Bäuerle Alexander, Teufel Martin, Schug Caterina, Skoda Eva-Maria, Beckmann Mingo, Schäffeler Norbert, Junne Florian, Erim Yesim, Zipfel Stephan, Graf Johanna
Clinic for Psychosomatic Medicine and Psychotherapy, LVR University-Hospital Essen, University of Duisburg-Essen, Essen, Germany
Comprehensive Cancer Center Essen, University Hospital Essen, Essen, Nordrhein-Westfalen, Germany.
BMJ Open. 2020 Aug 13;10(8):e036466. doi: 10.1136/bmjopen-2019-036466.
Although a high percentage of patients with cancer experience severe psychological distress, few of them receive psycho-oncological care, largely due to barriers on the side of patients and healthcare providers that pose great challenges to delivering such care. In response, low-threshold, self-guided eHealth interventions can enable patients with cancer to deal independently and effectively with disease-related challenges and distress. Mindfulness and Skills-Based Distress Reduction in Oncology Training, nicknamed Make It Training, is one such innovative, self-guided eHealth intervention. In our study, we propose to assess different characteristics of such patients in order to define target populations for Make It Training, evaluate the intervention in terms of its usability, feasibility and sustainability and gather longitudinal data concerning the intervention's efficacy.
Self-guided and web-based Make It Training consists of eight 30 min modules involving the use of techniques of mindfulness therapy, cognitive-behavioural therapy and acceptance and commitment therapy to be completed in a 4-month period. In our observational study, adult patients with cancer who possess adequate German language skills and provide their informed consent will be recruited at Essen, Erlangen and Tübingen University Hospitals at outpatient oncological institutions and via online channels. Patients will undergo a baseline online assessment (T0), an assessment directly after completing the intervention (T1) and assessments 3 and 6 months later (T2 and T3, respectively). With the results of those assessments, we will perform descriptive analyses of their sociodemographic and medical data, compare means and conduct regression analyses.
The Ethics Committees of the University Hospitals Essen, Erlangen and Tübingen have approved the study (19-8643-BO, 27_19 B, 293/2018BO1). Results will be published in peer-reviewed journals and conference presentations.
DRKS00017119.
尽管很大比例的癌症患者经历着严重的心理困扰，但他们中很少有人接受心理肿瘤学护理，这主要是由于患者和医疗服务提供者方面存在障碍，给提供此类护理带来了巨大挑战。作为应对措施，低门槛、自我引导的电子健康干预措施能够使癌症患者独立且有效地应对与疾病相关的挑战和困扰。肿瘤学正念与基于技能的痛苦缓解训练（简称为“使其训练”）就是这样一种创新的、自我引导的电子健康干预措施。在我们的研究中，我们提议评估此类患者的不同特征，以便确定“使其训练”的目标人群，从可用性、可行性和可持续性方面评估该干预措施，并收集有关其疗效的纵向数据。
自我引导的基于网络的“使其训练”包括八个30分钟的模块，涉及使用正念疗法、认知行为疗法和接纳与承诺疗法的技术，需在4个月内完成。在我们的观察性研究中，将在埃森、埃尔朗根和图宾根大学医院的门诊肿瘤机构以及通过在线渠道招募具备足够德语能力并提供知情同意书的成年癌症患者。患者将接受一次基线在线评估（T0）、干预完成后直接进行的评估（T1）以及3个月和6个月后的评估（分别为T2和T3）。根据这些评估结果，我们将对他们的社会人口统计学和医疗数据进行描述性分析，比较均值并进行回归分析。
埃森、埃尔朗根和图宾根大学医院的伦理委员会已批准该研究（19 - 8643 - BO、27_19 B、293/2018BO1）。研究结果将发表在同行评审期刊和会议报告中。
DRKS00017119。
