Multi-Media Imagery Program for Breast Cancer Patients (Phase II)

描述(申请人提供)：改善乳腺癌幸存者的生活质量，减轻压力。第二阶段的目标是：(1)展示“展望生活节奏”计划的临床效果(即改善生活质量、减轻压力、参与者对产品的满意度)和(2)确立该计划的远距离传送(视频会议硬件和软件)和教学技术(即动画、图形化增强的PowerPoint教学材料、全彩色程序手册、图像艺术和音频图像)的技术优势。《想象生活的节奏》指导乳腺癌幸存者进行个性化、情感支持和生物学上准确的想象，包括5到3个小时的互动课程和课间指导支持。教学选项：选项1提供课程技术(动画、PowerPoint、手册、艺术、音频艺术)，讲师和15名参与者在同一房间内。选项2通过视频会议软件和摄像系统(阿拉斯加和西雅图)向低、中、高带宽地区远距离向15人的小组提供节目。每个选项提供三次计划(每个选项共有45名参与者)。网站门户网站提供所有节目信息和材料。设计和方法：该计划将提供给135名乳腺癌幸存者，他们已经完成了至少六周的常规护理(手术、放射治疗、静脉化疗)。备选方案1和备选方案2结果的差异将相互比较，并与对照进行比较；备选方案1和备选方案2的合并结果将与对照进行比较；等待名单对照结果将与其扩展基线进行比较。长期目标：这个创新项目将技术与带宽敏感型多媒体会议策略相结合，以提供虚拟的身心、图像干预。这项技术将允许在第三阶段向全国感兴趣的幸存者无缝交付计划。根据第一阶段参与者反馈设计的教学技术将为有效的成像实践服务，并将优化临床疗效。商业应用和幸存者参与不受地点、工作时间表或健康状况的限制，解决了获得护理的障碍问题。尽管方案1和方案2是可取的，但方案1和方案2并不要求幸存者具备计算机技能或上网能力。该计划旨在对文化敏感，并支持个人的精神实践。公共卫生相关性：该计划针对NCI和国际移民组织的总结报告，呼吁为遭受疾病相关痛苦的癌症幸存者提供个性化的支持性护理。两个疾病教育计划模块的变化将允许该计划用于全国其他形式的癌症的支持性治疗。

DESCRIPTION (provided by applicant): To improve quality of life and reduce stress for breast cancer survivors. Phase II Aims: (1) To demonstrate the clinical efficacy (i.e., improved quality of life, stress reduction, participant satisfaction with product) of the "Envision the Rhythms of Life" program and (2) to establish the technical merits of the program's distance-delivery (videoconferencing hardware and software) and instructional technology (i.e., animations, graphically enhanced PowerPoint instructional materials, full-color program manuals, art-as-imagery, and audio-imagery). "Envision the Rhythms of Life" instructs breast cancer survivors in the practice of individualized, emotionally supportive, and biologically accurate imagery and consists of 5, 3-hour long, interactive classes and between-class instructor support. Instructional Options: Option 1 delivers the program technology (animations, PowerPoint, manuals, art, audio-art) with instructor and 15 participants in the same room. Option 2 delivers the program at-a-distance, to a small group of 15, via videoconferencing software and camera systems (Alaska and Seattle) to low, moderate or high bandwidth areas. Each option delivers program three times (total of 45 participants for each option). A website portal provides all program information and materials. Design and Method: Program will be delivered to 135 breast cancer survivors who have completed conventional care (surgery, radiation, IV chemotherapy) for at least six weeks. Differences in option 1 and 2 outcomes will be compared to each other and to controls; combined outcomes of option 1 and 2 will be compared to controls; and waitlist control outcomes will be compared to their extended baseline. Long-Term Objectives: This innovative project integrates technology with bandwidth-sensitive multi-media conferencing strategies to deliver a virtual mind-body, imagery intervention. The technology will allow seamless program delivery to interested survivors across the country during Phase III. Instructional technology, designed per Phase I participant feedback, will serve to `jump-start' potent imagery practice and will optimize clinical efficacy. Commercial application and survivor participation is not limited by location, work schedule, or health status, addressing issues of barriers to access of care. Although desirable, instructional options 1 and 2 do not require survivors to have computer skills or internet access. The program is designed to be culturally sensitive and supports individual spiritual practices. PUBLIC HEALTH RELEVANCE: This program addresses NCI and IOM summary reports that call for individualized supportive care for cancer survivors suffering disease-related distress. Changes in two disease-education program modules would allow the program to be used as supportive therapy for other forms of cancer across the country.