Department of Medical Psychology and Medical Sociology, University of Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Germany.
German Hodgkin Study Group (GHSG), Clinic I for Internal Medicine at the University Medical Center of Cologne, Cologne, Germany.
J Clin Psychol Med Settings. 2023 Dec;30(4):856-865. doi: 10.1007/s10880-023-09944-6. Epub 2023 Feb 20.
We investigated the feasibility of a web-based cognitive-behavioral therapy to reduce cancer-related fatigue (CRF) among survivors of Hodgkin lymphoma. In this before-and-after trial, patients were primarily recruited via the German Hodgkin Study Group (GHSG). We assessed feasibility (response and drop-out rate) and preliminary efficacy including CRF, quality of life (QoL), and depressive symptomatology. T tests compared baseline levels with t1 (post treatment) and t2 (3 months of follow-up). Among 79 patients contacted via the GHSG, 33 provided interest (42%). Among the seventeen participants, four were treated face-to-face (pilot patients), 13 underwent the web-based version. Ten patients completed the treatment (41%). Among all participants, CRF, depressive symptomatology, and QoL improved at t1 (p ≤ .03). The effect in one of the CRF measures remained at t2 (p = .03). Except for QoL, post-treatment effects were replicated among the completers of the web-based version (p ≤ .04). The potential for this program has been demonstrated, but needs to be re-assessed after identified issues on feasibility have been resolved.Trial registration: The study was registered at ClinicalTrials.gov (Number: NCT03968250).
我们研究了基于网络的认知行为疗法在减少霍奇金淋巴瘤幸存者相关疲劳(CRF)方面的可行性。在这项前后对照试验中,患者主要通过德国霍奇金研究组(GHSG)招募。我们评估了可行性(反应率和脱落率)和初步疗效,包括 CRF、生活质量(QoL)和抑郁症状。T 检验比较了基线水平与 t1(治疗后)和 t2(3 个月随访)。在通过 GHSG 联系的 79 名患者中,有 33 名表示有兴趣(42%)。在 17 名参与者中,有 4 名接受面对面治疗(试点患者),13 名接受基于网络的治疗。10 名患者完成了治疗(41%)。在所有参与者中,CRF、抑郁症状和 QoL 在 t1 时得到改善(p≤0.03)。在一项 CRF 测量中,治疗后的效果在 t2 时仍然存在(p=0.03)。除了 QoL,网络版治疗完成者的治疗后效果也得到了复制(p≤0.04)。该方案的潜力已得到证明,但需要在解决确定的可行性问题后重新评估。
该研究在 ClinicalTrials.gov 上注册(编号:NCT03968250)。