Lally Robin M, Eisenhauer Christine, Buckland Sydney, Kupzyk Kevin
University of Nebraska Medical Center.
Oncol Nurs Forum. 2018 Nov 1;45(6):E111-E124. doi: 10.1188/18.ONF.E111-E124.
To obtain rural breast cancer survivors' perceptions of CaringGuidance™ After Breast Cancer Diagnosis, a web-based, psychoeducational, distress self-management program, and explore the feasibility of gathering survivors' perceptions about CaringGuidance using online focus groups (OFGs).
PARTICIPANTS & SETTING: 23 survivors of early-stage breast cancer, a mean of 2.5 years postdiagnosis, living in rural Nebraska.
Participants reviewed the CaringGuidance program independently for an average of 12 days prior to their designated OFG. The extent of participants' pre-OFG review was verified electronically. Four synchronous, moderated OFGs were conducted. Demographic and OFG participation data were used to assess feasibility. Transcripts of OFGs were analyzed using directed content analysis.
All enrolled women participated in their designated OFG. Five themes of the quality and usability of CaringGuidance were identified. Recommendations were used to modify CaringGuidance prior to the pilot efficacy trial.
The findings contribute to nurses' knowledge and guide assessment and interventions pertaining to psychosocial needs of rural women with breast cancer, OFGs, and qualities rural women seek in web-based psychological interventions.
了解农村乳腺癌幸存者对“乳腺癌诊断后关爱指南”（CaringGuidance™）的看法，这是一个基于网络的心理教育、痛苦自我管理项目，并探讨通过在线焦点小组（OFG）收集幸存者对关爱指南看法的可行性。
23名早期乳腺癌幸存者，诊断后平均2.5年，居住在内布拉斯加州农村地区。
参与者在指定的在线焦点小组之前，平均独立查看关爱指南项目12天。通过电子方式核实参与者在在线焦点小组前的查看程度。进行了4次同步、有主持人的在线焦点小组。人口统计学和在线焦点小组参与数据用于评估可行性。使用定向内容分析法分析在线焦点小组的记录。
所有登记的女性都参加了她们指定的在线焦点小组。确定了关爱指南质量和可用性的五个主题。这些建议在试点疗效试验之前用于修改关爱指南。
研究结果有助于护士了解相关知识，并指导针对农村乳腺癌女性心理社会需求、在线焦点小组以及农村女性在基于网络的心理干预中所寻求的品质的评估和干预。
