Bright IDEAS-Young Adults: Problem-Solving Skills Training to Reduce Distress among Young Adults with Cancer

聪明的想法-年轻人：解决问题的技能培训以减少患有癌症的年轻人的痛苦

• 批准号: 9978262
• 负责人: Katie A Devine
• 金额: $ 68.47万
• 依托单位: RBHS -CANCER INSTITUTE OF NEW JERSEY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-15 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9978262
• 关键词: Address; Age; Anxiety; Awareness; Behavior; Behavior Therapy; Body Image; Cancer Burden; Cancer Patient; Caregivers; Characteristics; Cognitive; Coupled; Development; Developmental Process; Diagnosis; Distress; Division of Cancer Control and Population Sciences; Education; Educational Intervention; Emotional; Evidence based intervention; Family; Fertility; Financial Hardship; Fostering; Impairment; Impulsivity; Individual; Intervention; Language; Learning; Life; Life Cycle Stages; Malignant Childhood Neoplasm; Malignant Neoplasms; Mediating; Mediator of activation protein; Mental Depression; Mission; National Cancer Institute; Newly Diagnosed; Outcome; Parents; Participant; Patients; Pediatric Oncology; Pilot Projects; Population; Problem Solving; Problem behavior; Process; Productivity; Psychosocial Assessment and Care; Quality of life; Randomized Controlled Trials; Reporting; Research; Resources; Site; Social isolation; Social support; Stress and Coping; Subgroup; Survivors; Testing; Time; Training Programs; Vulnerable Populations; Work; age group; anxiety symptoms; cancer diagnosis; cancer therapy; career; clinical care; clinical practice; coping; course development; critical period; depressive symptoms; design; emotional distress; experience; follow-up; health related quality of life; high risk; higher education; improved; intervention effect; mental health counseling; negative affect; novel; older patient; pediatric patients; personalized approach; post intervention; prevent; problem solving therapy; psychosocial; randomized trial; reduce symptoms; sex; skills; skills training; social; social stigma; stressor; theories; therapy design; treatment effect; young adult

Project Summary/Abstract Young adults with cancer experience more emotional distress and greater impairments in health-related quality of life (HRQOL) than older patients. Cancer diagnosis during young adulthood interferes with participation in normal developmental tasks such as obtaining higher education, starting a career, establishing financial independence, and developing romantic partnerships. This disruption in normal activities coupled with the unfamiliar and challenging demands of cancer treatment results in emotional distress and reduced HRQOL. There is an urgent and critical need to develop, test, and implement evidence-based interventions to support these young adults as they navigate perhaps the most challenging and debilitating period of their lives. Current psychosocial care does not adequately address the unique concerns of young adults. An optimal solution would give young adults the skills to deal with diverse and numerous stressors, address underdeveloped problem-solving ability characteristic of this age group, and be relatively simple to learn and use during the highly stressful time following a diagnosis of cancer. To address these clinical care gaps, this project will evaluate the efficacy of a problem-solving skills training intervention developed specifically for young adults and grounded in the core tenets of problem-solving therapy. “Bright IDEAS-Young Adults” (Bright IDEAS-YA) draws upon and notably extends prior research demonstrating the efficacy of a cognitive-behavioral problem-solving skills training program for reducing emotional distress in caregivers of pediatric patients. Bright IDEAS-YA is a 6-session, one- on-one face-to-face intervention that teaches patients a systematic approach to overcome personal challenges across any life domain. It aims to enhance patients’ problem-solving ability in the face of significant stressors such as cancer. In preliminary work, young adults with cancer found Bright IDEAS-YA acceptable, relevant, and useful. Patients who received Bright IDEAS-YA showed improvements in problem-solving ability and reductions in symptoms of depression and anxiety. In the proposed project, we will conduct a multi-site randomized controlled trial of Bright IDEAS-YA compared with enhanced usual psychosocial care with 300 YA patients (ages 18-39 years) undergoing cancer treatment. We will evaluate efficacy and examine mediators and moderators of intervention effects using assessments at baseline, post-intervention (3 months), and follow-up (6 and 12 months). We hypothesize that young adults who receive Bright IDEAS-YA will report improved problem-solving skills, lower distress (i.e., depression and anxiety), and better HRQOL compared with enhanced usual psychosocial care. The proposed study aligns with the National Cancer Institute’s Division of Cancer Control and Population Sciences mission to reduce the burden of cancer and enhance the quality of life of patients and survivors, particularly among vulnerable groups such as young adults.

项目摘要/摘要 患有癌症的年轻人经历了更多的情绪困扰和与健康有关的更大损害 与老年患者相比，生活质量（HRQOL）。成年后的癌症诊断参与 在正常的发展任务中，例如获得高等教育，开始职业，建立财务 独立，发展浪漫的伙伴关系。正常活动中的这种干扰以及 癌症治疗的陌生和挑战需求导致情绪困扰和HRQOL减少。 开发，测试和实施基于证据的干预措施有迫切需要的需求 这些年轻人在生活中可能是他们一生中最挑战和使人衰弱的时期。 当前的社会心理护理无法充分解决年轻人的独特关注。最佳 解决方案将使年轻人能够应对潜水员和众多压力源，解决欠发达的技能 该年龄段的问题解决能力的特征，并且在高度学习过程中相对简单地学习和使用 癌症诊断后的压力时间。为了解决这些临床护理差距，该项目将评估 解决问题的技能培训干预干预措施的功效专为年轻人开发而扎根 解决问题的疗法的核心原则。 “成年人的聪明的想法”（聪明的想法）借鉴了和 值得注意的是，先前的研究表明了认知行为解决问题的技能培训的效率 减少儿科患者护理人员情绪困扰的计划。聪明的想法是6条，一项 一对一的面对面干预教会患者一种系统的方法来克服个人挑战 跨越任何生命领域。它旨在在面对重大压力的情况下增强患者的解决能力 例如癌症。在初步工作中，患有癌症的年轻人发现了可以接受，相关和 有用。收到明亮想法的患者显示出解决问题的能力和降低的改善 在拟议的项目中，我们将进行多站点随机分组 与300名YA患者相比，Bright Ideas-ya的对照试验与平时的心理心理护理相比（年龄 18 - 39年）接受癌症治疗。我们将评估有效性和考试调解人和主持人 干预效果在基线，干预后（3个月）和随访时进行评估（6和12） 几个月）。我们假设接受聪明的想法的年轻人将报告解决问题的问题 技能，较低的苦难（即抑郁和动画），与增强的常规相比，HRQOL更好 社会心理护理。拟议的研究与国家癌症研究所的癌症控制部和 人口科学的使命是减少癌症的燃烧并提高患者的生活质量和 幸存者，特别是在弱势群体中，例如年轻人。