Cancer and Aging Reflections for Elders (CARE): A Geriatric-Specific Psychotherapy for Older Adults with Cancer

老年人的癌症与衰老反思 (CARE):针对患有癌症的老年人的老年特异性心理治疗

基本信息

  • 批准号:
    10174886
  • 负责人:
  • 金额:
    $ 67.52万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2020
  • 资助国家:
    美国
  • 起止时间:
    2020-06-01 至 2025-05-31
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY By 2040, 20% of the population will be over 65. Sixty percent of cancer diagnoses and 70% of cancer deaths occur in older adults, with rural older adults at a higher risk of developing and dying from cancer than their urban peers. Additionally, 73% of cancer survivors are older adults. Depression is an important concern for older adults with cancer, as estimates of those with depressive symptoms are as high as 27%. Depression often interferes with treatment decision making and treatment adherence. In rural areas, up to 25% of older adults have a diagnosable psychiatric illness. Additionally, older adults often have subsyndromal depression, with recent population estimates of up to 40% in medically ill patients. Even the presence of mild depressive symptoms is associated with significant mortality. These individuals are at increased risk for social isolation with minimal access to mental health care despite a willingness to utilize these services. We developed a novel intervention, the Cancer and Aging: Reflections for Elders (CARE) Intervention, to treat depression and distress in older cancer patients. CARE is a manualized, five session telephone intervention which can easily be disseminated. CARE uniquely focuses on aspects of aging and cancer by: 1) integrating development theory of aging with reappraisal theory, and 2) incorporating feedback from older cancer patients. This unique tailoring is designed to help older adults negotiate age specific developmental tasks and utilize reappraisal strategies important for successful aging. As a result, CARE has the potential to be more effective than “off the shelf,” standard psychotherapeutic interventions, applied to this population. Data from the pilot RCT indicated that CARE is feasible and effective. This study tests the efficacy of the CARE intervention in a large, two arm, RCT. We will partner with the Cancer Support Community (CSC) to recruit through CSC’s local affiliates in areas with large rural populations and to deliver the interventions via telephone through the CSC-identified social workers. 476 subjects will be randomly assigned to two arms: Arm 1-the CARE Intervention and Arm 2- a Social Work and Supportive Counseling (SWSC) Intervention. Both interventions will consist of 5 sessions (45 mins) and 4 briefer booster sessions (30 mins). CARE has the potential to impact the field on both a theoretical and clinical level. Importantly, CARE was tested by phone to reach older adults who are geographically isolated and was developed so different types of professionals (e.g., master’s level psychologists, social workers, clergy, psychiatry nurses) could provide the intervention. If found to be effective, CARE could be a cost effective, easily- implemented, first-line treatment for depressive symptoms for older adults with cancer.
项目摘要 到2040年,20%的人口将超过65岁。60%的癌症诊断和70%的癌症死亡 发生在老年人中,农村老年人患癌症和死于癌症的风险高于城市老年人。 同龄人73%的癌症幸存者是老年人。抑郁症是老年人的一个重要问题 据估计,有抑郁症状的人高达27%。抑郁症往往会干扰 治疗决策和治疗依从性。在农村地区,高达25%的老年人患有 可诊断的精神疾病此外,老年人往往有亚综合征抑郁症,最近 估计高达40%的医学疾病患者。即使是轻度抑郁症状的存在, 与显著的死亡率相关。这些人在社会孤立的风险增加, 获得精神卫生保健,尽管愿意利用这些服务。我们开发了一种新的干预措施, 癌症与衰老:老年人反思(CARE)干预,治疗老年人的抑郁和痛苦 癌症患者。CARE是一个手动的,五个会议的电话干预,可以很容易地传播。 CARE通过以下方式独特地关注衰老和癌症方面:1)将衰老的发展理论与 再评价理论,2)纳入老年癌症患者的反馈。这种独特的剪裁设计 帮助老年人协商特定年龄的发展任务,并利用重要的重新评估策略, 成功的衰老因此,CARE有可能比“现成的”标准更有效。 心理治疗干预,适用于该人群。来自试点RCT的数据表明,CARE 可行性和有效性本研究在一项大型双臂随机对照试验中测试了CARE干预的有效性。我们将 与癌症支持社区(CSC)合作,通过CSC在大型地区的当地分支机构招募 通过社区支助委员会指定的社会工作者,通过电话提供干预措施。476 受试者将被随机分配到两个组:第1组-CARE干预和第2组-社会工作, 支持性咨询(SWSC)干预。两次干预都将包括5次会议(45分钟)和4次简报 助推器会议(30分钟)。CARE有可能在理论和临床层面上影响该领域。 重要的是,CARE通过电话进行了测试,以接触地理上孤立的老年人, 开发了如此不同类型的专业人员(例如,硕士水平的心理学家,社会工作者,神职人员, 精神科护士)可以提供干预。如果发现是有效的,护理可以是一个成本效益,很容易- 实施,一线治疗老年癌症患者的抑郁症状。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Christian J Nelson其他文献

