Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Crown Princess Mary Cancer Centre, Western Sydney Local Health District, Westmead, NSW, Australia.
J Cancer Educ. 2023 Oct;38(5):1697-1709. doi: 10.1007/s13187-023-02324-6. Epub 2023 Jul 14.
Lung cancer patients have a high symptom burden that negatively affects their quality of life. Increasing patient self-efficacy to deal with treatment side effects can ameliorate their symptom burden. Education programs can help enhance patient self-efficacy by giving patients more control over their condition through increased disease literacy. This study aimed to evaluate the feasibility of microlearning for delivering lung cancer patients' information on side effects of chemotherapy. Secondary objectives of the program are to understand the acceptability of microlearning for delivery this type of education to lung cancer patients and the potential impact of microlearning on patient self-efficacy, knowledge and confidence managing side effects of chemotherapy. A mixed-methods prepost test (or quasi-experimental) study design was used to better enable patients to identify and manage the side effects of their condition and chemotherapy. Participants were patients diagnosed with stage II to stage IV lung cancer, who had a life expectancy of greater than 3 months and were aged 18 years or older. Multiple validated scales were used to assess patient self-efficacy pre- and post-intervention. The online program was evaluated using quantitative data of completion rates extracted from the online platform. Semi-structured interviews were used to explore the impact of the online program on perceived self-efficacy and quality of life. Twenty-three participants agreed to participate in the study and five agreed to complete a semi-structured interview. Participants found the content comprehensive, relevant and engaging. The program improved perceived disease literacy and helped participants develop coping strategies to manage side effects. Participants also found the platform easy to use and navigate. Additional courses and features were requested. Patients with a diagnosis of cancer receive a large amount of information about the side effects of chemotherapy and how to manage them. This information is often provided soon after diagnosis or upon commencement of therapy, which can be overwhelming for some patients. Microlearning, a method of online learning that spaces distributing of content over several weeks, may be a useful tool for supporting delivering of health information to this group of patients.
肺癌患者的症状负担很高，这会对他们的生活质量产生负面影响。提高患者应对治疗副作用的自我效能感可以减轻他们的症状负担。教育计划可以通过增加患者对疾病的了解来帮助提高患者的自我效能感，从而让他们更能掌控自己的病情。本研究旨在评估微学习在提供肺癌患者化疗副作用信息方面的可行性。该计划的次要目标是了解微学习在向肺癌患者提供这种教育方面的可接受性，以及微学习对患者自我效能感、管理化疗副作用的知识和信心的潜在影响。本研究采用混合方法的预测试（或准实验）研究设计，以更好地帮助患者识别和管理他们的病情和化疗的副作用。参与者为被诊断患有 II 期至 IV 期肺癌的患者，预计生存期超过 3 个月，年龄在 18 岁或以上。在干预前后使用多个经过验证的量表来评估患者的自我效能感。通过从在线平台中提取的完成率的定量数据来评估在线程序。使用半结构化访谈来探讨在线计划对感知自我效能感和生活质量的影响。23 名参与者同意参与研究，5 名参与者同意完成半结构化访谈。参与者认为内容全面、相关且引人入胜。该计划提高了感知疾病知识水平，并帮助参与者制定了应对策略来管理副作用。参与者还发现该平台易于使用和导航。他们还要求增加更多课程和功能。癌症患者会收到大量关于化疗副作用及其管理方法的信息。这些信息通常在诊断后或开始治疗后不久提供，这对一些患者来说可能是压倒性的。微学习是一种在线学习方法，它将内容分布在几周内，这可能是向这组患者提供健康信息的有用工具。
