Feasibility and Acceptability of Digital Legacy-Making: An Innovative Story-Telling Intervention for Adults With Cancer.

Feasibility and Acceptability of Digital Legacy-Making: An Innovative Story-Telling Intervention for Adults With Cancer.
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DOI:
10.1177/1049909120971569
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发表时间:
2021-07
期刊:
The American journal of hospice & palliative care
影响因子:
--
通讯作者:
Wachholtz A
Wachholtz A
中科院分区:
其他
文献类型:
--
作者:
DeSanto-Madeya S;Tjia J;Fitch C;Wachholtz A

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本研究探讨了在成年癌症患者中进行遗产干预的可行性、负担和可接受性,以及对患者生活质量(QOL)指标的初步影响。我们进行了一项IB阶段的试点干预研究。干预是对晚期癌症成年人进行数字视频遗产制作访谈,以创建他们记忆和经历的数字视频。基线和视频后QOL评估包括:癌症治疗功能评估-一般(FACT-G)、患者尊严量表(PDI)、医院焦虑和抑郁量表(HADS)以及用于苦恼、焦虑、愤怒、帮助和抑郁的情绪温度计。参与者收到了数字视频的最终副本,以便分发给他们的家人。年龄在38-83岁之间、患有晚期或限制生命的癌症诊断的成年人(n = 16)完成了干预。可行性和可接受性很强,磨损率为0%。虽然初步研究没有定量意义,但参与者的总或子量表FACT-G评分、PDI、HADS焦虑或抑郁评分和情绪温度计评分从基线到干预后发生了变化。数字视频遗产制作干预对成年癌症患者是可行的,对完成研究的个人没有显著的负面结果。目前尚不清楚这种干预是否有助于积极的生活质量结果。
This study examined the feasibility, burden and acceptability of a legacy-making intervention in adults with cancer and preliminary effects on patient quality-of-life (QOL) measures. We conducted a Stage IB pilot, intervention study. The intervention was a digital video legacy-making interview of adults with advanced cancer to create a digital video of their memories and experiences. Baseline and post-video QOL assessments included: Functional Assessment of Cancer Therapy—General (FACT-G), Patient Dignity Inventory (PDI), Hospital Anxiety and Depression Scale (HADS), and Emotional Thermometers for distress, anxiety, anger, help and depression. Participants received a final copy of the digital video for distribution to their families. Adults (n = 16) ages 38-83 years old with an advanced or life-limiting cancer diagnosis completed an intervention. Feasibility and acceptability was strong with 0% attrition. While the pilot study was not powered for quantitative significance, there were changes from baseline to post-intervention in the participants’ total or subscale FACT-G scores, PDI, HADS anxiety or depression scores, and Emotional Thermometer scores. A digital video legacy-making intervention is feasible for adults with cancer without significant negative outcomes for individuals completing the study. It remains unclear whether this intervention contributes to positive quality of life outcomes.
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