Consider the Source: Examining Attrition Rates, Response Rates, and Preliminary Effects of eHealth Mindfulness Messages and Delivery Framing in a Randomized Trial with Young Adult Cancer Survivors.
Consider the Source: Examining Attrition Rates, Response Rates, and Preliminary Effects of eHealth Mindfulness Messages and Delivery Framing in a Randomized Trial with Young Adult Cancer Survivors.
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考虑来源：在对年轻成年癌症幸存者进行的随机试验中，检查电子健康正念信息和传递框架的流失率、响应率和初步效果。
DOI：
10.1089/jayao.2020.0102
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发表时间：
2021
影响因子：
2
通讯作者：
Victorson,David
中科院分区：
文献类型：
--
作者：
Murphy,KarlyM;Burns,James;Victorson,David
目的：患有癌症的年轻人经常经历压力，抑郁和焦虑。正念冥想是对这些结果的有效干预，长期改善可能需要维护支持。eHealth技术提供了一个有前途的交付策略，为维护interventions.Methods：经过8周的正念减压（MBSR）课程，62名年轻的成年癌症幸存者被随机分配到8周的导师框架的消息，同行框架的消息，或没有消息。参与者的平均年龄为33.6岁。大多数参与者是受过大学教育的白人女性。我们研究了收到信息和没有收到信息的参与者之间的损耗率，并比较了不同感知来源的响应率。此外，我们评估了电子健康支持的正念和相关outcomes.Results的初步效果：各组之间的摩擦或消息响应率没有显着差异。重复测量模型揭示了显着的组由时间的相互作用感知的压力，焦虑和抑郁。收到电子健康信息的组和没有收到电子健康信息的组之间没有差异。有一个显着的差异，焦虑症状从后MBSR后的消息之间的消息组。个人谁收到的martor-framed消息报告增加的焦虑症状随着时间的推移。结论：ATTENSION和响应率并没有不同的群体，这表明电子健康可能是一个可行的策略，提供维护支持。然而，需要进一步评估这种干预的可行性、可接受性以及最佳内容和剂量。此外，年轻的成年癌症幸存者可能更有可能受益于电子健康干预措施，而这些干预措施不是由权威人士提供的。
Purpose:Young adults with cancer often experience stress, depression, and anxiety. Mindfulness meditation is an effective intervention for these outcomes, and maintenance support may be needed for long-term improvements. eHealth technologies provide a promising delivery strategy for maintenance interventions.Methods:Following an 8-week mindfulness-based stress reduction (MBSR) course, 62 young adult cancer survivors were randomized to 8 weeks of instructor-framed messages, peer-framed messages, or no messages. On average, participants were 33.6 years old. The majority of participants were college-educated Caucasian females. We examined attrition rates between participants who received messages and those who did not, and compared response rates from different perceived sources. In addition, we evaluated the preliminary effects of eHealth support on mindfulness and associated outcomes.Results:No significant differences in attrition or message response rates across groups were observed. Repeated measures models revealed significant group by time interactions on perceived stress, anxiety, and depression. There were no differences between the groups that received eHealth messages and the group that did not. There was a significant difference in anxiety symptoms from post-MBSR to post-messaging between messaging groups. Individuals who received instructor-framed messages reported increased symptoms of anxiety over time.Conclusion:Attrition and response rates did not differ across groups, suggesting that eHealth may be a feasible strategy for providing maintenance support. However, further evaluation of feasibility, acceptability, and optimal content and dose of such an intervention is needed. Additionally, young adult cancer survivors may be more likely to benefit from eHealth interventions that are not delivered by authority figures.