MP84-02 UTILITY OF 2D PHOTOGRAPHY IN THE ASSESSMENT OF PENILE CURVATURE IN MEN WITH PEYRONIE's DISEASE (PD): THE GOSOFT STUDY
  • DOI:
    10.1016/j.juro.2017.02.2643
  • 发表时间:
    2017-04-01
  • 期刊:
  • 影响因子:
  • 作者:
    Jean-Etienne Terrier;Leonardo Florez Valencia;Maciej Orkisz;Christian J Nelson;Lawrence C Jenkins;Phil Vu Bach;Eduardo P Miranda;Bruno Nascimento;John P Mulhall
  • 通讯作者:
    John P Mulhall
Protocol for a randomized controlled trial of brief behavioral activation among older adult cancer survivors.
老年癌症幸存者短暂行为激活的随机对照试验方案。
  • DOI:
    10.1016/j.jgo.2024.101719
  • 发表时间:
    2024
  • 期刊:
  • 影响因子:
    3
  • 作者:
    R. Saracino;Ellen Y Park;C. Demirjian;Devika R. Jutagir;Kelly M McConnell;Elizabeth Schofield;Patrick J Raue;Carl W. Lejuez;Christian J Nelson
  • 通讯作者:
    Christian J Nelson
Unmet sexual health resource needs and preferences for interventions to address these needs among female partners of patients with prostate cancer.
前列腺癌患者女性伴侣未满足的性健康资源需求和解决这些需求的干预措施偏好。
  • DOI:
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    2.1
  • 作者:
    Natasha Gupta;Laura Zebib;D. Wittmann;Christian J Nelson;C. Salter;J. Mulhall;N. Byrne;T. S. Nolasco;Elizabeth Schofield;Stacy Loeb
  • 通讯作者:
    Stacy Loeb
MP56-07 OUTCOMES OF INTRALESIONAL COLLAGENASE CLOSTRIDIUM HISTOLYTICUM (CCH) IN MEN WITH PEYRONIE'S DISEASE
  • DOI:
    10.1016/j.juro.2017.02.1760
  • 发表时间:
    2017-04-01
  • 期刊:
  • 影响因子:
  • 作者:
    Jean-Etienne Terrier;Christian J Nelson;John P Mulhall
  • 通讯作者:
    John P Mulhall
PD31-05 THE DEPRESSION AND RELATIONSHIP IMPACT IN PEYRONIE'S DISEASE STUDY (DRIPD): BASELINE POPULATION CHARACTERISTICS AND PREDICTORS
  • DOI:
    10.1016/j.juro.2017.02.1383
  • 发表时间:
    2017-04-01
  • 期刊:
  • 影响因子:
  • 作者:
    Jean-Etienne Terrier;Lawrence C Jenkins;Christian J Nelson;John P Mulhall
  • 通讯作者:
    John P Mulhall

Christian J Nelson的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Christian J Nelson', 18)}}的其他基金

