INTERACTIVE CANCER SYMPTOM MANAGEMENT PROGRAM

描述：患者非常需要有关症状的信息。 与他们的癌症有关；然而，对信息的渴望 经常不见面。减少临床医生接受教育的时间 患者表明迫切需要开发替代方法来治疗 教育癌症患者。互动媒体技术提供了令人兴奋的 这个问题的解决方案。此次竞争性续签的主要目的是 癌症症状管理教育项目的制定 患者使用互动媒体技术。互动症状 管理计划将包括有关相关主要症状的信息 癌症和癌症治疗包括疼痛、恶心和呕吐， 疲劳、呼吸困难等。多媒体技术的使用提供了几个 与其他计划相比，可以增强这些计划的有效性的优势 格式包括：(1)提出具体目标的能力 以自律理论为基础的各种格式的信息 包括文本、图形和全动态视频；(2)教导和模拟应对 和自我照顾技能；(3)模拟典型情景，促进学习 例如提出关键问题以确保学习，为 “虚拟”技能练习，并提供互动情境 学习沟通和解决问题的技能；(4)量身定做 提供给关键患者特征的信息，包括诊断、 疾病的分期和治疗方案，以便提供信息 在特定时间点与患者的相关性最大，并且 尽量减少不相关的信息；(5)允许患者与 计划，以根据他们的需求调整信息的深度 个人学习/应对方式；和(6)打印总结和 基于材料的自我管理技术的建议 已审阅。该计划将在一项随机研究中进行评估 患者将被分配到：(1)互动症状管理计划； (2)书面症状管理计划；或(3)标准护理。这个 申请者假设：(1)使用多媒体和书面形式的患者 症状管理条件将显示出更大的增长 症状知识(副作用知识得分较高)与 标准护理组和(2)互动症状管理中的患者 群体会有更高水平的自我照顾行为(更高自我照顾 行为得分)，更有效的应对(症状得分较低 苦恼程度和心境状态)，以及较高的整体素质 LIFE(癌症治疗高级功能评估--总分) 与书面症状管理组和标准护理组相比。

DESCRIPTION: Patients have a high need for information regarding symptoms associated with their cancer; however, the desire for information is frequently not met. Decreasing time available to clinicians to educate patients suggests the critical need for developing alternative methods for educating cancer patients. Interactive media technology offers an exciting solution to this problem. The major purpose of this competitive renewal is the development of a symptom management educational program for cancer patients utilizing interactive media technology. The Interactive Symptom Management Program will include information on the major symptoms associated with cancer and cancer treatment including pain, nausea and vomiting, fatigue, dyspnea etc. Use of multi-media technology offers several advantages that may enhance the efficacy of these programs compared to other formats including the ability to: (1) present concrete objective information, based on Self-Regulation Theory, in a variety of formats including text, graphics, and full motion video; (2) teach and model coping and self-care skills; (3) simulate typical situations to enhance learning such as asking key questions to insure learning, providing opportunities for "virtual" practice of skills, and providing interactive situations for learning communication and problem solving skills; (4) tailor the information presented to key patient characteristics including diagnosis, stage of disease and treatment regimen in order to provide information that is maximally relevant to the patient at a particular point in time and to minimize irrelevant information; (5) allow the patient to interact with the program to tailor the depth of information presented based upon their individual learning/coping style; and (6) print out a summary and recommendations for self-management techniques based upon the material reviewed. The program will be evaluated in a randomized study in which patients will be assigned to: (1) Interactive Symptom Management Program; (2) Written Symptom Management Program; or (3) Standard Care. The applicants hypothesize that: (1) Patients in the Multi-Media and Written Symptom Management conditions will both demonstrate greater increases in knowledge of symptoms (higher Side Effect Knowledge scores) compared to the Standard Care group and (2) Patients in the Interactive Symptom Management group will have higher levels of self-care behavior (higher Self-Care Behavior Scores), more effective coping (lower scores on the Symptom Distress Scale and Profile of Mood States), and higher overall quality of life (higher Functional Assessment of Cancer Therapy-General Scores) compared to the Written Symptom Management and Standard Care groups.