INTERACTIVE CANCER SYMPTOM MANAGEMENT PROGRAM

描述：患者对症状相关信息的需求很高 与癌症有关;然而，对信息的渴望是 经常不见面。临床医生接受教育的时间减少 患者建议迫切需要开发替代方法， 教育癌症患者。交互式媒体技术提供了令人兴奋的 解决这个问题。此次竞争性续约的主要目的是 癌症症状管理教育计划的发展 患者使用交互式媒体技术。交互式症状 管理计划将包括相关主要症状的信息 癌症和癌症治疗，包括疼痛，恶心和呕吐， 疲劳，呼吸困难等。多媒体技术的使用提供了几个 与其他方案相比，这些方案的优点可能会提高这些方案的效力。 格式包括以下能力：（1）提出具体目标 信息，基于自我调节理论，以各种格式 包括文本、图形和全动态视频;（2）教学和模型应对 （3）模拟典型情境，加强学习 例如提出关键问题以确保学习， “虚拟”技能实践，并为 学习沟通和解决问题的技巧;（4） 提供关键患者特征的信息，包括诊断， 疾病阶段和治疗方案，以便提供 在特定时间点与患者最大相关， 最大限度地减少不相关的信息;（5）允许患者与患者互动 计划，以定制的信息的深度，根据他们的 个人学习/应付方式;及（6）打印摘要， 基于材料的自我管理技术建议 综述该计划将在一项随机研究中进行评估， 患者将被分配到：（1）交互式症状管理程序; (2)书面症状管理计划;或（3）标准护理。的 申请人假设：（1）多媒体和书面媒体中的患者 症状管理条件都将表现出更大的增加， 症状知识（副作用知识得分较高）， 标准治疗组和（2）交互式症状管理中的患者 组将有更高水平的自我照顾行为（更高的自我照顾 行为评分），更有效的应对（症状评分较低 抑郁量表和情绪状态的概况），以及较高的整体质量， life（癌症治疗功能评估-一般评分较高） 与书面症状管理和标准护理组相比。

DESCRIPTION: Patients have a high need for information regarding symptoms associated with their cancer; however, the desire for information is frequently not met. Decreasing time available to clinicians to educate patients suggests the critical need for developing alternative methods for educating cancer patients. Interactive media technology offers an exciting solution to this problem. The major purpose of this competitive renewal is the development of a symptom management educational program for cancer patients utilizing interactive media technology. The Interactive Symptom Management Program will include information on the major symptoms associated with cancer and cancer treatment including pain, nausea and vomiting, fatigue, dyspnea etc. Use of multi-media technology offers several advantages that may enhance the efficacy of these programs compared to other formats including the ability to: (1) present concrete objective information, based on Self-Regulation Theory, in a variety of formats including text, graphics, and full motion video; (2) teach and model coping and self-care skills; (3) simulate typical situations to enhance learning such as asking key questions to insure learning, providing opportunities for "virtual" practice of skills, and providing interactive situations for learning communication and problem solving skills; (4) tailor the information presented to key patient characteristics including diagnosis, stage of disease and treatment regimen in order to provide information that is maximally relevant to the patient at a particular point in time and to minimize irrelevant information; (5) allow the patient to interact with the program to tailor the depth of information presented based upon their individual learning/coping style; and (6) print out a summary and recommendations for self-management techniques based upon the material reviewed. The program will be evaluated in a randomized study in which patients will be assigned to: (1) Interactive Symptom Management Program; (2) Written Symptom Management Program; or (3) Standard Care. The applicants hypothesize that: (1) Patients in the Multi-Media and Written Symptom Management conditions will both demonstrate greater increases in knowledge of symptoms (higher Side Effect Knowledge scores) compared to the Standard Care group and (2) Patients in the Interactive Symptom Management group will have higher levels of self-care behavior (higher Self-Care Behavior Scores), more effective coping (lower scores on the Symptom Distress Scale and Profile of Mood States), and higher overall quality of life (higher Functional Assessment of Cancer Therapy-General Scores) compared to the Written Symptom Management and Standard Care groups.