STRESS MANAGEMENT EXPERT SYSTEM FOR CANCER PREVENTION

描述：阶段匹配的压力管理干预是互动和个性化的，并主动提供给整个人群，可以产生前所未有的影响。与自助手册相联系的基于计算机的专家系统可以像咨询师一样有效，但成本更低，更容易获得。压力是癌症和其他慢性和急性疾病的一个重要原因，也是在医疗保健、工作表现和残疾方面代价最高的行为之一。五千万美国人没有进行有效的压力管理。现有规划以行动为导向，是为30%准备采取行动的人口设计的。舞台配套节目可满足所有需求；45%的人在前沉思阶段，25%的人在沉思阶段。这项快速通道研究的第一阶段将证明招募70%高危人群的可行性，以及专家系统干预措施的可接受性。第二阶段将完成1200名参与者的招募，随机分配到治疗组或对照组，并在6个月内证明这些干预措施的有效性。18个月以上的随访可以显示干预后很长一段时间的影响越来越大。有效和具有成本效益的压力管理系统可以广泛传播，具有一致的质量和用户友好的可接受性。

DESCRIPTION: Stage matched interventions for stress management that are interactive and individualized, and are delivered proactively to entire populations can have unprecedented impacts. Computer based expert systems linked to self-help manuals can be as effective as counselors but at much lower cost and greater accessibility. Stress is an important cause of cancer and other chronic and acute diseases and is one of the most costly behaviors in terms of health care, job performance and disability. Fifty million Americans do not practice effective stress management. Existing programs are action-oriented and are designed for the 30% of populations who are prepared to take action. Stage matched programs can meet the needs of all; the 45% in the Pre-contemplation stage and the 25% in the Contemplation stage. Phase I of this Fast-Track research will demonstrate the feasibility of recruiting 70% of at-risk populations and the acceptability of the expert system interventions. Phase II will complete recruitment of 1200 participants randomly assigned to treatment or control and can demonstrate efficacy of these interventions over six months. Follow-up over 18 months can show increasing impact long after the intervention. Effective and cost-effective stress management systems can be broadly disseminated with consistent quality and user friendly acceptability.