School of Population and Public Health, The University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
Cancer Rehabilitation and Survivorship, Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, M5G 2C4, Canada.
Support Care Cancer. 2023 Mar 22;31(4):225. doi: 10.1007/s00520-023-07680-z.
The study investigated peer and caregiver navigators' motivations for providing support, i.e., benefit finding, their mental and physical health, and program satisfaction.
A web-based peer navigation program was conducted for prostate cancer patients and caregivers over a 6-month time period. In a one-arm observational study, peer and caregiver navigators were asked to complete standardized mental health (Hospital Anxiety and Depression Scale, Cancer Worry Scale), quality of life (EQ-5D-5L, EQ-VAS), and social support (ENRICHD Social Support Instrument) scales pre- and post-intervention and questionnaires addressing motivations, benefits, and program satisfaction post-intervention.
Both peer and caregiver navigators reported very low anxiety and depressive symptoms across time. Cancer worry increased over time with 25% of participants exceeding the symptom threshold at baseline and 33% at follow-up. Quality of life was very high but slightly decreased over time (90.0% vs. 84.4%; p = .005), indicative of a greater number of navigators reporting pain/discomfort at follow-up. Social support was high (86.9% vs. 85.9%) and remained so. Top five role endorsements were (1) a feeling of belonging, (2) being involved in something good, (3) giving back, (4) feeling better as a person, and (5) improved communication skills. Program satisfaction was very high with support from program staff rated highest.
The study indicates that peer and caregiver navigators exhibited favorable physical and mental health across time. Furthermore, they experienced several benefits from navigation including a sense of meaning and the wish to give back. Results suggest that support provision within the peer and caregiver navigation program has also salutary effects for navigators.
本研究调查了同伴和照顾者导航员提供支持的动机，即益处发现、他们的身心健康和对项目的满意度。
在一项为期 6 个月的前列腺癌患者及其照顾者的基于网络的同伴导航项目中，要求同伴和照顾者导航员在干预前后完成标准化的心理健康（医院焦虑和抑郁量表、癌症担忧量表）、生活质量（EQ-5D-5L、EQ-VAS）和社会支持（ENRICHD 社会支持量表）量表，并在干预后回答有关动机、益处和项目满意度的问卷。
同伴和照顾者导航员在整个研究过程中报告的焦虑和抑郁症状均非常低。癌症担忧随着时间的推移而增加，基线时有 25%的参与者超过症状阈值，随访时有 33%的参与者超过症状阈值。生活质量非常高，但随着时间的推移略有下降（90.0%对 84.4%；p=.005），表明随访时有更多的导航员报告疼痛/不适。社会支持很高（86.9%对 85.9%），且保持不变。前五项角色认可包括：（1）归属感，（2）参与有益的事情，（3）回馈，（4）作为一个人感觉更好，以及（5）提高沟通技巧。项目满意度非常高，对项目工作人员的支持评价最高。
研究表明，同伴和照顾者导航员在整个研究过程中表现出良好的身心健康。此外，他们从导航中获得了多种益处，包括意义感和回馈的愿望。结果表明，同伴和照顾者导航项目中的支持提供对导航员也有有益的影响。
