Promoting Resilience in Stress Management: A Pilot Study of a Novel Resilience-Promoting Intervention for Adolescents and Young Adults With Serious Illness
Promoting Resilience in Stress Management: A Pilot Study of a Novel Resilience-Promoting Intervention for Adolescents and Young Adults With Serious Illness
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DOI：
10.1093/jpepsy/jsv004
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发表时间：
2015-10-01
影响因子：
3.6
通讯作者：
McCauley, Elizabeth
中科院分区：
文献类型：
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作者：
Rosenberg, Abby R.;Yi-Frazier, Joyce P.;McCauley, Elizabeth
目的 探讨促进压力管理复原力 (PRISM) 干预措施在两组面临不良结果风险的青少年和年轻人 (AYA) 中的可行性和形式：1 型糖尿病 (T1D) 或癌症患者。方法 PRISM 由两个长或四个短的基于技能的模块组成。 12-25 岁说英语的患者如果患有 T1D 超过 6 个月或患有癌症超过 2 周，则符合资格。可行性被定义为80%的完成率和高满意度。持续的监测形成了针对特定疾病的方法的迭代完善。结果 15 名 T1D 患者中有 12 名 (80%) 完成了两次干预。 15 名癌症患者中有 3 名拒绝完成两次疗程的版本，理由是个别疗程的长度太长。 12 人 (80%) 完成了四节版本。各组患者报告的满意度都很高。结论 PRISM 干预是可行的，并且被患有癌症或 T1D 的 AYA 广泛接受。患者群体的差异需要采取不同的方法。
Objective To examine the feasibility and format of the Promoting Resilience in Stress Management (PRISM) intervention among two groups of adolescents and young adults (AYAs) at-risk for poor outcomes: those with Type 1 diabetes (T1D) or cancer. Methods PRISM consists of two long or four short skills-based modules. English-speaking patients 12-25 years old were eligible if they had T1D for >6 months or cancer for >2 weeks. Feasibility was defined as an 80% completion rate and high satisfaction. Ongoing monitoring shaped iterative refinement of disease-specific approach. Results 12 of 15 patients with T1D (80%) completed the two-session intervention. 3 of 15 patients with cancer declined to complete the two-session version, citing prohibitive length of individual sessions. 12 (80%) completed the four-session version. Patient-reported satisfaction was high across groups. Conclusions The PRISM intervention is feasible and well-accepted by AYAs with cancer or T1D. Differences in patient populations warrant differences in approach.