Department of Educational Studies in Psychology, Research Methodology, and Counseling, University of Alabama, Tuscaloosa, AL, USA.
Department of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, Madison, WI, USA.
Disabil Rehabil. 2023 Jul;45(15):2480-2487. doi: 10.1080/09638288.2022.2094478. Epub 2022 Jul 7.
Diagnosis and treatment of childhood brain tumor have detrimental effects on physical, neurocognitive, psychological, and social functioning that lasts into adulthood and effects quality of life (QOL). To address diminished QOL, an Internet-based behavioral activation (BA) intervention was developed. Behavioral activation aims to increase activities and behaviors likely to improve thoughts, mood, and QOL.
Participants included 127 young adult survivors of childhood brain tumor (SCBT) randomized into the experimental group (= 64) or the waitlist control group (= 63). The dependent variables included: life satisfaction, stress, and activation and were assessed with a two-way mixed analysis of variance (ANOVA).
Results revealed a significant interaction between the intervention and time on life satisfaction, (1, 125)=4.793, = 0.03. There were no significant main effects over time for perceived stress and activation.
Findings offer initial evidence that BA can be delivered over the internet and that Internet-delivered BA can have a positive effect on the QOL of young adult SCBT. Internet-based BA interventions can serve as a resource for young adult SCBT who desire to boost their mood and QOL.Implications for rehabilitationBehavioral activation (BA) is aimed at increasing positively reinforcing overt behaviors that are likely to promote improved thoughts, mood, and quality of life (QOL).Results indicated study participants in the experimental group demonstrated a significant gain in life satisfaction compared to the control group after receiving the Internet-based BA intervention; and provides support that the intervention was associated with positive changes across time.Findings offer initial evidence that BA can be delivered over the internet and that Internet-delivered BA can have a positive effect on the QOL of young adult survivors of childhood brain tumor (SCBT).Internet-based BA interventions can serve as a resource for young adult SCBT who desire to boost their mood and QOL.
儿童脑肿瘤的诊断和治疗对成年后的身体、神经认知、心理和社会功能产生不利影响，并影响生活质量（QOL）。为了改善生活质量下降的问题，开发了一种基于互联网的行为激活（BA）干预措施。行为激活旨在增加可能改善思维、情绪和生活质量的活动和行为。
本研究纳入了 127 名儿童脑肿瘤（SCBT）后年轻成年幸存者，将其随机分为实验组（n=64）和候补对照组（n=63）。使用双向混合方差分析（ANOVA）评估生活满意度、压力和激活等因变量。
结果显示，干预和时间对生活满意度的交互作用显著，（1, 125）=4.793，p=0.03。随着时间的推移，感知压力和激活均无显著主效应。
研究结果初步表明，BA 可以通过互联网进行提供，互联网提供的 BA 可以对年轻成年 SCBT 的生活质量产生积极影响。基于互联网的 BA 干预可以作为希望改善情绪和生活质量的年轻成年 SCBT 的资源。
行为激活（BA）旨在增加积极的外在行为，这些行为可能会促进思维、情绪和生活质量（QOL）的改善。结果表明，实验组参与者在接受基于互联网的 BA 干预后，生活满意度显著提高，与对照组相比有显著差异；且该干预措施与随时间的积极变化相关。研究结果初步表明，BA 可以通过互联网进行提供，互联网提供的 BA 可以对年轻成年 SCBT 的生活质量产生积极影响。基于互联网的 BA 干预可以作为希望改善情绪和生活质量的年轻成年 SCBT 的资源。
