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一项针对长期无病癌症幸存者作为健康伙伴的培训项目的效果:韩国的一项随机对照试验

Efficacy of a training program for long-term disease- free cancer survivors as health partners: a randomized controlled trial in Korea.

作者信息

Yun Young Ho, Lee Myung Kyung, Bae Yeonmin, Shon Eun-Jung, Shin Bo-Ram, Ko Hyonsook, Lee Eun Sook, Noh Dong-Young, Lim Jae-Young, Kim Sung, Kim Si-Young, Cho Chi-Heum, Jung Kyung Hae, Chun Mison, Lee Soon Nam, Park Kyong Hwa, Chang Yoon Jung

机构信息

Cancer Research Institute, Seoul National University Hospital and College of Medicine, Seoul, Korea E-mail :

出版信息

Asian Pac J Cancer Prev. 2013;14(12):7229-35. doi: 10.7314/apjcp.2013.14.12.7229.

Abstract

BACKGROUND

To determine whether the Health Partner Program is effective in training long-term cancer survivors to be health coaches.

MATERIALS AND METHODS

We randomly assigned cancer survivors who were selected through a rigorous screening process to either the Health Partner Program or the waiting-list control group. The program consisted of 8 weeks of training in health management, leadership, and coaching. At baseline, 8, and 16 weeks, we measured primary outcomes using the Seven Habit Profile (SHP), the Korean Leadership Coaching Competency Inventory (KCCI), Ed Diner's Satisfaction with Life Scale (SWLS), and the Posttraumatic Growth inventory (PTGI) and secondary outcomes using the Hospital Anxiety and Depression Scale (HADS), the Impact of Event Scale-Revised (IES-R), and the Medical Outcomes Study (MOS) short form 36-item questionnaire (SF- 36).

RESULTS

We recruited 70 subjects and randomly assigned 34 to the intervention group. The Sharpen the Saw habit of the SHP increased significantly more in intervention group than in the control group (p = 0.049), as did most PTGI factors. The intervention group also showed a significantly greater enhancement of vitality (p = 0.015) and mental health (p = 0.049) SF-36 scores but no improvement in KCCI, SWLS, HADS, or IES-R scores. The intervention group also showed a greater clinically meaningful improvement in the "Think Win-Win" of SHP (p = 0.043) and in the personal strength score (p = 0.025) and total score (p = 0.015) of the PTGI.

CONCLUSIONS

Long-term cancer survivors can benefit from the Health Partner Program to become health coaches.

摘要

背景

确定健康伙伴计划在培训长期癌症幸存者成为健康教练方面是否有效。

材料与方法

我们通过严格筛选过程挑选出癌症幸存者,将其随机分为健康伙伴计划组或等待名单对照组。该计划包括为期8周的健康管理、领导力和教练培训。在基线、第8周和第16周,我们使用七习惯量表(SHP)、韩国领导力教练能力量表(KCCI)、埃德·迪纳的生活满意度量表(SWLS)和创伤后成长量表(PTGI)测量主要结局,并使用医院焦虑抑郁量表(HADS)、事件影响量表修订版(IES-R)和医学结局研究简表36项问卷(SF-36)测量次要结局。

结果

我们招募了70名受试者,随机将34名分配到干预组。干预组SHP的“磨亮锯子”习惯得分比对照组显著增加更多(p = 0.049),大多数PTGI因子得分也是如此。干预组在SF-36活力得分(p = 0.015)和心理健康得分(p = 0.049)方面也有显著更大的提高,但KCCI、SWLS、HADS或IES-R得分没有改善。干预组在SHP的“双赢思维”(p = 0.043)、PTGI个人力量得分(p = 0.025)和总分(p = 0.015)方面也有更大的具有临床意义的改善。

结论

长期癌症幸存者可从健康伙伴计划中受益,成为健康教练。

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