Phelps Ceri, Minou Masoumeh, Baker Andrew, Hughes Carol, French Helen, Hawkins Wayne, Leeuwenberg Andrew, Crabtree Rebecca, Hutchings Paul B
School of Psychology, University of Wales Trinity Saint David, Swansea, UK.
Tenovus Cancer Care, Cardiff, UK.
Health Expect. 2017 Jun;20(3):459-470. doi: 10.1111/hex.12473. Epub 2016 Jun 12.
This study discusses the challenges and successes of engaging young people in a project aimed at developing an online counselling intervention for young people affected by cancer.
For younger people with a diagnosis of cancer or who are caring for someone with cancer, the psychosocial consequences can create significant challenges for their social and educational development. Whilst young people have been shown to be reluctant to make use of traditional face-to-face counselling, research is beginning to suggest that effective therapeutic relationships can be formed with young people online.
The first phase of the study involved working with a 'Young Persons' Panel' of healthy school pupils and university students to develop and pilot an online counselling intervention and study materials in preparation for a pilot evaluation of the intervention.
An avatar-based virtual reality counselling world was created where young people can create their own avatar and receive counselling over the Internet from a qualified counsellor via an avatar in a virtual reality world.
The process of engaging young people in the C:EVOLVE project enabled a unique intervention to be developed and demonstrated positive developmental opportunities. However, despite the rigorous approach to the development of the intervention, initial attempts within the pilot evaluation phase of the study showed difficulties recruiting to the study, and this phase of the study has currently ceased whilst further exploratory work takes place.
This study has demonstrated the complexities of intervention development and evaluation research targeted at young people and the challenges created when attempting to bring clinical practice and research evaluation together.
本研究探讨了让年轻人参与一个旨在为受癌症影响的年轻人开发在线咨询干预项目所面临的挑战与取得的成功。
对于被诊断患有癌症的年轻人或照顾癌症患者的年轻人来说,心理社会后果会给他们的社会和教育发展带来重大挑战。虽然已表明年轻人不愿利用传统的面对面咨询,但研究开始表明可以在网上与年轻人建立有效的治疗关系。
研究的第一阶段涉及与一个由健康的中小学生和大学生组成的“年轻人小组”合作,开发并试行一种在线咨询干预措施和研究材料,为该干预措施的试行评估做准备。
创建了一个基于虚拟化身的虚拟现实咨询世界,年轻人可以创建自己的虚拟化身,并在虚拟现实世界中通过虚拟化身从合格的咨询师那里接受互联网咨询。
让年轻人参与C:EVOLVE项目的过程促成了一种独特干预措施的开发,并展示了积极的发展机会。然而,尽管在干预措施的开发过程中采取了严谨的方法,但在研究的试行评估阶段的初步尝试显示,招募参与者存在困难,目前该研究阶段已停止,同时正在开展进一步的探索性工作。
本研究证明了针对年轻人的干预措施开发和评估研究的复杂性,以及在试图将临床实践与研究评估结合起来时所面临的挑战。