Feasibility of EASE: a psychosocial program to improve symptom management in head and neck cancer patients
Feasibility of EASE: a psychosocial program to improve symptom management in head and neck cancer patients
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DOI：
10.1007/s00520-012-1510-z
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发表时间：
2013-01-01
影响因子：
3.1
通讯作者：
Raben, David
中科院分区：
文献类型：
--
作者：
Kilbourn, Kristin M.;Anderson, Derek;Raben, David
头颈癌（HNC）患者经历与其癌症治疗相关的多种身体和心理社会症状。缓解和减轻治疗期间的症状（EASE）研究采用混合方法设计，以探讨定制的基于电话的应对和压力管理干预，以改善HNC患者的症状管理和心理社会护理的可行性。嵌入相关混合方法设计，以回答两个研究问题：（1）EASE干预可行吗？以及（2）EASE参与者在完成EASE干预后是否报告了心理社会结果的改善？在基线和3个月时评估HNC患者。心理社会措施包括癌症特有的痛苦，疼痛，社会支持和生活质量。参与者的平均年龄为60岁（SD = 9.5），76%为男性，47%已婚/有伴侣，57%有烟草使用史。在登记的24名参与者中，16名完成了干预。参与者和电话咨询师报告了高水平的满意度。尽管样本量小和缺乏对照组限制了我们评估干预有效性的能力，但我们的研究结果表明，干预有助于缓冲癌症治疗对情绪和身体的负面影响。这项试点研究表明，EASE干预是可行的，并且对于接受治疗的HNC癌症患者来说是可以接受的。研究结果揭示了在HNC患者中实施心理社会干预的一些挑战，并为该人群的未来干预研究提供了信息。
Head and neck cancer (HNC) patients experience multiple physical and psychosocial symptoms associated with their cancer treatment. The Easing and Alleviating Symptoms during Treatment (EASE) study utilized a mixed methods design to examine the feasibility of a tailored telephone-based coping and stress management intervention to improve symptom management and psychosocial care among HNC patients.An Embedded Correlational Mixed Methods Design was utilized to answer two research questions: (1) is the EASE intervention feasible? and (2) Did EASE participants report improvements in psychosocial outcomes after completion of the EASE intervention? HNC patients were assessed at baseline and 3 months. Psychosocial measures included cancer-specific distress, pain, social support, and quality of life. Project records and exit interviews were conducted to assess acceptability and satisfaction with the intervention.The mean age of the participants was 60 years (SD = 9.5), 76 % were male, 47 % married/partnered, and 57 % had a history of tobacco use. Of the 24 participants who were enrolled, 16 completed the intervention. Participants and telephone counselors reported high levels of satisfaction. Although the small sample size and lack of a control group limit our ability to assess the efficacy of the intervention, our findings suggest that the intervention helped to buffer the negative emotional and physical impact of cancer treatment.This pilot study demonstrated that the EASE intervention is feasible and acceptable to HNC cancer patients undergoing treatment. The study findings revealed some challenges of implementing a psychosocial intervention in HNC patients and inform future intervention studies with this population.