Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Fl., New York, NY, 10022, USA.
Department of Psychology, Fordham University, 441 East Fordham Road, 226 Dealy Hall, Bronx, NY, 10458, USA.
J Cancer Educ. 2021 Oct;36(5):1081-1085. doi: 10.1007/s13187-020-01738-w.
The delivery of psychosocial support to patients and families is challenging in the acute cancer setting. To meet their needs, we developed Acute Cancer Cognitive Therapy (ACCT), an approach that applies traditional cognitive therapy (CT) techniques to this setting. We assessed the feasibility and impact of a six-hour web-based ACCT training for professionals working in psychosocial oncology. Learners were recruited in person at psycho-oncology lectures, workshops, and conferences and through social media channels. One hundred and thirty professionals completed the application, and 46 learners completed all training requirements. Descriptive statistics were used to characterize the sample of applicants and learners, and a paired-samples t-test compared learners' scores on pre-and-post assessments of ACCT knowledge. Learners were predominantly female (n = 40, 86.9%), white (n = 42, 91.3%), and trained in the disciplines of social work (n = 17, 36.9%) or psychology (n = 17, 36.9%). Post-training scores were significantly higher than baseline, averaging a 19.78-point increase. These results support the feasibility and positive impact of using this web-based training to teach ACCT. Future studies will evaluate alternative approaches to retention, multi-cultural applicability, broader dissemination and the extent and durability of skill acquisition using multimodal longitudinal models of assessment.
在急性癌症环境中,为患者和家属提供心理社会支持具有挑战性。为了满足他们的需求,我们开发了急性癌症认知疗法(ACCT),这是一种将传统认知疗法(CT)技术应用于该环境的方法。我们评估了针对从事心理肿瘤学的专业人员的六小时基于网络的 ACCT 培训的可行性和影响。学习者通过心理肿瘤学讲座、研讨会和会议以及社交媒体渠道现场招募。130 名专业人员完成了申请,46 名学习者完成了所有培训要求。描述性统计用于描述申请人和学习者的样本,配对样本 t 检验比较学习者在 ACCT 知识的前后评估中的得分。学习者主要为女性(n=40,86.9%)、白人(n=42,91.3%),并接受过社会工作(n=17,36.9%)或心理学(n=17,36.9%)方面的培训。培训后的得分明显高于基线,平均增加了 19.78 分。这些结果支持使用这种基于网络的培训来教授 ACCT 的可行性和积极影响。未来的研究将评估替代方法,以保持培训效果、适用于多种文化、更广泛的传播以及使用多模式纵向评估模型评估技能的获取程度和持久性。