for the 8-session intervention.ResultsThe enrollment rate was 45.3%, which demonstrated limited feasibility based on an a priori criterion enrollment rate of 50%. Participants completed an average of 4.9 sessions, with 9/25 (36%) completing all sessions and an 84% assessment completion rate. Intervention acceptability was high, and participants found the sessions helpful in managing stress related to the phase 1 oncology trial patient experience. Participants showed reductions in worry and isolation and stress.Significance of resultsThe P1CaLL study demonstrated adequate acceptability and limited feasibility and provided data on the general impact of the intervention on caregiver distress and other psychosocial outcomes. Caregivers of phase 1 oncology trial patients would benefit from supportive care services; a telephone-based intervention may have more utilization and thus make a larger impact.