Improving Symptom Management for Survivors of Young Adult Cancer: Development of a Novel Intervention.
Improving Symptom Management for Survivors of Young Adult Cancer: Development of a Novel Intervention.
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改善年轻成人癌症幸存者的症状管理：开发一种新型干预措施。
DOI：
10.1089/jayao.2022.0100
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发表时间：
2023
影响因子：
2
通讯作者：
Oeffinger,KevinC
中科院分区：
文献类型：
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作者：
Dorfman,CarolineS;Shelby,RebeccaA;Stalls,JuliannM;Somers,TamaraJ;Keefe,FrancisJ;Vilardaga,JenniferPlumb;Winger,JosephG;Mitchell,Kara;Ehren,Christopher;Oeffinger,KevinC
改善症状管理是年轻成人（YA）癌症幸存者（诊断时年龄为18-39岁）治疗后的关键需求，尽管尚未得到满足。本研究旨在开发和完善的行为症状管理干预YA survivors.Methods：第一阶段：YA幸存者（N= 21）和肿瘤学提供者（N= 11）完成了个人访谈和在线，自我报告评估，以检查症状的经验，需要为YAs的行为症状管理干预，以及对潜在的干预成分，结构和格式的看法。第二阶段：YA幸存者（N= 10）完成了用户测试会话，提供了对原型干预材料（纸质手册和移动的应用程序）的反馈，并完成了在线评估。使用描述性统计检查定量数据。快速定性分析，一种方法学上严格的标准化方法，used.Results：疼痛，疲劳和痛苦被列为最关注的YAs和供应商。第一阶段的访谈强调了需要对YAs进行症状管理干预。YA和提供者强调了潜在的应对策略和计划格式/结构建议（例如，小组形式），以最好地满足青年学生的需要。一个原型的干预措施结合以下内容：传统的行为症状应对技能;家庭为基础的体育活动;战略接受和承诺治疗和意义为中心的心理治疗;和战略，以促进自我同情。第二阶段用户测试会议强调的优势和建议，完善原型materials.Conclusion：治疗后症状是常见的YAs。一个量身定制的行为症状管理计划是根据YAs和提供者的输入开发和完善的，并将在一项试点随机对照试验中检查其可行性和可接受性。Clinicaltrials.gov
Purpose:Improved symptom management is a critical although unmet post-treatment need for young adult (YA) cancer survivors (aged 18–39 at diagnosis). This study aimed to develop and refine a behavioral symptom management intervention for YA survivors.Methods:Phase I: YA survivors (N= 21) and oncology providers (N= 11) completed individual interviews and an online, self-report assessment to examine symptom experiences, the need for a behavioral symptom management intervention for YAs, and perceptions about potential intervention components, structure, and format. Phase II: YA survivors (N= 10) completed user testing sessions, providing feedback on the prototype intervention materials (paper manual and mobile application), and completed an online assessment. Quantitative data were examined using descriptive statistics. Rapid qualitative analysis, a methodologically rigorous standardized approach, was used.Results:Pain, fatigue, and distress were ranked as top concerns by most YAs and providers. Phase I interviews underscored the need for a symptom management intervention for YAs. YAs and providers highlighted potential coping strategies and program format/structure suggestions (e.g., small group format) to best meet YAs' needs. A prototype intervention was developed combining the following: traditional behavioral symptom coping skills; home-based physical activity; strategies from Acceptance and Commitment Therapy and Meaning-Centered Psychotherapy; and strategies to foster self-compassion. Phase II user testing sessions highlighted strengths and suggestions for refining the prototype materials.Conclusion:Post-treatment symptoms are common for YAs. A tailored behavioral symptom management program was developed and refined with input from YAs and providers and will be examined for feasibility and acceptability in a pilot randomized controlled trial.Clinical Trial:Clinicaltrials.gov identifier NCT04035447