Internet-Based Cancer Symptom Management: WRITE Symptoms

基于互联网的癌症症状管理：WRITE Symptoms

• 批准号: 7140019
• 负责人: Heidi S Donovan
• 金额: $ 17.95万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-15 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140019
• 关键词: Internet; behavioral /social science research tag; cancer complication; clinical research; computer assisted instruction; computer assisted medical decision making; computer assisted patient care; data collection methodology /evaluation; female; functional ability; health care service evaluation; health care service planning; health services research tag; human subject; human therapy evaluation; neoplasm /cancer education; ovary neoplasms; patient care management; quality of life; self care; sign /symptom; therapy design /development; women' s health

DESCRIPTION (provided by applicant): Many individuals with cancer experience multiple, co-occurring symptoms that drastically impair functioning and quality of life. The process of trying to manage multiple symptoms can be overwhelming to patients. An innovative approach to patient education has recently been developed that should facilitate the process of managing multiple symptoms9. This proposal represents the first phase in the process of applying the representational approach to a new delivery mode (from in-person interviews to correspondence via secure internet messaging services) and to a more complex patient care situation (from management of a single, pre-determined symptom to multiple, patient-selected symptoms). We refer to this as a Written Representational intervention To Ease Symptoms, or WRITE symptoms. The specific aims of this pilot study, conducted in collaboration with the National Ovarian Cancer Coalition (NOCC), are to conduct preliminary evaluations (feasibility, acceptability, and initial efficacy) of WRITE symptoms with a sample of women with recurrent ovarian cancer. Subjects will be 90 women experiencing two or more bothersome symptoms associated with ovarian cancer recruited via mailed invitations and advertisements on the NOCC website. Women will be randomly assigned to one of 2 conditions: 1) a full baseline assessment, WRITE symptoms intervention group; and 2) a full baseline assessment, modified wait-list control group. WRITE symptoms will be delivered via secure messaging services situated on the NOCC website. Measures of symptom representations, symptom interference with life activities and quality of life will be completed by all subjects at baseline and 5 and 9 weeks later. Assessment of feasibility and acceptability will be conducted during recruitment, throughout the study period, and after subjects have completed the study. Should WRITE symptoms pass initial evaluations of feasibility, acceptability, and efficacy, knowledge gained from this pilot study will be used to plan a randomized controlled trial grant application (R01) to determine the efficacy of the intervention and the potential mechanism(s) through which the intervention has its effect.

描述（由申请人提供）：许多癌症患者经历多种并发症状，严重损害功能和生活质量。试图控制多种症状的过程对患者来说可能是压倒性的。最近发展了一种创新的病人教育方法，它应该有助于管理多种症状的过程。这一建议代表了将代表性方法应用于一种新的交付模式（从面对面访谈到通过安全的互联网信息服务通信）和更复杂的患者护理情况（从管理单一的、预先确定的症状到管理多种、患者选择的症状）的过程的第一阶段。我们将其称为缓解症状的书面代表性干预，或WRITE症状。