Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Milan, Italy.
Psychol Health. 2022 Aug;37(8):1022-1055. doi: 10.1080/08870446.2021.1916494. Epub 2021 May 9.
Some psychological interventions have been developed to improve cancer patients' and survivors' quality of life, well-being, and health engagement. However, studies are usually focused on effectiveness and less on factors influencing survivors' decision to participate, both subjective (e.g., needs) and contingent (e.g., factors related to participation/non participation). This scoping review identifies factors influencing participation, decline to participate, attrition and adherence in psychological interventions.
3 electronic databases were searched for published studies on psychological interventions. Retrieved publications were scanned by authors against inclusion criteria and forty-two articles were selected. Relevant information were summarized narratively.
More information is available on attrition and factors related to participation/non participation, so that future psychological interventions may employ ad-hoc tools to take into consideration patients' reasons to adhere to psychological interventions. Secondarily, non-participation/dropout is often linked to factors related to intervention' commitment and its interference with daily life. On the contrary, patients' reasons to participate often identify with the value they find in the intervention according to their personal needs and experience of illness.
We suggest that future research should analyze patients' representation of psychological interventions and take them into account to tailor the interventions on participants' lived experience, to improve participation.
一些心理干预措施已经被开发出来，以提高癌症患者和幸存者的生活质量、幸福感和健康参与度。然而，这些研究通常侧重于干预措施的有效性，而对影响幸存者参与意愿的因素关注较少，这些因素既有主观因素（如需求），也有偶然因素（如与参与/不参与相关的因素）。本研究旨在确定影响心理干预措施参与、拒绝参与、脱落和依从性的因素。
检索了 3 个电子数据库中关于心理干预的已发表研究。作者根据纳入标准对检索到的出版物进行了扫描，共选择了 42 篇文章。相关信息以叙述性的方式进行了总结。
更多的信息可用于分析脱落和与参与/不参与相关的因素，以便未来的心理干预措施可以使用特定的工具来考虑患者坚持心理干预的原因。其次，不参与/脱落通常与干预承诺及其对日常生活的干扰有关。相反，患者参与的原因往往与其根据个人需求和疾病经历而发现的干预价值相吻合。
我们建议未来的研究应该分析患者对心理干预的代表性看法，并将其考虑在内，根据参与者的生活体验来调整干预措施，以提高参与度。
