A Brief Family Intervention to Promote Adaptation to the Stress of Parental BMT

描述（由申请人提供）：骨髓移植/造血干细胞移植（BMT）在全球范围内治疗癌症的应用正在增加。这是一个高风险和具有挑战性的程序，扰乱了家庭和接受者的生活。研究表明，家庭照顾者，通常是伴侣/配偶，在二元关系中比接受者经历更高程度的痛苦和更大程度的不满。在文献中，很少有关于这些接受者的孩子的经验数据，然而，该研究小组最近完成的一篇论文表明，他们也受到了由于BMT而在家庭中发生的干扰和压力的影响。这项发展可行性研究将审查以家庭为重点的简短干预在尽量减少家庭行为对家庭成员个人和家庭系统内相互作用的负面影响方面的有效性。它将包括三次针对父母的教学/讨论会议，以及一个由父母和孩子共同观看的两部分家庭DVD。拟议研究的设计将纳入来自常规护理组的探索性研究的数据。

DESCRIPTION (provided by applicant): The use of bone marrow transplantation/hematopoetic stem cell transplantation (BMT) for the treatment of cancer is increasing world-wide. It is a high risk and challenging procedure that disrupts the life of the family as well as that of the recipient. Research indicates that family caregivers, most often partners/spouses, experience higher levels of distress and greater dissatisfaction within the dyadic relationship than is characteristic of recipients. In the literature, there is little empirical data relative to the children of these recipients, however, a recently completed dissertation from this research team indicates they too are affected by the disturbance and stress that occurs within the family as a consequence of BMT. This developmental feasibility study will examine the effectiveness of a brief family-focused intervention in minimizing the negative impact of BMT on individual family members and interaction within the family system. It will include three didactic/discussion sessions for the parent dyad and a two part family DVD to be viewed by parents and children together. The design of the proposed study will incorporate data available from an exploratory study as the usual care group. PUBLIC HEALTH RELEVANCE: This study will develop and evaluate the effectiveness of a brief family-focused intervention to facilitate positive adaptation of the BMT recipient and family members to the stress of this challenging high-risk procedure. It is focused on the prevention of serious secondary psychological and social morbidity from occurring as a consequence of BMT, and it will be designed for delivery as a part of usual care.