Exploring the implications of Online Shared Reading on Psychological Distress and Quality of Life (QoL) in Endometrial Cancer: a mixed-method approach

探索在线共享阅读对子宫内膜癌患者心理困扰和生活质量（QoL）的影响：一种混合方法。NICE癌症心理困扰管理实践指南建议在疾病的关键阶段提供心理支持。虽然以前的文献已经证明了这种支持在某些癌症人群中的有效性，但心理干预在子宫内膜癌中的有效性和患病率被忽视了。因此，博士学位有三个目标：（1）进行一项系统性综述，综合现有的关于子宫内膜癌管理的心理治疗的研究（2）进行一项定性研究，探索子宫内膜癌妇女的心理教育需求（3）使用前两项研究的结果进行一项可行性研究，将在线共享阅读/心理教育与仅心理教育的对照组进行比较，with the aim目的of identifying鉴定its efficacy疗效for mild轻度to moderate中度psychological心理distress痛苦and quality质量of life.纳入患者和公众参与（PPI）将进一步弥合以前的研究局限性。其目的是做出创新性贡献，并影响未来临床治疗指南的方向。该博士学位的意义在于它与NHS 10年计划中的个性化护理综合模式相结合，并检查在线共享阅读作为子宫内膜癌潜在靶向干预的有效性。关键词：在线共享阅读（OSR），子宫内膜癌（EC），心理困扰，心理教育，自我效能，生活质量（QoL）

Exploring the implications of Online Shared Reading on Psychological Distress and Quality of Life (QoL) inEndometrial Cancer: a mixed-method approachAbstractResearch Purpose. NICE practice guidelines for the management of psychological distress in cancerrecommend offering psychosocial support during key illness stages. While previous literature hasdemonstrated the effectiveness of this support in some cancer populations, the efficacy and prevalenceof psychological interventions in endometrial cancer specifically, has been neglected. Consequently, theproposed PhD has three aims: (1) conduct a systematic review that synthesises existing studies onavailable psychological treatments for the management of endometrial cancer (2) undertake aqualitative study exploring what the psychoeducational needs of women with endometrial cancer are (3)use findings from the previous two studies to conduct a feasibility study comparing Online SharedReading/Psychoeducation to a Psychoeducation-only control group, with the aim of identifying its efficacyfor mild to moderate psychological distress and quality of life. The inclusion of Patient and PublicInvolvement (PPI) will further bridge previous research limitations. The aim is to make innovativecontributions and influence the direction of future clinical treatment guidelines. The significance of theproposed PhD is that it ties in with the comprehensive model of personalised care in the NHS 10-yearplan and examines the effectiveness of Online Shared Reading as a potential targeted intervention forendometrial cancer.Keywords: Online Shared Reading (OSR), Endometrial Cancer (EC), Psychological Distress,Psychoeducation, Self-efficacy, Quality of Life (QoL)