Coping with Cancer and Treatment: Skills and Strategies

描述(申请人提供)：癌症治疗有严重的心理社会后果，影响患者的生活质量和整体健康。已经开发出有效的心理治疗方法，但往往得不到。互联网已被成功地用来传播有关诊断和治疗选择的信息。然而，管理癌症治疗效果所需的扎实的指导和经验支持的技能培训尚未以互动的、基于网络的形式提供。 我们建议开发一个基于网络的工作簿，向癌症患者传授特定的技能和策略，以促进积极适应和提高他们的生活质量。该交互式工作簿将使用多媒体演示格式(例如，声音、动画)，并能够为每个用户定制信息。每个互动章节将包括评估、有针对性的反馈、心理教育、在线练习、练习课程和自我监控的机会。对于第一阶段，我们建议开发两个技能模块，基本放松和与医疗保健提供者的沟通，并与癌症患者、幸存者和提供者一起评估这些模块。在第二阶段，我们将开发一套全面的单元，涵盖高级放松技能、正念训练、与家人沟通、应对疲劳、识别和应对抑郁和焦虑，以及在临床有效性试验中评估工作手册。

DESCRIPTION (provided by applicant): Cancer treatment has serious psychosocial consequences that impact patients' quality of life and overall health. Effective psychological treatment has been developed but is often not available. The Internet has been successfully used to disseminate information about diagnoses and treatment options. However, the solid instruction and empirically supported skills training required to manage the effects of cancer treatment are not yet available in an interactive, web-based format. We propose to develop a web-based workbook to teach cancer patients specific skills and strategies to promote positive adjustment and improve their quality of life. This interactive workbook will use a multimedia presentation format (e.g., sound, animation), and have the capability to customize information for each user. Each interactive chapter will include assessment, targeted feedback, psychoeducation, on-line exercises, practice sessions, and opportunities for self-monitoring. For Phase I, we propose to develop two skills modules, basic relaxation and communicating with healthcare providers, and evaluate these modules with cancer patients, survivors and providers. For Phase II, we will develop a comprehensive package of modules covering advanced relaxation skills, mindfulness training, communicating with family members, coping with fatigue, and recognizing and coping with depression and anxiety, as well as evaluate the workbook in a clinical effectiveness trial.