Coping with Cancer and Treatment: Skills and Strategies

描述（由申请人提供）：癌症治疗具有严重的社会心理后果，影响患者的生活质量和整体健康。有效的心理治疗方法已经开发出来，但往往无法获得。互联网已被成功地用于传播有关诊断和治疗方案的信息。然而，管理癌症治疗效果所需的扎实指导和经验支持的技能培训尚未以交互式的、基于网络的形式提供。

DESCRIPTION (provided by applicant): Cancer treatment has serious psychosocial consequences that impact patients' quality of life and overall health. Effective psychological treatment has been developed but is often not available. The Internet has been successfully used to disseminate information about diagnoses and treatment options. However, the solid instruction and empirically supported skills training required to manage the effects of cancer treatment are not yet available in an interactive, web-based format. We propose to develop a web-based workbook to teach cancer patients specific skills and strategies to promote positive adjustment and improve their quality of life. This interactive workbook will use a multimedia presentation format (e.g., sound, animation), and have the capability to customize information for each user. Each interactive chapter will include assessment, targeted feedback, psychoeducation, on-line exercises, practice sessions, and opportunities for self-monitoring. For Phase I, we propose to develop two skills modules, basic relaxation and communicating with healthcare providers, and evaluate these modules with cancer patients, survivors and providers. For Phase II, we will develop a comprehensive package of modules covering advanced relaxation skills, mindfulness training, communicating with family members, coping with fatigue, and recognizing and coping with depression and anxiety, as well as evaluate the workbook in a clinical effectiveness trial.