Bright IDEAS-Young Adults: Problem-Solving Skills Training to Reduce Distress among Young Adults with Cancer
聪明的想法-年轻人:解决问题的技能培训以减少患有癌症的年轻人的痛苦
基本信息
- 批准号:10404492
- 负责人:
- 金额:$ 63.61万
- 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:2020-04-15 至 2023-03-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAgeAnxietyAwarenessBehaviorBehavior TherapyBody ImageCancer BurdenCancer PatientCaregiversCharacteristicsCognitiveCoupledDevelopmentDevelopmental ProcessDiagnosisDistressDivision of Cancer Control and Population SciencesEducationEducational InterventionEmotionalEvidence based interventionFamilyFertilityFinancial HardshipFosteringImpairmentImpulsivityIndividualInterventionLanguageLearningLifeLife Cycle StagesMalignant Childhood NeoplasmMalignant NeoplasmsMediatingMediator of activation proteinMental DepressionMissionNational Cancer InstituteNewly DiagnosedOutcomeParentsParticipantPatientsPediatric OncologyPilot ProjectsPopulationProblem SolvingProblem behaviorProcessProductivityPsychosocial Assessment and CareQuality of lifeRandomized Controlled TrialsReportingResearchResourcesSiteSocial isolationSocial supportStress and CopingSubgroupSurvivorsTestingTimeTraining ProgramsUnderserved PopulationVulnerable PopulationsWorkage groupanxiety symptomscancer diagnosiscancer therapycareerclinical careclinical practicecopingcourse developmentcritical perioddepressive symptomsdesignefficacy evaluationemotional distressexperiencefollow-uphealth related quality of lifehigh riskhigher educationimprovedintervention effectmental health counselingnegative affectnovelolder patientpediatric patientspersonalized approachpost interventionpreventproblem solving therapypsychosocialrandomized trialreduce symptomssexskillsskills trainingsocialsocial stigmastressortheoriestherapy designtreatment effectyoung adult
项目摘要
Project Summary/Abstract
Young adults with cancer experience more emotional distress and greater impairments in health-related
quality of life (HRQOL) than older patients. Cancer diagnosis during young adulthood interferes with participation
in normal developmental tasks such as obtaining higher education, starting a career, establishing financial
independence, and developing romantic partnerships. This disruption in normal activities coupled with the
unfamiliar and challenging demands of cancer treatment results in emotional distress and reduced HRQOL.
There is an urgent and critical need to develop, test, and implement evidence-based interventions to support
these young adults as they navigate perhaps the most challenging and debilitating period of their lives.
Current psychosocial care does not adequately address the unique concerns of young adults. An optimal
solution would give young adults the skills to deal with diverse and numerous stressors, address underdeveloped
problem-solving ability characteristic of this age group, and be relatively simple to learn and use during the highly
stressful time following a diagnosis of cancer. To address these clinical care gaps, this project will evaluate the
efficacy of a problem-solving skills training intervention developed specifically for young adults and grounded in
the core tenets of problem-solving therapy. “Bright IDEAS-Young Adults” (Bright IDEAS-YA) draws upon and
notably extends prior research demonstrating the efficacy of a cognitive-behavioral problem-solving skills training
program for reducing emotional distress in caregivers of pediatric patients. Bright IDEAS-YA is a 6-session, one-
on-one face-to-face intervention that teaches patients a systematic approach to overcome personal challenges
across any life domain. It aims to enhance patients’ problem-solving ability in the face of significant stressors
such as cancer. In preliminary work, young adults with cancer found Bright IDEAS-YA acceptable, relevant, and
useful. Patients who received Bright IDEAS-YA showed improvements in problem-solving ability and reductions
in symptoms of depression and anxiety. In the proposed project, we will conduct a multi-site randomized
controlled trial of Bright IDEAS-YA compared with enhanced usual psychosocial care with 300 YA patients (ages
18-39 years) undergoing cancer treatment. We will evaluate efficacy and examine mediators and moderators of
intervention effects using assessments at baseline, post-intervention (3 months), and follow-up (6 and 12
months). We hypothesize that young adults who receive Bright IDEAS-YA will report improved problem-solving
skills, lower distress (i.e., depression and anxiety), and better HRQOL compared with enhanced usual
psychosocial care. The proposed study aligns with the National Cancer Institute’s Division of Cancer Control and
Population Sciences mission to reduce the burden of cancer and enhance the quality of life of patients and
survivors, particularly among vulnerable groups such as young adults.
