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一项针对睾丸癌幸存者的基于运动的支持性护理干预措施的过程评估:一项混合方法研究。

Process Evaluation of a Sport-Based Supportive Care Intervention for Testicular Cancer Survivors: A Mixed Methods Study.

作者信息

Petrella Anika R, Sabiston Catherine M, O'Rourke Roxy H, Santa Mina Daniel, Hamilton Robert J, Matthew Andrew G

机构信息

Cancer Division, University College London Hospitals NHS Foundation Trust, London NW1 2PG, UK.

Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada.

出版信息

Cancers (Basel). 2022 Jun 4;14(11):2800. doi: 10.3390/cancers14112800.

Abstract

Testicular cancer survivors report unmet supportive care needs that are associated with poorer physical and mental health, yet engagement in traditional supportive care is low. intervention was designed to engage testicular cancer survivors in supportive care by leveraging a community-based sport and exercise model. Age-appropriate, gender-sensitized, and disease specific elements were reflected in the intervention design, setting, content, and delivery. The intervention included five weekly health promotion sessions among a group of testicular cancer survivors. The purpose of this study was to explore the intervention's (i) feasibility and acceptability, (ii) effects on testicular cancer survivors' perceived health, and (iii) gain feedback for intervention refinement. A total of 10 testicular cancer survivors participated in the pilot and completed questionnaires on demographics, cancer history, perceived health, and physical activity behavior at baseline (pre-intervention) and perceived health and satisfaction with intervention components (post-intervention). Open-ended feedback surveys were collected after each weekly session and researcher field notes were recorded by three members of the study team. One month following the intervention, a focus group was conducted with intervention participants. All participants were satisfied with the intervention. Content analysis of the qualitative data supported intervention acceptability. Visual analysis conducted at the individual level indicated that perceived health either remained stable or improved from pre- to post-intervention. intervention provides a feasible and acceptable approach for the delivery of supportive care aimed at improving testicular cancer survivors' health and wellness. Recommendations for intervention refinement were provided and require future examination.

摘要

睾丸癌幸存者报告称,他们未得到满足的支持性护理需求与较差的身心健康状况相关,但参与传统支持性护理的比例较低。一项干预措施旨在通过利用基于社区的运动和锻炼模式,让睾丸癌幸存者参与支持性护理。干预设计、环境、内容和实施过程中都体现了适合年龄、性别敏感和针对疾病的元素。该干预措施包括为一组睾丸癌幸存者举办为期五周的健康促进课程。本研究的目的是探讨该干预措施的(i)可行性和可接受性,(ii)对睾丸癌幸存者感知健康的影响,以及(iii)获取改进干预措施的反馈。共有10名睾丸癌幸存者参与了该试点项目,并在基线(干预前)完成了关于人口统计学、癌症病史、感知健康和身体活动行为的问卷调查,以及在干预后完成了关于感知健康和对干预组成部分满意度的问卷调查。每周课程结束后收集开放式反馈调查,研究团队的三名成员记录研究人员的现场笔记。干预措施实施一个月后,对参与干预的人员进行了焦点小组访谈。所有参与者对干预措施都很满意。定性数据的内容分析支持了干预措施的可接受性。在个体层面进行的视觉分析表明,从干预前到干预后,感知健康状况要么保持稳定,要么有所改善。该干预措施为提供旨在改善睾丸癌幸存者健康和福祉的支持性护理提供了一种可行且可接受的方法。提供了干预措施改进的建议,有待未来进一步研究。

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本文引用的文献

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