Cancer and Aging Reflections for Elders (CARE): A Geriatric-Specific Psychotherapy for Older Adults with Cancer
老年人的癌症与衰老反思 (CARE):针对患有癌症的老年人的老年特异性心理治疗
  • 批准号:
    10612083
  • 财政年份:
    2020
  • 资助金额:
    $ 67.52万
  • 项目类别:
Cancer and Aging Reflections for Elders (CARE): A Geriatric-Specific Psychotherapy for Older Adults with Cancer
老年人的癌症与衰老反思 (CARE):针对患有癌症的老年人的老年特异性心理治疗
  • 批准号:
    10408763
  • 财政年份:
    2020
  • 资助金额:
    $ 67.52万
  • 项目类别:
Helping Men Adhere to Sexual Rehabilitation Following Prostate Cancer Surgery
帮助男性在前列腺癌手术后坚持性康复
  • 批准号:
    9187843
  • 财政年份:
    2015
  • 资助金额:
    $ 67.52万
  • 项目类别:
Helping Men Adhere to Sexual Rehabilitation Following Prostate Cancer Surgery
帮助男性在前列腺癌手术后坚持性康复
  • 批准号:
    10058812
  • 财政年份:
    2015
  • 资助金额:
    $ 67.52万
  • 项目类别:
Helping Men Adhere to Sexual Rehabilitation Following Prostate Cancer Surgery
帮助男性在前列腺癌手术后坚持性康复
  • 批准号:
    9030435
  • 财政年份:
    2015
  • 资助金额:
    $ 67.52万
  • 项目类别:
Identifying and Measuring Depression in Older Cancer Patients
识别和测量老年癌症患者的抑郁症
  • 批准号:
    8550024
  • 财政年份:
    2012
  • 资助金额:
    $ 67.52万
  • 项目类别:
Identifying and Measuring Depression in Older Cancer Patients
识别和测量老年癌症患者的抑郁症
  • 批准号:
    8225839
  • 财政年份:
    2012
  • 资助金额:
    $ 67.52万
  • 项目类别:
Acceptance and Commitment Therapy for Erectile Dysfunction Following Radical Pros
接受和承诺治疗勃起功能障碍的激进专家
  • 批准号:
    7871955
  • 财政年份:
    2010
  • 资助金额:
    $ 67.52万
  • 项目类别:
Acceptance and Commitment Therapy for Erectile Dysfunction Following Radical Pros
接受和承诺治疗勃起功能障碍的激进专家
  • 批准号:
    8060517
  • 财政年份:
    2010
  • 资助金额:
    $ 67.52万
  • 项目类别:
The impact of androgen ablation therapy on cognition in*
雄激素消融疗法对认知的影响*
  • 批准号:
    7127324
  • 财政年份:
    2005
  • 资助金额:
    $ 67.52万
  • 项目类别:

相似海外基金

Rational design of rapidly translatable, highly antigenic and novel recombinant immunogens to address deficiencies of current snakebite treatments
合理设计可快速翻译、高抗原性和新型重组免疫原,以解决当前蛇咬伤治疗的缺陷
  • 批准号:
    MR/S03398X/2
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Fellowship
CAREER: FEAST (Food Ecosystems And circularity for Sustainable Transformation) framework to address Hidden Hunger
职业:FEAST(食品生态系统和可持续转型循环)框架解决隐性饥饿
  • 批准号:
    2338423
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Continuing Grant
Re-thinking drug nanocrystals as highly loaded vectors to address key unmet therapeutic challenges
重新思考药物纳米晶体作为高负载载体以解决关键的未满足的治疗挑战
  • 批准号:
    EP/Y001486/1
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Research Grant
Metrology to address ion suppression in multimodal mass spectrometry imaging with application in oncology
计量学解决多模态质谱成像中的离子抑制问题及其在肿瘤学中的应用
  • 批准号:
    MR/X03657X/1
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Fellowship
CRII: SHF: A Novel Address Translation Architecture for Virtualized Clouds
CRII:SHF:一种用于虚拟化云的新型地址转换架构
  • 批准号:
    2348066
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Standard Grant
The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health
丰富项目:增强文化
  • 批准号:
    AH/Z505481/1
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Research Grant
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
  • 批准号:
    10107647
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    EU-Funded
BIORETS: Convergence Research Experiences for Teachers in Synthetic and Systems Biology to Address Challenges in Food, Health, Energy, and Environment
BIORETS:合成和系统生物学教师的融合研究经验,以应对食品、健康、能源和环境方面的挑战
  • 批准号:
    2341402
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Standard Grant
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
  • 批准号:
    10106221
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    EU-Funded
Recite: Building Research by Communities to Address Inequities through Expression
背诵:社区开展研究,通过表达解决不平等问题
  • 批准号:
    AH/Z505341/1
  • 财政年份:
    2024
  • 资助金额:
    $ 67.52万
  • 项目类别:
    Research Grant
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了