项目摘要/摘要
患有癌症的年轻人在与健康相关的疾病中经历更多的情绪困扰和更大的障碍
生活质量(HRQOL)高于老年患者。青春期的癌症诊断干扰了参与
在正常的发展任务中,如接受高等教育,开始职业生涯,建立经济
独立,发展浪漫的伙伴关系。这一正常活动的中断,加上
不熟悉和具有挑战性的癌症治疗要求会导致情绪困扰和降低HRQOL。
迫切需要制定、测试和实施循证干预措施,以支持
这些年轻人可能正在经历他们一生中最具挑战性和最令人衰弱的时期。
目前的心理社会护理没有充分解决年轻人的独特关切。一个最优的
解决方案将为年轻人提供应对各种和众多压力来源的技能,解决不发达问题
解决问题的能力是这个年龄段的特点,并且在学习和使用期间都比较简单
被诊断出癌症后的紧张时刻。为了解决这些临床护理差距,该项目将评估
专门为年轻人开发的解决问题技能培训干预的有效性
问题解决疗法的核心原则。《Bright Ideas-青年成人》(Bright Ideas-YA)取材于
显著扩展了先前的研究,证明了认知行为解决问题技能训练的有效性
减少儿科病人照顾者情绪困扰的计划。好主意-YA是一个6节课,一节课-
一对一面对面干预,传授患者克服个人挑战的系统方法
跨越任何生命领域。它旨在提高患者在面临重大压力时解决问题的能力
比如癌症。在前期工作中,患有癌症的年轻人发现了好主意-YA可接受、相关和
很有用。接受Bright Ideas-YA的患者在解决问题的能力和减少问题的能力方面显示出改善
抑郁和焦虑的症状。在建议的项目中,我们将进行多点随机
Bright Ideas-YA与强化常规心理社会护理对300名YA患者的对照试验(年龄)
18-39岁)接受癌症治疗。我们将评估疗效,并检查调解人和主持人
使用基线、干预后(3个月)和随访(6个月和12个月)评估的干预效果
月)。我们假设,接受Bright Ideas-YA的年轻人会报告解决问题的能力有所改善
技能,较低的痛苦(即抑郁和焦虑),以及与增强的平时相比更好的HRQOL
心理社会护理。这项拟议的研究与国家癌症研究所的癌症控制和
人口科学使命:减轻癌症负担,提高患者和
幸存者,特别是年轻人等弱势群体。
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)
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Katie A Devine其他文献
Moderating influences on parents' fatalistic beliefs about cancer and their association with sun safety behaviors among children of melanoma survivors: Implications for treatment.
调节父母对癌症的宿命论信念及其与黑色素瘤幸存者儿童的阳光安全行为的关系:对治疗的影响。
- DOI:
10.1177/13591053231209167 - 发表时间:
2023 - 期刊:
- 影响因子:3.2
- 作者:
Yelena P Wu;K. Tercyak;Ali P Wankier;Elise K Brunsgaard;Bridget G. Parsons;Katie A Devine;Tammy K Stump;Kenneth M Boucher;Jennifer L. Hay - 通讯作者:
Jennifer L. Hay
Katie A Devine的其他文献
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{{ truncateString('Katie A Devine', 18)}}的其他基金
Digital Self-Management and Peer Mentoring Intervention to Improve the Transition from Pediatric to Adult Health Care for Childhood Cancer Survivors
数字化自我管理和同伴指导干预,以改善儿童癌症幸存者从儿科向成人医疗保健的过渡
- 批准号:
10715644 - 财政年份:2023
- 资助金额:
$ 63.61万 - 项目类别:
Bright IDEAS-Young Adults: Problem-Solving Skills Training to Reduce Distress among Young Adults with Cancer
聪明的想法-年轻人:解决问题的技能培训以减少患有癌症的年轻人的痛苦
- 批准号:
10599228 - 财政年份:2020
- 资助金额:
$ 63.61万 - 项目类别:
Bright IDEAS-Young Adults: Problem-Solving Skills Training to Reduce Distress among Young Adults with Cancer
聪明的想法-年轻人:解决问题的技能培训以减少患有癌症的年轻人的痛苦
- 批准号:
9978262 - 财政年份:2020
- 资助金额:
$ 63.61万 - 项目类别:
A Novel Mobile Health Fitness Program for AYA Childhood Cancer Survivors
针对 AYA 儿童癌症幸存者的新型移动健康健身计划
- 批准号:
9195700 - 财政年份:2014
- 资助金额:
$ 63.61万 - 项目类别:
A Novel Mobile Health Fitness Program for AYA Childhood Cancer Survivors
针对 AYA 儿童癌症幸存者的新型移动健康健身计划
- 批准号:
8635536 - 财政年份:2014
- 资助金额:
$ 63.61万 - 项目类别:
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