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一项针对癌症患儿家长的社会心理电子健康干预措施的社区试验。

A community-based trial of a psychosocial eHealth intervention for parents of children with cancer.

作者信息

Canter Kimberly S, McIntyre Rebecca, Babb Rebecca, Ramirez Alejandra Perez, Vega Gabriela, Lewis Amanda, Bottrell Cathy, Lawlor Christopher, Kazak Anne E

机构信息

Nemours Center for Healthcare Delivery Science, Wilmington, Delaware, USA.

Department of Pediatrics, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

出版信息

Pediatr Blood Cancer. 2022 Jan;69(1):e29352. doi: 10.1002/pbc.29352. Epub 2021 Sep 17.

Abstract

BACKGROUND

The Electronic Surviving Cancer Competently Intervention Program (eSCCIP), a psychosocial eHealth intervention for parents and caregivers of children with cancer (parents), was delivered in a community-based psychosocial oncology center. Primary endpoints were intervention acceptability, feasibility, and accessibility, with a secondary exploratory focus on psychosocial outcomes.

PROCEDURE

Oncology therapists in a psychosocial oncology center were trained in eSCCIP delivery. Participants were eligible for participation if they were the primary caregiver of a child with cancer between the ages 0 and 17, could read and write in English, and had reliable internet access to complete eSCCIP. Surveys were administered electronically at baseline and post intervention to evaluate study endpoints. Effect sizes (Cohen's d) were computed for exploratory psychosocial outcomes. Nineteen parents completed the intervention.

RESULTS

Parents rated eSCCIP as highly acceptable, feasible, and accessible. A large clinical effect was detected for acute distress (d = 0.79). Moderate clinical effects were reported for overall posttraumatic stress disorder (PTSD) symptoms (d = 0.37), negative mood/cognitions (d = 0.59), and symptoms of anxiety (d = 0.48).

CONCLUSIONS

Results indicate that eSCCIP is an acceptable, feasible, and accessible psychosocial intervention for parents. Exploratory analyses suggest that participation in eSCCIP may contribute to decreases in acute distress, symptoms of anxiety, and symptoms of PTSD.

摘要

背景

电子癌症应对能力干预计划(eSCCIP)是一项针对癌症患儿家长和照料者(家长)的心理社会电子健康干预措施,在一个社区心理社会肿瘤中心实施。主要终点是干预的可接受性、可行性和可及性,次要探索性重点是心理社会结果。

程序

心理社会肿瘤中心的肿瘤治疗师接受了eSCCIP实施方面的培训。如果参与者是0至17岁癌症患儿的主要照料者,能够用英语读写,并且有可靠的互联网接入以完成eSCCIP,则有资格参与。在基线和干预后以电子方式进行调查,以评估研究终点。计算探索性心理社会结果的效应量(科恩d值)。19位家长完成了干预。

结果

家长对eSCCIP的评价是高度可接受、可行且可及。在急性痛苦方面检测到较大的临床效应(d = 0.79)。在总体创伤后应激障碍(PTSD)症状(d = 0.37)、负面情绪/认知(d = 0.59)和焦虑症状(d = 0.48)方面报告了中度临床效应。

结论

结果表明,eSCCIP对家长来说是一种可接受、可行且可及的心理社会干预措施。探索性分析表明,参与eSCCIP可能有助于减轻急性痛苦、焦虑症状和PTSD症状。

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