Peer mentors delivering a physical activity intervention for cancer survivors: effects among mentors.
Peer mentors delivering a physical activity intervention for cancer survivors: effects among mentors.
复制标题
同伴导师为癌症幸存者提供身体活动干预：导师之间的影响。
DOI：
10.1007/s13142-016-0460-2
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发表时间：
2017
影响因子：
3.6
通讯作者：
Kamson,Chelsey
中科院分区：
文献类型：
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作者：
Pinto,BernardineM;Dunsiger,Shira;Stein,Kevin;Kamson,Chelsey
为了进一步为乳腺癌幸存者提供基于电话的身体活动（PA）干预的实施工作，我们评估了PA，疲劳，情绪和提供该计划的同伴导师/教练的生活质量。这些教练是美国癌症协会康复项目的志愿者。在一项随机对照试验中，教练（n= 18）向76名乳腺癌幸存者提供了PA干预。教练完成评估PA（自我报告），动机准备PA，并在开始辅导和研究退出时的心理变量的标准化措施。在研究退出时，他们还回答了一个关于他们从研究中获得的好处的开放式问题。我们使用广义线性模型来分析PA数据和心理社会变量。卡方分析用于动机准备。对开放式问题的书面答复进行了分析，以确定主题。教练的PA在研究进入和退出时超过了国家建议，随着时间的推移没有显著变化。61%的人处于动机准备的维持阶段，61%的人在研究结束时仍处于同一阶段。社会心理功能也随着时间的推移保持稳定。质性数据显示，教练的收获包括帮助自己（有四个子主题）和帮助他人。干预交付没有意外的负面影响（PA，动机准备，心理社会功能）之间的教练。他们报告的成果没有反映在标准化的心理社会评估中。这些数据支持进一步实施同伴交付的PA方案，以扩大干预措施的覆盖面。
To further inform implementation efforts of a telephone-based physical activity (PA) intervention for breast cancer survivors, we assessed the PA, fatigue, mood, and quality of life of the peer mentors/coaches who delivered the program. The coaches were volunteers with the American Cancer Society's Reach to Recovery program. The coaches (n= 18) delivered the PA intervention to 76 breast cancer survivors in a randomized controlled trial. Coaches completed assessments of PA (self-report), motivational readiness for PA, and standardized measures of psychosocial variables at the start of coaching and at study exit. At study exit, they also responded to an open-ended question on the benefits that they accrued from the study. We used generalized linear models to analyze the PA data and psychosocial variables. Chi-squared analyses were used for motivational readiness. The written responses to the open-ended question were analyzed to identify themes. Coaches' PA exceeded national recommendations at study entry and exit with no significant changes over time. Sixty-one percent were in the maintenance stage of motivational readiness, and 61% remained in the same stage at study exit. Psychosocial functioning also remained stable over time. Qualitative data revealed that the coaches' gains included helping themselves (with four subthemes) and helping others. Intervention delivery had no unintended negative consequences (PA, motivational readiness, and psychosocial functioning) among coaches. They reported gains that were not reflected in standardized psychosocial assessments. These data support further implementation of peer-delivered PA programs to enhance the reach of interventions.