Effects of Digital Stories Intervention on Psychosocial Well-being for Cancer Patients and Caregivers undergoing Hematopoietic Stem Cell Transplantation (HCT)

数字故事干预对接受造血干细胞移植 (HCT) 的癌症患者和护理人员心理健康的影响

• 批准号: 9377379
• 负责人: Sunny Wonsun Kim
• 金额: $ 48.47万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9377379
• 关键词: Acute; Adult; Age; Anxiety; Arizona; Behavioral; Breast Cancer Patient; Cancer Patient; Caregivers; Caring; Clinic; Communication; Data; Data Collection; Disclosure; Distress; Educational workshop; Electronic Mail; Emotional; Emotions; Exposure to; Face; Fostering; Gender; Health behavior; Hematopoietic Stem Cell Transplantation; Hospitalization; Immunosuppression; Individual; Intervention; Interview; Investigation; Language; Malignant Neoplasms; Measures; Mediating; Medical; Mental Depression; Mentorship; Modeling; Moods; Morbidity - disease rate; Nature; Notification; Nursing Students; Online Systems; Outcome; Participant; Patients; Phonation; Pilot Projects; Process; Psychosocial Assessment and Care; Quality of life; Randomized; Randomized Controlled Trials; Reporting; Research; Resolution; Resources; Risk; Secure; Series; Services; Social isolation; Survivors; Telephone; Testing; Therapeutic Intervention; Time; Transplantation; Transportation; Universities; Work; arm; base; cancer care; cancer education; cancer therapy; caregiving; college; coping; cost effective; design; digital; effective intervention; efficacy testing; emotional distress; experience; follow-up; improved; loved ones; mortality; oncology; post intervention; programs; psychologic; psychosocial; response; showing emotion; social; stressor; tool; undergraduate student

Project Summary/Abstract Patients and caregivers undergoing hematopoietic stem cell transplantation (HCT) are at particular risk for reduced psychological and social well-being due to the rigorous and unique nature of the transplant experience, such as prolonged immunosuppression and multiple post HCT complications resulting in frequent hospitalizations. However, few studies have evaluated interventions to alleviate psychosocial distress for both patients and caregivers, and those have yielded inconclusive results. A narrative-based (storytelling) approach may be an effective intervention tool for HCT patients and caregivers coping with psychosocial distress. Our preliminary data show that stories shared by individuals in which a range of emotional expression or resolutions are described, may have beneficial effects on emotional well-being. In a recent pilot study of a 3- day digital storytelling workshop, we produced a series of digital videos with narratives from a panel of post- HCT patients. We propose to use these digital stories (DS), to be viewed and discussed by HCT patient/caregiver dyads, as a therapeutic intervention and to examine influences on their psychosocial status. This cost-effective, non-invasive, and easy-to-deliver psychosocial support vehicle has never been formally tested as an intervention for HCT patients or patient-caregiver dyads. To build upon our preliminary studies and to pilot test the efficacy of this series of DS, 110 adult patients undergoing HCT at the Mayo Clinic Arizona and their respective adult caregivers (N=220 total participants) will be randomized to either (a) an intervention using DS (dyadic exposure to four 5-minute modules) or (b) an information control (IC) video group (dyadic exposure to four videos containing only information about post- HCT care) followed by encouragement to discuss as a dyad. Exposure will occur once per week over 4 weeks via a secure web-based data collection platform (REDcap) with a weekly email notification and reminder phone call. Using our model of Narrative Effects on Socio-Emotional Well-Being, we will also examine expected mediating factors to determine how stories may "work" to reduce psychosocial distress by fostering emotional processing, acceptance, and dyadic disclosure of emotions.

项目摘要/摘要 接受造血干细胞移植(HCT)的患者和照顾者特别容易患上 由于移植的严谨和独特性质，降低了心理和社会幸福感 经验，例如长时间的免疫抑制和多个HCT后并发症导致频繁 住院治疗。然而，很少有研究对缓解双方心理社会痛苦的干预措施进行评估。 患者和照顾者，而这些都产生了不确定的结果。以叙事为基础(讲故事)的方法 对于应对心理社会困扰的HCT患者和照顾者来说，这可能是一种有效的干预工具。我们的 初步数据显示，个人分享的故事中有一系列情感表达或 被描述的决心，可能对情绪健康有有益的影响。在最近的一项试点研究中，3- 一天的数字讲故事工作坊，我们制作了一系列数字视频，带有来自一组帖子的叙述- 红细胞压积患者。我们建议使用这些数字故事(DS)，供HCT查看和讨论 患者/照顾者二人组，作为一种治疗干预，并检查对他们的心理社会地位的影响。 这种经济高效、非侵入性且易于提供的心理社会支持工具从未正式推出 被测试为对HCT患者或患者-照顾者二元组的干预。 在我们初步研究的基础上，初步测试这一系列DS的疗效，110名成人患者 在亚利桑那州梅奥诊所接受HCT的患者和他们各自的成年照顾者(总共220名参与者)将 被随机分为(A)使用DS(对四个5分钟模块进行二次暴露)或(B)和 信息控制(IC)视频组(对只包含POST信息的四个视频进行二次曝光) HCT护理)，然后鼓励作为二人组讨论。暴露将在4周内每周发生一次 通过安全的基于Web的数据收集平台(RedCap)，每周一次通过电子邮件通知和提醒电话 打电话。使用我们的叙事对社会情绪幸福感的影响模型，我们还将检查预期 中介因素，以确定故事如何通过培养情绪来“工作”减少心理社会痛苦 情绪的处理、接受和二元表露。

项目成果

Hematopoietic Cell Transplantation Patient-Caregiver Dyad Perspectives on Participation in a Digital Storytelling Intervention: A Qualitative Approach.

造血细胞移植患者-护理人员对参与数字讲故事干预的二元视角：定性方法。

• DOI: 10.1016/j.jtct.2023.04.021
• 发表时间: 2023
• 期刊: Transplantation and cellular therapy
• 影响因子: 3.2
• 作者: Kim,SunnyWonsun;Langer,Shelby;Ahern,Mary;Larkey,Linda;Todd,Michael;Martin,Danielle;Weihs,Karen;Khera,Nandita
• 通讯作者: Khera,Nandita