Hughes Stephanie, Kassianos Angelos P, Everitt Hazel A, Stuart Beth, Band Rebecca
Primary Care Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Department of Nursing, Cyprus University of Technology, Limassol, Cyprus.
Pilot Feasibility Stud. 2022 Aug 9;8(1):175. doi: 10.1186/s40814-022-01124-x.
To outline the planning, development and optimisation of a psycho-educational behavioural intervention for patients on active surveillance for prostate cancer. The intervention aimed to support men manage active surveillance-related psychological distress.
The person-based approach (PBA) was used as the overarching guiding methodological framework for intervention development. Evidence-based methods were incorporated to improve robustness. The process commenced with data gathering activities comprising the following four components: • A systematic review and meta-analysis of depression and anxiety in prostate cancer • A cross-sectional survey on depression and anxiety in active surveillance • A review of existing interventions in the field • A qualitative study with the target audience The purpose of this paper is to bring these components together and describe how they facilitated the establishment of key guiding principles and a logic model, which underpinned the first draft of the intervention.
The prototype intervention, named PROACTIVE, consists of six Internet-based sessions run concurrently with three group support sessions. The sessions cover the following topics: lifestyle (diet and exercise), relaxation and resilience techniques, talking to friends and family, thoughts and feelings, daily life (money and work) and information about prostate cancer and active surveillance. The resulting intervention has been trialled in a feasibility study, the results of which are published elsewhere.
The planning and development process is key to successful delivery of an appropriate, accessible and acceptable intervention. The PBA strengthened the intervention by drawing on target-user experiences to maximise acceptability and user engagement. This meticulous description in a clinical setting using this rigorous but flexible method is a useful demonstration for others developing similar interventions. TRIAL REGISTRATION AND ETHICAL APPROVAL: ISRCTN registered: ISRCTN38893965 . NRES Committee South Central - Oxford A. REC reference: 11/SC/0355.
概述针对接受前列腺癌主动监测的患者的心理教育行为干预措施的规划、开发和优化。该干预旨在帮助男性应对与主动监测相关的心理困扰。
以人为主的方法（PBA）被用作干预开发的总体指导方法框架。纳入了循证方法以提高稳健性。该过程始于数据收集活动，包括以下四个部分：• 对前列腺癌患者抑郁和焦虑的系统评价和荟萃分析 • 对接受主动监测患者抑郁和焦虑的横断面调查 • 对该领域现有干预措施的综述 • 对目标受众的定性研究 本文的目的是将这些部分整合在一起，并描述它们如何促进关键指导原则和逻辑模型的建立，这些原则和模型构成了干预措施初稿的基础。
名为PROACTIVE的原型干预由六个基于互联网的课程组成，同时进行三个小组支持课程。这些课程涵盖以下主题：生活方式（饮食和运动）、放松和恢复力技巧、与朋友和家人交谈、思想和感受、日常生活（金钱和工作）以及前列腺癌和主动监测的信息。由此产生的干预措施已在一项可行性研究中进行了试验，其结果已在其他地方发表。
规划和开发过程是成功提供适当、可及且可接受的干预措施的关键。PBA通过借鉴目标用户的经验来增强干预措施，以最大限度地提高可接受性和用户参与度。在临床环境中使用这种严谨但灵活的方法进行的详细描述，对其他开发类似干预措施的人来说是一个有用的示范。试验注册和伦理批准：ISRCTN注册：ISRCTN38893965。NRES委员会中南 - 牛津A。REC参考号：11/SC/0355。
