Psychosocial interventions for patients and caregivers in the age of new communication technologies: opportunities and challenges in cancer care.

Psychosocial interventions for patients and caregivers in the age of new communication technologies: opportunities and challenges in cancer care.
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DOI:
10.1080/10810730.2014.965369
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发表时间:
2015
影响因子:
4.4
通讯作者:
Diefenbach MA
Diefenbach MA
中科院分区:
医学3区
文献类型:
--
作者:
Badr H;Carmack CL;Diefenbach MA

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交互式健康传播技术(IHCTs)为专注于以夫妇和家庭为基础的心理社会干预的癌症控制研究人员提供了新的机遇和挑战。在这篇文章中,我们首先介绍了8项研究的系统性综述,这些研究利用IHCT对癌症患者及其护理人员进行心理社会干预。虽然这一研究领域仍处于起步阶段,但研究表明,将IHCT纳入此类干预措施是可行的,IHCT通常被患者和护理人员所接受,并且技术的选择在很大程度上取决于干预目标(即,患者、护理者或两者)和结果(例如,决策、症状管理、生活方式行为)。一个主要的研究差距是缺乏Web 2.0技术的集成(例如,尽管社会支持和沟通往往是涉及癌症患者及其护理人员的干预措施的目标组成部分,但社会媒体仍然存在。有鉴于此,我们接下来介绍了一项定性研究的结果,我们进行了描述13名癌症幸存者和12名护理人员在社交媒体使用方面的不同需求和偏好。最后,我们讨论了在癌症患者及其护理人员的心理社会干预中使用IHCT的一些机遇和挑战,并提出了未来研究的方向。
Interactive health communication technologies (IHCTs) present a new opportunity and challenge for cancer control researchers who focus on couple and family-based psychosocial interventions. In this article we first present findings from a systematic review of eight studies that utilized IHCTs in psychosocial interventions with cancer patients and their caregivers. Although this research area is still in its infancy, studies suggest that it is feasible to incorporate IHCTs in such interventions, that IHCTs are generally well-accepted by patients and caregivers, and that the choice of technology is largely dependent on intervention target (i.e., patient, caregiver, or both) and outcomes (e.g., decision-making, symptom management, lifestyle behaviors). A major research gap has been the lack of integration of Web 2.0 technologies (e.g., social media), despite the fact that social support and communication are frequently targeted components of interventions that involve cancer patients and their caregivers. Given this, we next present findings from a qualitative study that we conducted to describe the different needs and preferences of 13 cancer survivors and 12 caregivers with regard to social media use. Finally, we discuss some of the opportunities and challenges of using IHCTs in psychosocial interventions for cancer patients and their caregivers and propose directions for future research.
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