Exploring the implications of Online Shared Reading on Psychological Distress and Quality of Life (QoL) in Endometrial Cancer: a mixed-method approach

探讨在线共享阅读对子宫内膜癌患者心理困扰和生活质量（QoL）的影响：一种混合方法。NICE关于癌症患者心理困扰管理的实践指南建议在关键疾病阶段提供社会心理支持。虽然以前的文献已经证明了这种支持在某些癌症人群中的有效性，但心理干预在子宫内膜癌中的有效性和患病率一直被忽视。因此，拟议的博士学位有三个目标：(1)进行一项系统综述，综合现有的关于子宫内膜癌管理的可用心理治疗的研究；(2)进行一项定性研究，探讨子宫内膜癌女性的心理教育需求是什么；(3)利用前两项研究的结果进行可行性研究，将在线共享阅读/心理教育与仅进行心理教育的对照组进行比较。目的是确定其对轻中度心理困扰和生活质量的疗效。纳入患者和公众参与（PPI）将进一步弥补以往研究的局限性。其目的是做出创新的贡献，并影响未来临床治疗指南的方向。拟议的博士学位的意义在于，它与NHS 10年计划中的个性化护理综合模式相关联，并检验了在线共享阅读作为子宫内膜癌潜在目标干预的有效性。关键词：在线共享阅读（OSR），子宫内膜癌（EC），心理困扰，心理教育，自我效能，生活质量

Exploring the implications of Online Shared Reading on Psychological Distress and Quality of Life (QoL) inEndometrial Cancer: a mixed-method approachAbstractResearch Purpose. NICE practice guidelines for the management of psychological distress in cancerrecommend offering psychosocial support during key illness stages. While previous literature hasdemonstrated the effectiveness of this support in some cancer populations, the efficacy and prevalenceof psychological interventions in endometrial cancer specifically, has been neglected. Consequently, theproposed PhD has three aims: (1) conduct a systematic review that synthesises existing studies onavailable psychological treatments for the management of endometrial cancer (2) undertake aqualitative study exploring what the psychoeducational needs of women with endometrial cancer are (3)use findings from the previous two studies to conduct a feasibility study comparing Online SharedReading/Psychoeducation to a Psychoeducation-only control group, with the aim of identifying its efficacyfor mild to moderate psychological distress and quality of life. The inclusion of Patient and PublicInvolvement (PPI) will further bridge previous research limitations. The aim is to make innovativecontributions and influence the direction of future clinical treatment guidelines. The significance of theproposed PhD is that it ties in with the comprehensive model of personalised care in the NHS 10-yearplan and examines the effectiveness of Online Shared Reading as a potential targeted intervention forendometrial cancer.Keywords: Online Shared Reading (OSR), Endometrial Cancer (EC), Psychological Distress,Psychoeducation, Self-efficacy, Quality of Life (QoL)