儿童脑肿瘤幸存者的社交能力：同伴介导干预的可行性及初步结果
Social Competence in Childhood Brain Tumor Survivors: Feasibility and Preliminary Outcomes of a Peer-Mediated Intervention.
作者信息
Devine Katie A, Bukowski William M, Sahler Olle Jane Z, Ohman-Strickland Pamela, Smith Tristram H, Lown E Anne, Patenaude Andrea Farkas, Korones David N, Noll Robert B
机构信息
*Department of Medicine, Rutgers Cancer Institute of New Jersey, Rutgers, The State University of New Jersey, New Brunswick, NJ; †Department of Psychology, Concordia University, Montreal, QC, Canada; ‡Department of Pediatrics, University of Rochester Medical Center, Rochester, NY; §School of Public Health, Rutgers, The State University of New Jersey, Piscataway, NJ; ‖Department of Social Behavioral Sciences, University of California, San Francisco, San Francisco, CA; ¶Department of Psychiatry, Dana-Farber Cancer Institute, Boston, MA; **Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA.
出版信息
J Dev Behav Pediatr. 2016 Jul-Aug;37(6):475-82. doi: 10.1097/DBP.0000000000000315.
OBJECTIVE
Evaluate the acceptability, feasibility, and preliminary outcomes of a peer-mediated intervention to improve social competence of brain tumor survivors and classmates.
METHOD
Twelve childhood brain tumor survivors and 217 classroom peers in intervention (n = 8) or comparison (n = 4) classrooms completed measures of social acceptance and reputation at 2 time points in the year. The intervention (5-8 sessions over 4-6 weeks) taught peer leaders skills for engaging classmates. Individual and classroom outcomes were analyzed with analysis of covariance.
RESULTS
Recruitment rates of families of brain tumor survivors (81%) and schools (100%) were adequate. Peer leaders reported satisfaction with the intervention. Preliminary outcome data trended toward some benefit in increasing the number of friend nominations for survivors of brain tumors but no changes in other peer-reported metrics. Preliminary results also suggested some positive effects on classroom levels of victimization and rejection.
CONCLUSION
A peer-mediated intervention was acceptable to families of brain tumor survivors and feasible to implement in schools. Findings warrant a larger trial to evaluate improvements for children with brain tumors and their peers.
目的
评估同伴介导干预措施在提高脑肿瘤幸存者及其同学社交能力方面的可接受性、可行性和初步效果。
方法
12名儿童脑肿瘤幸存者以及干预组（n = 8）或对照组（n = 4）教室中的217名同班同学在一年中的两个时间点完成了社交接纳和声誉的测量。干预措施（在4 - 6周内进行5 - 8次课程）教授同伴领袖与同学互动的技巧。使用协方差分析对个体和班级的结果进行分析。
结果
脑肿瘤幸存者家庭的招募率（81%）和学校的招募率（100%）足够。同伴领袖对干预措施表示满意。初步结果数据显示，在增加脑肿瘤幸存者的朋友提名数量方面有一定益处，但其他同伴报告的指标没有变化。初步结果还表明，对班级中的受欺负和被排斥情况有一些积极影响。
结论
同伴介导干预措施为脑肿瘤幸存者家庭所接受，并且在学校实施可行。研究结果值得进行更大规模的试验，以评估对脑肿瘤患儿及其同伴的改善情况。
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