University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94118 USA.
Transl Behav Med. 2013 Jun;3(2):162-71. doi: 10.1007/s13142-012-0186-8.
The Cancer Support Community (CSC) provides psychosocial support to people facing cancer in community settings. The purpose of this study was to evaluate the compatibility, effectiveness, and fidelity of the Situation-Choices-Objectives-People-Evaluation-Decisions (SCOPED) question-listing intervention at three CSC sites. Between August 2008 and August 2011, the Program Director at each CSC site implemented question-listing, while measuring patient distress, anxiety, and self-efficacy before and after each intervention. We analyzed the quantitative results using unadjusted statistical tests and reviewed qualitative comments by patients and the case notes of Program Directors to assess compatibility and fidelity. Program Directors implemented question-listing with 77 blood cancer patients. Patients reported decreased distress (p = 0.009) and anxiety (p = 0.005) and increased self-efficacy (p < 0.001). Patients and Program Directors endorsed the intervention as compatible with CSC's mission and approach and feasible to implement with high fidelity. CSC effectively translated SCOPED question-listing into practice in the context of its community-based psychosocial support services at three sites.
癌症支持社区（CSC）在社区环境中为面临癌症的人提供社会心理支持。本研究的目的是在三个 CSC 地点评估情境-选择-目标-人员-评估-决策（SCOPED）问题清单干预的兼容性、有效性和保真度。在 2008 年 8 月至 2011 年 8 月期间，每个 CSC 地点的项目主任实施了问题清单，同时在每次干预前后测量患者的痛苦、焦虑和自我效能感。我们使用未调整的统计检验分析了定量结果，并审查了患者的定性意见和项目主任的病例记录，以评估兼容性和保真度。项目主任对 77 名血液癌患者实施了问题清单。患者报告的痛苦减轻（p = 0.009），焦虑减轻（p = 0.005），自我效能感增加（p < 0.001）。患者和项目主任认为该干预措施与 CSC 的使命和方法一致，并且在高度保真度的情况下实施是可行的。CSC 在其三个地点的基于社区的社会心理支持服务背景下，成功地将 SCOPED 问题清单转化为实践。
