Department of Supportive Care Medicine, Sheri and Les Biller Patient & Family Resource Center, City of Hope, Duarte, California.
Department of Health Policy and Management, UNC Gillings School of Global Public Health, Chapel Hill, North Carolina.
Psychooncology. 2020 May;29(5):902-909. doi: 10.1002/pon.5364. Epub 2020 Mar 1.
The couples coping with cancer together program (CCCT) is used to illustrate practical strategies to implement, evaluate, and grow a successful couples-based program in an NCI-designated CCC. CCCT is multimodal program utilizing psychoeducational, strategic, strengths-based, and problem-solving theoretical frameworks. CCCT integrates multiple intervention modalities, as the standard of care: patients/partners biopsychosocial screening, a standardized psychoeducational session, group intervention, and short-term couples counseling.
Implementation strategies included: (a) identifying Values-Benefits-Outcomes for key stakeholders, (b) recruiting an interdisciplinary team, (c) utilizing a concurrent development model (implementing program components in small iterations), (d) integrating program into existing institutional processes, and (e) collecting data and credibility.
CCCT prospectively screened 1995 patients/partners simultaneously for biopsychosocial distress and 913 patient/partner completed program evaluations. Program satisfaction was extremely high: "I recommend this program, for other patients/partners (Patients 95.4% Partners 96.4%)." Ten of the 11 participating physicians anonymously surveyed responded and indicated 100% likely/very likely "to recommend the program to other physicians."
Couples-based programs are underutilized and have been shown to be important for adjustment and increased longevity. Despite barriers in the healthcare environment, implementing couples-based programs into standard of care are feasible. These strategies may be applicable to develop supportive care programs in various health-care settings.
癌症患者共同应对项目（CCCT）旨在展示在 NCI 指定的 CCC 中实施、评估和发展成功的基于夫妻的项目的实用策略。CCCT 是一种多模式项目，利用心理教育、策略、基于优势和解决问题的理论框架。CCCT 整合了多种干预模式，作为标准护理：患者/伴侣的生物心理社会筛查、标准化心理教育课程、小组干预和短期夫妻咨询。
实施策略包括：（a）确定关键利益相关者的价值观-收益-结果，（b）招募跨学科团队，（c）利用并行开发模型（以小迭代的方式实施项目组件），（d）将项目纳入现有机构流程，以及（e）收集数据和可信度。
CCCT 前瞻性地对 1995 名患者/伴侣进行了生物心理社会困扰的同时筛查，913 名患者/伴侣完成了项目评估。项目满意度极高：“我推荐这个项目给其他患者/伴侣（患者 95.4%，伴侣 96.4%）。”参与调查的 11 名医生中有 10 名匿名回复，表示 100%可能/非常可能“向其他医生推荐该项目”。
夫妻项目的利用率较低，但已被证明对调整和延长寿命很重要。尽管在医疗保健环境中存在障碍，但将夫妻项目纳入标准护理是可行的。这些策略可能适用于在各种医疗保健环境中开发支持性护理项目。
