Viola Adrienne S, Kwok Gary, Levonyan-Radloff Kristine, Manne Sharon L, Noll Robert B, Phipps Sean, Sahler Olle Jane Z, Devine Katie A
Department of Pediatrics, Robert Wood Johnson Medical School, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA.
Department of Medicine, Robert Wood Johnson Medical School, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA.
Cancers (Basel). 2022 Jun 25;14(13):3124. doi: 10.3390/cancers14133124.
Young adults with cancer are a vulnerable group with unique emotional, social, and practical needs. There is a lack of evidence-based interventions to address their needs and to foster skills that could increase their capacity to cope. Bright IDEAS is a problem-solving skills training intervention that has demonstrated efficacy in improving people's problem-solving ability and reducing distress among caregivers of children with cancer. This study evaluated the feasibility and acceptability of Bright IDEAS adapted for young adults (Bright IDEAS-YA).
Forty young adults recently diagnosed with cancer were enrolled in a single arm feasibility study.
Feasibility was demonstrated by the adequate enrollment (67.8%), retention (80.0%), and participants' adherence to the intervention (average of 5.2 out of 6 sessions completed). Participants reported satisfaction with the intervention. Qualitative feedback identified the systematic approach to problem-solving and interaction with the trainer as strengths of the intervention. Participants demonstrated improvements in problem-solving skills and symptoms of depression and anxiety.
In conclusion, the results support the feasibility of the intervention and an adequately powered randomized controlled trial is needed to determine the efficacy of the intervention on psychosocial outcomes.
患有癌症的年轻人是一个弱势群体，有独特的情感、社会和实际需求。缺乏基于证据的干预措施来满足他们的需求并培养能增强其应对能力的技能。“明智想法”（Bright IDEAS）是一种解决问题技能培训干预措施，已证明在提高人们解决问题的能力以及减轻癌症患儿照料者的痛苦方面具有成效。本研究评估了针对年轻人改编后的“明智想法”（Bright IDEAS - YA）的可行性和可接受性。
40名最近被诊断患有癌症的年轻人参加了一项单组可行性研究。
通过足够的入组率（67.8%）、留存率（80.0%）以及参与者对干预的依从性（6次课程平均完成5.2次）证明了可行性。参与者报告对干预感到满意。定性反馈确定了解决问题的系统方法以及与培训师的互动是该干预的优势。参与者在解决问题的技能以及抑郁和焦虑症状方面有改善。
总之，结果支持该干预的可行性，需要进行一项有足够效力的随机对照试验来确定该干预对心理社会结局的疗效。
