一项针对癌症相关困扰的社交网络干预随机试验。
Randomized Trial of a Social Networking Intervention for Cancer-Related Distress.
作者信息
Owen Jason E, O'Carroll Bantum Erin, Pagano Ian S, Stanton Annette
机构信息
National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Cancer Prevention & Control Program, University of Hawai'i Cancer Center, Honolulu, HI, USA.
出版信息
Ann Behav Med. 2017 Oct;51(5):661-672. doi: 10.1007/s12160-017-9890-4.
BACKGROUND
Web and mobile technologies appear to hold promise for delivering evidence-informed and evidence-based intervention to cancer survivors and others living with trauma and other psychological concerns. Health-space.net was developed as a comprehensive online social networking and coping skills training program for cancer survivors living with distress.
PURPOSE
The purpose of this study was to evaluate the effects of a 12-week social networking intervention on distress, depression, anxiety, vigor, and fatigue in cancer survivors reporting high levels of cancer-related distress.
METHODS
We recruited 347 participants from a local cancer registry and internet, and all were randomized to either a 12-week waiting list control group or to immediate access to the intervention. Intervention participants received secure access to the study website, which provided extensive social networking capabilities and coping skills training exercises facilitated by a professional facilitator.
RESULTS
Across time, the prevalence of clinically significant depression symptoms declined from 67 to 34 % in both conditions. The health-space.net intervention had greater declines in fatigue than the waitlist control group, but the intervention did not improve outcomes for depression, trauma-related anxiety symptoms, or overall mood disturbance. For those with more severe levels of anxiety at baseline, greater engagement with the intervention was associated with higher levels of symptom reduction over time.
CONCLUSIONS
The intervention resulted in small but significant effects on fatigue but not other primary or secondary outcomes. Results suggest that this social networking intervention may be most effective for those who have distress that is not associated with high levels of anxiety symptoms or very poor overall psychological functioning.
TRIAL REGISTRATION NUMBER
The trial was registered with the ClinicalTrials.gov database ( ClinicalTrials.gov #NCT01976949).
背景
网络和移动技术似乎有望为癌症幸存者以及其他遭受创伤和其他心理问题困扰的人提供基于证据的干预措施。Health-space.net是一个为生活在痛苦中的癌症幸存者开发的综合性在线社交网络和应对技能培训项目。
目的
本研究旨在评估一项为期12周的社交网络干预对报告有高水平癌症相关痛苦的癌症幸存者的痛苦、抑郁、焦虑、活力和疲劳的影响。
方法
我们从当地癌症登记处和互联网招募了347名参与者，所有参与者被随机分配到为期12周的等待名单对照组或立即接受干预。干预组参与者可安全访问研究网站，该网站提供广泛的社交网络功能以及由专业协调员协助的应对技能培训练习。
结果
随着时间推移，两种情况下具有临床意义的抑郁症状患病率均从67%降至34%。与等待名单对照组相比，Health-space.net干预使疲劳程度下降幅度更大，但该干预并未改善抑郁、创伤相关焦虑症状或总体情绪障碍的结果。对于基线焦虑水平较高的人，随着时间推移，更多地参与干预与更高水平的症状减轻相关。
结论
该干预对疲劳产生了虽小但显著的影响，但对其他主要或次要结果没有影响。结果表明，这种社交网络干预可能对那些痛苦与高水平焦虑症状或非常差的总体心理功能无关的人最有效。
试验注册号
该试验已在ClinicalTrials.gov数据库注册（ClinicalTrials.gov #NCT01976949）。
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