Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Education, 50 Avenue Franklin Roosevelt, Brussels, Belgium; Hôpital Erasme, Service de Psychologie, 808 Route de Lennik, Brussels, Belgium.
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Education, 50 Avenue Franklin Roosevelt, Brussels, Belgium; Hôpital Erasme, Service de Psychologie, 808 Route de Lennik, Brussels, Belgium.
Patient Educ Couns. 2021 Mar;104(3):563-570. doi: 10.1016/j.pec.2020.08.024. Epub 2020 Aug 27.
Cancer-related communication is critical for patients' and caregivers' adaptation to illness. This randomized pilot study was conducted to test the feasibility, acceptability, and efficacy of a specific dyadic intervention to improve communication.
A four weekly-session intervention was developed to reinforce cancer-related patient-caregiver communication. Patients receiving treatment for any diagnosed cancer, and their caregivers, were recruited from two oncology clinics in Belgium. Sixty-four patient-caregiver dyads were assigned randomly to intervention and waitlist groups. Cancer-related dyadic communication, dyadic coping and emotional distress were assessed at baseline and post-intervention.
The intervention attrition rate was 6 %. Linear mixed models were performed on 60 dyads. Significant two-way group × time interaction indicated improvement in participants' cancer-related dyadic communication frequency (β = -1.30; SE = 0.31; p = .004), self-efficacy (β = -10.03; SE = 3.90; p = .011) and dyadic coping (β = -5.93; SE = 2.73; p = .046) after the intervention.
These results indicate that the brief dyadic communication intervention is feasible and acceptable, and show preliminary evidence of efficacy.
Encouraging patients and caregivers to discuss personal cancer-related concerns may improve their ability to cope with the illness together.
癌症相关的沟通对于患者及其照顾者适应疾病至关重要。本随机试点研究旨在测试一种特定的双元干预措施改善沟通的可行性、可接受性和疗效。
制定了一个为期四周的干预方案，以加强癌症相关的患者-照顾者沟通。从比利时的两个肿瘤诊所招募了正在接受任何诊断出的癌症治疗的患者及其照顾者。64 对患者-照顾者对被随机分配到干预组和等待名单组。在基线和干预后评估癌症相关的双元沟通、双元应对和情绪困扰。
干预的脱落率为 6%。对 60 对双元进行线性混合模型分析。显著的双向组 × 时间交互表明，参与者的癌症相关双元沟通频率（β = -1.30；SE = 0.31；p =.004）、自我效能感（β = -10.03；SE = 3.90；p =.011）和双元应对（β = -5.93；SE = 2.73；p =.046）在干预后得到改善。
这些结果表明，简短的双元沟通干预是可行和可接受的，并初步显示出疗效的证据。
鼓励患者和照顾者讨论个人的癌症相关问题，可能会提高他们共同应对疾病的能力。
