Getting Creative: Pilot Study of a Coached Writing Intervention in Patients with Advanced Cancer at a Rural Academic Medical Center.
Getting Creative: Pilot Study of a Coached Writing Intervention in Patients with Advanced Cancer at a Rural Academic Medical Center.
复制标题
发挥创造力：在农村学术医疗中心对晚期癌症患者进行辅导写作干预的试点研究。
DOI：
10.1089/jpm.2021.0335
复制
发表时间：
2022
影响因子：
2.8
通讯作者：
Arnold,RobertM
中科院分区：
文献类型：
--
作者：
Vergo,MaxwellT;Klassen-Landis,Marv;Li,Zhigang;Jiang,Meilin;Arnold,RobertM
背景：表达性写作等非便利性写作活动尚未在晚期癌症患者中显示出益处，但便利性写作活动尚未得到充分探索。目的：评估由写作教练确定的便利性写作活动对晚期不可治愈癌症患者的可行性和可接受性。设计：这是一项单臂试点研究。背景/受试者：来自美国农村综合癌症计划的患有晚期不可治愈实体恶性肿瘤的成年患者每月与写作教练会面一次，进行为期 5 个月的治疗。至少三个月的便利写作活动。测量：通过入学率和加入后的流失率来评估可行性。可接受性的评估依据为 (1) 由于干预而导致的退出率 <15%，(2) 由于干预而导致的焦虑或抑郁升高 <15%，以及 (3) 患者的定性评论。 结果：总共 63 名患者中有 22 名表示同意 (35%)。三个月后的流失率为 18% (n= 4)，其中 82% 完成了至少三个月的写作教练干预。没有参与者因干预而退出或焦虑/抑郁加剧。大多数患者希望整个干预继续进行。结论：使用便利写作活动的写作教练对于晚期不可治愈癌症患者来说是可行且可接受的，但需要进一步研究来评估影响。临床试验注册号 NCT 025 75898。
Background:Unfacilitated writing activities, such as expressive writing, have not shown benefit in people with advanced cancer, but facilitated writing activities have yet to be fully explored.Objectives:To assess the feasibility and acceptability of facilitated writing activities determined by a writing coach in people with advanced incurable cancer.Design:This is a single-arm pilot study.Settings/Subjects:Adult patients with advanced incurable solid malignancies from a U.S. rural comprehensive cancer program met with a writing coach monthly for at least three months for facilitated writing activities.Measurements:Feasibility was assessed by enrollment and postinclusion attrition rate. Acceptability was assessed by (1) <15% drop out rate due to the intervention, (2) <15% elevated anxiety or depression due to the intervention, and (3) patient qualitative comments.Results:In total, 22 out of 63 patients consented (35%). Postinclusion attrition rate was 18% (n= 4) at three months with 82% completing at least three months of the writing coach intervention. No participants dropped out or had elevated anxiety/depression due to the intervention. The majority of patients wanted the whole intervention continued.Conclusions:A writing coach using facilitated writing activities was feasible and acceptable in patients with advanced incurable cancer, but further studies are needed to assess impact. Clinical Trial Registration Number NCT 025 75898.