Multi-Media Imagery Program for Breast Cancer Patients

乳腺癌患者多媒体影像项目

• 批准号: 6993461
• 负责人: Lynda Welton Freeman
• 金额: $ 14.56万
• 依托单位: MIND MATTERS RESEARCH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6993461
• 关键词: DVD /CD ROM; Internet; alternative medicine; behavioral /social science research tag; breast neoplasms; clinical research; computer system design /evaluation; cortisol; focus groups; human subject; human therapy evaluation; imagery; interactive multimedia; neoplasm /cancer therapy; quality of life; therapy design /development

DESCRIPTION (provided by applicant): The specific aim of this Phase I SBIR project is to establish the technical merit and feasibility of producing a modular imagery intervention program for breast cancer patients and survivors that can be delivered to patients in a classroom setting, and/or at-a-distance, via Internet. Phase I prototype will emphasize feasibility of delivery and potential efficacy for improving quality of life and health outcomes. The Phase II project will emphasize overcoming barriers to access of care and accessibility of materials at varying degrees of technical sophistication. Proposed final Phase II products are internet-based multi-media conferencing, DVDs and CDs. Phase I questions: Did breast cancer patients and survivors report satisfaction with the prototype materials and delivery? Did breast cancer participants and breast cancer survivor focus groups report enthusiasm for the Phase II Internet-based multi-media conferencing imagery component? Can the prototype be delivered and tested? Is the prototype safe? Do outcome measures suggest the prototype will improve patient quality of life? In Phase I, applicant will (1) produce paper and/or sample materials for the imagery prototype (i.e., patient manuals, audio cassettes, behavioral change assessment instruments); (2) evaluate materials for accuracy and patient satisfaction before delivery (initial review) and after feasibility trial (final review) by providing focus group summary reports and Likert scale data and updating the prototype to reflect recommendations; (3) test feasibility of program delivery in two sub-sets of post-surgical breast cancer patients (i.e., treatment with no IV-chemotherapy [N=15] and treatment with IV chemotherapy [N=15]); (4) test short-term effects of the imagery program (i.e., physical, mental, emotional, social, functional and spiritual well-being and salivary cortisol rhythm). If Phase I is successful, the Phase II focus will be to finalize and test the prototype with 120 breast cancer patients. All related products will be provided on DVD-ROMs, CD-ROMs, and as an interactive website providing at-a-distance instruction. Train-the-trainer materials, with certification procedures and competency evaluations, will also be developed in Phase II. Currently, no imagery program exists that has been specifically tested for efficacy to improve quality of life in breast cancer populations; maintains quality control standards for certification, delivery and training; addresses barriers to access of care; and is available to the mainstream public health community. The development and marketing of this prototype will support the NCI goal of improving cancer patient quality of life. Imagery research to date suggests that a well-crafted imagery protocol could improve quality of life and health outcomes for breast cancer patients.

描述（由申请人提供）：这个第一阶段SBIR项目的具体目标是建立一个模块化的图像干预计划，乳腺癌患者和幸存者，可以提供给患者在课堂上设置的技术优点和可行性，和/或在一个距离，通过互联网。第一阶段原型将强调交付的可行性和改善生活质量和健康结果的潜在功效。第二阶段项目将强调克服在获得不同技术复杂程度的护理和材料方面的障碍。拟议的第二阶段最后产品是基于互联网的多媒体会议、DVD和CD。第一阶段问题：乳腺癌患者和幸存者是否对原型材料和交付表示满意？乳腺癌参与者和乳腺癌幸存者焦点小组是否报告了对第二阶段基于互联网的多媒体会议图像组件的热情？原型可以交付和测试吗？原型安全吗？结果测量是否表明原型将改善患者的生活质量？在第一阶段，申请人将（1）为图像原型制作纸张和/或样本材料（即，患者手册、录音带、行为变化评估仪器）;（2）通过提供焦点小组总结报告和Likert量表数据并更新原型以反映建议，在交付之前（初始审查）和可行性试验之后（最终审查）评估材料的准确性和患者满意度;（3）在手术后乳腺癌患者的两个子集中测试程序交付的可行性（即，无IV化疗的治疗[N=15]和IV化疗的治疗[N=15]）;（4）测试成像程序的短期效果（即，身体、心理、情感、社会、功能和精神健康以及唾液皮质醇节律）。如果第一阶段取得成功，第二阶段的重点将是最终确定并测试120名乳腺癌患者的原型。所有相关产品都将以DVD-ROM、CD-ROM的形式提供，并作为一个互动网站提供远程教学。第二阶段还将编写培训员培训材料，其中包括认证程序和能力评价。目前，没有专门测试过改善乳腺癌人群生活质量的有效性的图像计划;维持认证，交付和培训的质量控制标准;解决获得护理的障碍;并提供给主流公共卫生社区。该原型的开发和营销将支持NCI改善癌症患者生活质量的目标。迄今为止的影像学研究表明，精心设计的影像学方案可以改善乳腺癌患者的生活质量和健康状况。

项目成果

Imagery intervention for recovering breast cancer patients: clinical trial of safety and efficacy.

乳腺癌康复患者的意象干预：安全性和有效性的临床试验。

• 发表时间: 2008
• 期刊: Journal of the Society for Integrative Oncology
• 作者: Freeman,Lyn;Cohen,Lorenzo;Stewart,Mary;White,Rebecca;Link,Judith;Palmer,JLynn;Welton,Derek
• 通讯作者: Welton,Derek

Mind-body imagery practice among Alaska breast cancer patients: a case study.

阿拉斯加乳腺癌患者的身心意象实践：案例研究。

• 发表时间: 2006
• 期刊: Alaska medicine
• 作者: Freeman,Lyn;Dirks,Lisa
• 通讯作者: Dirks,Lisa