A virtual resiliency program for lymphoma survivors: helping survivors cope with post-treatment challenges.
A virtual resiliency program for lymphoma survivors: helping survivors cope with post-treatment challenges.
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淋巴瘤幸存者的虚拟恢复计划：帮助幸存者应对治疗后的挑战。
DOI：
10.1080/08870446.2020.1849699
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发表时间：
2021-11
影响因子：
3.3
通讯作者：
Park ER
中科院分区：
文献类型：
--
作者：
Perez GK;Walsh EA;Quain K;Abramson JS;Park ER
适应和测试的可行性，可接受性，和初步疗效的8周弹性小组计划治疗后淋巴瘤幸存者。这是一项探索性混合方法研究。第一阶段：我们进行了定性访谈，以告知程序适应。第二阶段：采用单组试验设计，我们评估了项目的可行性、可接受性和初步疗效（探索性结局：压力应对、不确定性耐受、痛苦）。我们还研究了收集头发皮质醇样本的可行性。第一阶段：幸存者报告说，他们感到社会孤立，因为他们与干扰他们恢复正常的挥之不去的症状作斗争。对复发的恐惧引发了身体的高度警惕。幸存者希望健康计划：1）针对他们的全身体验，2）促进社会联系，3）管理对复发的恐惧。第二阶段：37名幸存者入组。参与者完成了中位数为7/8的疗程，76.9%完成了≥6/8的疗程; 65%提供了头发样本。幸存者在项目完成时表现出压力应对（d=.67）、不确定性耐受（d=.71）和焦虑（d=.41）的改善。研究结果表明，该计划在解决治疗后生存挑战，特别是对不确定性的恐惧方面具有良好的可行性和有效性。采用早期整合该计划后治疗的癌症护理模式有可能改善幸存者的情感，社会和身体健康。
To adapt and test the feasibility, acceptability, and preliminary efficacy of an 8-week resiliency group program for posttreatment lymphoma survivors. This is an exploratory mixed methods study. Phase 1: We conducted qualitative interviews to inform program adaptation. Phase 2: Using a single-arm pilot design, we assessed program feasibility, acceptability, and preliminary efficacy (exploratory outcomes: stress coping, uncertainty intolerance, distress). We also examined the feasibility of collecting hair cortisol samples. Phase 1: Survivors reported feeling socially isolated as they grappled with lingering symptoms that interfered with their return to normalcy. Fears about recurrence triggered bodily hypervigilance. Survivors desired wellness programs that 1) target their whole-body experience, 2) promote social connectedness, and 3) manage fear of recurrence. Phase 2: Thirty-seven survivors enrolled. Participants completed a median of 7/8 sessions, and 76.9% completed ≥6/8 sessions; 65% provided a hair sample. Survivors demonstrated improvements in stress coping (d=.67), uncertainty tolerance (d=.71), and anxiety (d=.41) at program completion. Findings suggest promising feasibility and efficacy of this program in addressing posttreatment survivorship challenges, particularly fears of uncertainty. A cancer care model that adopts early integration of this program posttreatment has the potential to improve survivors’ emotional, social and physical well-being.
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影响因子：
3.9
作者：
Kuhlthau, Karen A.;Luberto, Christina M.;Park, Elyse R.
通讯作者：
Park, Elyse R.
影响因子：
4.2
作者：
Leclair, Caroline Seguin;Lebel, Sophie;Westmaas, J. Lee
通讯作者：
Westmaas, J. Lee
影响因子：
--
作者：
Irwin, M;Artin, KHH;Oxman, MN
通讯作者：
Oxman, MN
影响因子：
3.3
作者：
BEARY, JF;BENSON, H
通讯作者：
BENSON, H
影响因子：
4.7
作者：
Mehta, Darshan H.;Perez, Giselle K.;Jackson, Vicki A.
通讯作者：
Jackson, Vicki A.