Scott Karen, Beatty Lisa
School of Psychology, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia.
Aust J Prim Health. 2013;19(4):270-4. doi: 10.1071/PY13025.
Despite the evidence base for Internet-delivered self-help programmes, their application to cancer carers has not been reported. This feasibility study evaluated a 6-week internet cognitive behaviour therapy (CBT) programme for early stage cancer carers. The study participants comprised 13 carers who were recruited over a 17-month period. Measures included distress, quality of life and programme engagement. Changes over time were measured using effect sizes (Cohen's d), whereas acceptibility was assessed using qualitative feedback. Low enrolment and high attrition rates resulted in a failure to demonstrate feasibility. Large improvements in negative affect (d=0.88) and emotional functioning (d=0.62) were found. For treatment completers, the intervention holds promise in reducing distress. However, in light of the serious challenges with recruitment and retention, further research is needed to resolve participation barriers.
尽管有基于互联网的自助项目的证据基础，但其在癌症护理者中的应用尚未见报道。这项可行性研究评估了一项为期6周的针对早期癌症护理者的互联网认知行为疗法（CBT）项目。研究参与者包括在17个月期间招募的13名护理者。测量指标包括痛苦程度、生活质量和项目参与度。使用效应量（科恩d值）来衡量随时间的变化，而可接受性则通过定性反馈进行评估。低招募率和高流失率导致未能证明其可行性。研究发现消极情绪（d = 0.88）和情绪功能（d = 0.62）有大幅改善。对于完成治疗的患者，该干预措施有望减轻痛苦。然而，鉴于招募和留住参与者方面的严峻挑战，需要进一步研究以解决参与障碍。
