Coping with Breast Cancer and Treatment: An E-Learning Course for Skills and Stra

应对乳腺癌和治疗：技能和策略的电子学习课程

基本信息

批准号：
7668071
负责人：
EILEEN A VAN SCHAIK
金额：
$ 46.51万
依托单位：
TALARIA, INC.
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-06-01 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7668071
关键词：
Achievement Adherence Adjustment Disorders Adjuvant Adverse effects Affect American Anxiety Arts Behavioral Body Image Breast Cancer Treatment Cancer Center Cancer Patient Clinics and Hospitals Cognitive Communication Computer software Control Groups Coping Skills Development Diagnosis Discipline of Nursing Disease Distress Early treatment Educational process of instructing Effectiveness Elements Emotional Evaluation Exercise Feedback Fostering Fright Goals Growth Health Health Personnel Instruction Insurance Coverage Internet Intervention Interview Learning Letters Life Location Malignant Neoplasms Marketing Measures Medicine Meditation Monitor Multimedia NCI Center for Cancer Research Naturopathy Online Systems Outcome Outcome Measure Participant Patients Perception Persons Pharmaceutical Preparations Pharmacologic Substance Phase Post-Traumatic Stress Disorders Provider Psychology Quality of life Randomized Randomized Clinical Trials Randomized Controlled Clinical Trials Recruitment Activity Relaxation Research Research Personnel Sampling School Nursing Self Assessment Self Disclosure Self Efficacy Social Work Social support Staging Stress Support Groups Symptoms Techniques Technology Telephone Testing Translating Treatment Protocols Universities Video Recording Waiting Lists Washington Wellness Center Woman Writing animation anticancer research base breast cancer diagnosis cancer care cancer therapy chronic pain cognitive behavior therapy cognitive training coping cost depression effective intervention emotional disclosure experience group support immune function improved informant malignant breast neoplasm prototype psychoeducation psychosocial public health relevance rehearsal research and development research study safer sex satisfaction self help showing emotion skills skills training sound stress management stressor treatment center usability web site

项目摘要

DESCRIPTION (provided by applicant): Cognitive Behavioral Stress Management (CBSM) interventions have been shown to decrease cancer-related distress, foster emotional growth and improve immune functioning during treatment for breast cancer. CBSM interventions use well-validated cognitive behavioral techniques such as relaxation and meditation training, cognitive restructuring, and communication skills training to increase active, adaptive coping and are typically delivered in a group setting. The present project aims to develop an online version of a CBSM intervention for women undergoing adjuvant treatment for early stage breast cancer. Phase I achievements included developing the user interface and two prototype modules of the web-based intervention. These two modules ("Introduction to Relaxation" and "Communication with Healthcare Providers") were created with Talaria's proprietary software, are highly interactive, and are presented in a multimedia format. Two usability studies, one in- person and one online, with 62 current and past cancer patients, demonstrated high levels of approval, satisfaction, and ease-of-use. In Phase II goals are to develop the entire intervention and examine its effectiveness in a randomized clinical trial. This 10-module intervention will consist of cognitive behavioral techniques adapted for web-presentation by Talaria's experienced eLearning team of clinicians, researchers, writers, programmers and multimedia experts. Each module will include self- assessment and targeted feedback, didactic psychoeducation, interactive exercises, and opportunities for self-monitoring-- all tailored to the needs of women with early stage breast cancer. In addition, guided written self-disclosure exercises will promote emotional expression and a discussion board will encourage group support. The web-based intervention will be usability tested and the final product will be evaluated in a randomized clinical trial with a sample of 120 women in adjuvant treatment for breast cancer. Women will be randomly assigned to use the 10-week intervention with biweekly telephone assessments or to the telephone assessments alone. Outcome measures include patients' confidence in their coping abilities, benefit finding, quality of life, and cancer-related distress. We plan to market this product directly to cancer patients, as well as to cancer care providers, hospitals, clinics and pharmaceutical companies that manufacture cancer medications. Public Health Relevance: Nearly 200,000 American women are diagnosed with breast cancer every year. As they go through cancer treatment, many patients experience a significant decline in their quality of life due to stress, treatment side effects, anxiety, depression, and relationship difficulties. We propose to develop a web-based version of Cognitive Behavioral Stress Management, an empirically supported intervention for women with breast cancer. This web intervention will be convenient, private and available for low cost to women regardless of location or insurance coverage.

描述（由申请人提供）：已证明认知行为应力管理（CBSM）干预措施可减少与癌症相关的困扰，促进情绪生长并改善乳腺癌治疗期间的免疫功能。 CBSM干预措施使用验证良好的认知行为技术，例如放松和冥想训练，认知重组和沟通技巧培训来增加主动，适应性应对，并且通常在小组环境中交付。本项目旨在为接受早期乳腺癌辅助治疗的妇女开发在线版本的CBSM干预措施。第一阶段的成就包括开发基于Web的干预的用户界面和两个原型模块。这两个模块（“放松简介”和“与医疗保健提供者的沟通”是使用Talaria专有软件创建的，具有高度互动性，并以多媒体格式呈现。两项可用性研究，一项是一项，一项在线，有62名当前和过去的癌症患者，表现出高水平的认可，满意度和易用性。在第二阶段的目标中是开发整个干预措施，并在随机临床试验中检查其有效性。这种10模块的干预将包括由塔拉里亚经验丰富的临床医生，研究人员，作家，程序员和多媒体专家的认知行为技术组成。每个模块都将包括自我评估和有针对性的反馈，教学性心理教育，互动练习以及自我监控的机会 - 所有这些都是根据早期乳腺癌的女性需求量身定制的。此外，指导的书面自我披露练习将促进情感表达，讨论委员会将鼓励团体支持。基于Web的干预措施将是测试可用性，最终产品将在一项随机临床试验中评估，其中120名女性接受了乳腺癌辅助治疗的样本。妇女将被随机分配使用每两周一次的电话评估或电话评估的10周干预措施。结果指标包括患者对应对能力的信心，福利发现，生活质量和与癌症相关的困扰。我们计划将该产品直接推向癌症患者，以及生产癌症药物的癌症护理提供者，医院，诊所和制药公司。公共卫生相关性：每年将近200,000名美国妇女被诊断出患有乳腺癌。当他们接受癌症治疗时，许多患者由于压力，治疗副作用，焦虑，抑郁和关系困难而导致的生活质量显着下降。我们建议开发基于网络的认知行为压力管理版本，这是对乳腺癌女性的经验支持的干预。这种网络干预将是方便的，私人的，并且无论位置或保险范围如何，妇女都可以为妇女提供低成本。