面向青少年和青年癌症患者照料者的需求导向心理教育干预的可行性与可接受性：一项试点随机对照试验

The Feasibility and Acceptability of a Needs-Oriented Psychoeducational Intervention Among Caregivers of Adolescent and Young Adult Cancer Patients: A Pilot Randomized Controlled Trial.

作者信息

Cheng Qinqin, Ng Marques S N, Chen Yongyi, Li Xuying, Liu Gaoming, Zhang Mengyue, So Winnie K W

机构信息

Author Affiliations: The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China (Ms Cheng, Dr Ng, Ms Zhang, and Dr So); and Hunan Cancer Hospital, Changsha, Hunan, People's Republic of China (Drs Chen, Li and Liu).

出版信息

Cancer Nurs. 2023 Feb 21. doi: 10.1097/NCC.0000000000001209.

DOI:10.1097/NCC.0000000000001209

PMID:36840979

Abstract

BACKGROUND

Little is known about the psychoeducational interventions for caregivers of adolescent and young adult (AYA) cancer patients.

OBJECTIVE

To evaluate the feasibility and acceptability of a needs-oriented psychoeducational intervention among caregivers of AYA cancer patients.

METHODS

In this 2-arm (parallel-group), pilot randomized controlled trial, participants were randomized to the intervention or control group. Participants in the control group received usual care, whereas those in the intervention group received a needs-oriented psychoeducational intervention via WeChat as well as the usual care. Feasibility was evaluated on recruitment, attrition, and adherence rates and the data collection process. Acceptability was assessed based on participants' satisfaction with and perceived usefulness of the intervention, collected using a questionnaire. In addition, a semistructured interview was conducted to explore their experiences.

RESULTS

Twenty-four caregivers of AYA cancer patients were recruited, with a consent rate of 61.5%. The attrition and response rates 5 weeks after baseline were 8.3% and 91.7%. Among the 12 participants in the intervention group, 10 (83.3%) completed all of the 5 weekly sessions. Most of the participants were satisfied with the program and perceived its usefulness. The semistructured interviews revealed 3 major categories: facilitators of participation, perception of the intervention, and perceived benefits.

CONCLUSIONS

The needs-oriented psychoeducational intervention delivered through WeChat is feasible for and acceptable to caregivers of AYA cancer patients. A full-scale study is warranted to examine the effects of this intervention on caregivers' health outcomes.

IMPLICATIONS FOR PRACTICE

The WeChat-based, needs-oriented psychoeducational intervention may be beneficial to improve caregivers' health outcomes.

摘要

背景

对于青少年及青年（AYA）癌症患者的照护者，心理教育干预方面的了解甚少。

目的

评估针对AYA癌症患者照护者的以需求为导向的心理教育干预的可行性和可接受性。

方法

在这项双臂（平行组）试点随机对照试验中，参与者被随机分配至干预组或对照组。对照组参与者接受常规护理，而干预组参与者通过微信接受以需求为导向的心理教育干预以及常规护理。从招募、损耗和依从率以及数据收集过程方面评估可行性。使用问卷收集参与者对干预的满意度和感知有用性，以此评估可接受性。此外，进行了半结构化访谈以探究他们的经历。

结果

招募了24名AYA癌症患者的照护者，同意率为61.5%。基线后5周的损耗率和回复率分别为8.3%和91.7%。干预组的12名参与者中，10名（83.3%）完成了全部5次每周的课程。大多数参与者对该项目感到满意并认为其有用。半结构化访谈揭示了3个主要类别：参与的促进因素、对干预的认知以及感知到的益处。