A pilot study of mobilized intervention to help caregivers of oncology patients manage distress.
A pilot study of mobilized intervention to help caregivers of oncology patients manage distress.
复制标题
一项动员干预的试点研究，旨在帮助肿瘤患者的护理人员应对痛苦。
DOI：
10.1002/pon.5597
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发表时间：
2021
期刊：
影响因子：
3.6
通讯作者：
Laudenslager,MarkL
中科院分区：
文献类型：
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作者：
Pensak,NicoleA;Carr,AlainaL;Jones,Jacqueline;Mikulich-Gilbertson,SusanK;Kutner,JeanS;Kilbourn,Kristin;Sannes,TimothyS;Brewer,BenjaminB;Kolva,Elissa;Joshi,Tanisha;Laudenslager,MarkL
晚期癌症患者的护理人员经历显著的焦虑，抑郁和痛苦。护理人员在获得亲自治疗以管理压力方面存在障碍。技术允许以方便的方式传播基于证据的干预措施。这项研究调查了Pep‐ patient的使用率（一种基于证据的动员干预，以帮助晚期癌症患者的照顾者管理痛苦）和对焦虑，抑郁，压力和性功能障碍的疗效估计。（针对护理人员的动员式心理教育和技能干预，n= 26）或常规治疗（TAU;n= 30）。在基线时，所有人都在医院焦虑和抑郁量表-焦虑筛查评估（A≥ 8）上进行中度焦虑筛查。（PSS;F= 3.91，p = .05），学习和使用压力管理技能的能力有更大的提高（F= 6.16，p = 0.01），性功能（仅女性;F= 5.07，p = 0.03）较TAU参与者有更大的提高。在Pep-10参与者中，只有10人（38.5%）观看了至少7/9的完整会话。先验的假设和标准，参与者将观看至少75%的全长sessions were not meeted.ConclusionsA简短，易于传播的移动的干预表现出较差的依从性，但有有限的估计次要结果的有效性;感知压力，学习压力管理技能，和性功能（仅限女性）。讨论了未来的方向。
ObjectiveCaregivers of patients with advanced cancer experience significant anxiety, depression, and distress. Caregivers have barriers to accessing in‐person treatment to manage stress. Technology allows for the dissemination of evidence‐based interventions in a convenient way. This study examined usage rates of Pep‐Pal (an evidence‐based mobilized intervention to help caregivers of patients with advanced cancer manage distress) and estimates of efficacy on anxiety, depression, stress, and sexual dysfunction.MethodsFifty‐six primary caregivers of patients with advanced cancer were recruited through oncology clinics and randomized to either Pep‐Pal (a mobilized psychoeducation and skills‐based intervention for caregivers,n= 26) or treatment as usual (TAU;n= 30). All were screened for moderate anxiety on the Hospital Anxiety and Depression Scale–Anxiety screening assessment (A≥ 8) at baseline.ResultsParticipants randomized to Pep‐Pal experienced greater reductions in perceived stress (PSS;F= 3.91,p= .05), greater increases in ability to learn and use stress management skills (F= 6.16,p= 0.01), and greater increases in sexual function (women only;F= 5.07,p= 0.03) compared to participants in TAU. Of Pep‐Pal participants, only 10 (38.5%) watched at least 7/9 full‐length sessions. The a priori hypothesis and criterion that participants would watch at least 75% full‐length sessions were not met.ConclusionsA brief, easily disseminated mobile intervention showed poor adherence, but had limited estimates of efficacy for secondary outcomes; perceived stress, learning stress management skills, and sexual functioning (women only). Future directions are discussed.