Timing and tailoring of internet-based cognitive-behavioral treatment for insomnia for cancer survivors: A qualitative study.
Timing and tailoring of internet-based cognitive-behavioral treatment for insomnia for cancer survivors: A qualitative study.
复制标题
基于互联网的认知行为治疗癌症幸存者失眠的时机和定制：一项定性研究。
DOI：
10.1002/pon.5180
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发表时间：
2019
期刊：
影响因子：
3.6
通讯作者：
Ritterband,Lee
中科院分区：
文献类型：
--
作者：
Shaffer,Kelly;Ingersoll,Karen;Chow,Philip;Thorndike,Frances;Bailey,Elaine;Shepard,Jaclyn;Ritterband,Lee
在美国，1550万癌症幸存者中大约有三分之一的人经历临床上显著的痛苦，抑郁，焦虑，疲劳和/或失眠。2-4互联网提供的干预措施有很大的希望，以增加获得有效的行为治疗这些症状，因为互联网干预措施具有很高的成本效益，可快速扩展，以适应需求，并与互联网连接随时随地访问，和私人。5了解如何为癌症幸存者量身定制有效的行为互联网干预措施，并为这些干预措施的实施安排最佳时间，对于最好地满足这一不断增长的人群的重大心理社会需求至关重要。适当地安排向幸存者提供行为互联网干预的时间对于最大限度地提高幸存者的接受程度和维持他们对这些计划的使用以最终确保最大的影响非常重要。6幸存者对定制程度的偏好的用户反馈将有助于互联网提供的行为干预的开发人员在特异性和普遍性之间取得正确的平衡。因此，为了解决有关癌症幸存者基于互联网的行为干预的时机和定制的问题，我们检查了癌症幸存者焦点小组的定性反馈，这些癌症幸存者试行了标准版本（即，不是为癌症幸存者量身定制的）互联网交付的CBT用于失眠干预。
1 BACKGROUNDRoughly one in three of the 15.5 million cancer survivors in the United States 1 experiences clinically significant distress, depression, anxiety, fatigue, and/or insomnia. 2-4 Internet-delivered interventions hold significant promise to increase access to effective behavioral treatments for these symptoms, given that Internet interventions are highly cost-effective, quickly scalable to accommodate demand, and accessible with an Internet connection anywhere, anytime, and privately. 5 Understanding how to best tailor and time the delivery of efficacious behavioral Internet interventions for cancer survivors is essential to best meet the significant psychosocial needs among this growing population. Appropriately timing the delivery of behavioral Internet interventions to survivors is important to maximize survivors' uptake and sustain their use of these programs to ultimately ensure greatest impact. 6 User feedback from survivors about their preferences regarding the level of tailoring will help developers of Internet-delivered behavioral interventions strike the right balance between specificity and generalizability. Therefore, to address questions regarding timing and tailoring of behavioral Internet-based interventions for cancer survivors, we examined qualitative feedback from focus groups of cancer survivors who piloted a standard version (ie, not tailored for cancer survivorship) of an Internet-delivered CBT for insomnia intervention.2 METHODS