Tuckey Natalie, Agteren Joep van, Chur-Hansen Anna, Ali Kathina, Fassnacht Daniel B, Beatty Lisa, Bareham Monique, Wardill Hannah, Iasiello Matthew
Mental Health and Well-being Program, Lifelong Health Theme, South Australian Health and Medical Research Institute, Adelaide, Australia.
School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
Asia Pac J Clin Oncol. 2025 Apr;21(2):180-189. doi: 10.1111/ajco.14060. Epub 2024 Apr 1.
There is a gap in available mental well-being services in Australia for women diagnosed with breast cancer. This pilot mixed-methods uncontrolled study aimed to assess the feasibility of an online mental health and well-being intervention, the Be Well Plan (BWP), which enables participants to create a personalized, flexible well-being strategy.
Women diagnosed with stages I-IV breast cancer were recruited into 4 asynchronous groups to participate in the BWP, a 5-week facilitator-led group-based mental health and well-being program. Psychological measures used at baseline and post-intervention included: the Warwick Edinburgh Mental Well-Being Scale, Brief Resilience Scale, Self-compassion Scale, 9-item Patient Health Questionnaire, 7-item General Anxiety Disorder scale, and EORC QLQ-C30. Multivariate analysis of variance and effect sizes were calculated on pre- and post-psychological measures, followed by qualitative content analysis on post-completion interviews with participants.
Nineteen women (mean age 45.7, standard deviation = 7.74) were included in the study. Large effect sizes were reported for mental well-being, depressive symptoms, and anxiety (partial ω= 0.28, 0.21, and 0.20, respectively) Self-compassion, resilience, and quality of life results were not statistically significant. Qualitative content analysis provided insight into experiences with Program Delivery Experience, Application of the BWP, Mental Health Improvements, Supporter Involvement, Adopted Interventions, and Recruitment. Participants reported benefits in mindfulness, grounding techniques, and physical activities.
The BWP has the potential to be an effective intervention to support the mental health and well-being of breast cancer survivors.
This study highlights flexible interventions that accommodate the diverse needs of breast cancer survivors to improve mental well-being and alleviate psychological distress.
在澳大利亚，针对被诊断患有乳腺癌的女性，现有的心理健康服务存在缺口。这项先导性混合方法非对照研究旨在评估一项在线心理健康与幸福干预措施——“健康计划”（BWP）的可行性，该计划能让参与者制定个性化、灵活的幸福策略。
招募被诊断为I - IV期乳腺癌的女性，分为4个异步小组参与BWP，这是一个为期5周、由主持人引导的基于小组的心理健康与幸福计划。在基线和干预后使用的心理测量指标包括：沃里克 - 爱丁堡心理健康量表、简短复原力量表、自我同情量表、9项患者健康问卷、7项广泛性焦虑症量表和欧洲癌症研究与治疗组织核心生活质量问卷（QLQ - C30）。对心理测量指标的前后数据进行多变量方差分析和效应量计算，随后对参与者完成后的访谈进行定性内容分析。
19名女性（平均年龄45.7岁，标准差 = 7.74）纳入研究。心理健康、抑郁症状和焦虑方面报告了较大的效应量（偏ω分别为0.28、0.21和0.20）。自我同情、复原力和生活质量结果无统计学意义。定性内容分析深入了解了项目实施体验、BWP的应用、心理健康改善、支持者参与、采用的干预措施和招募情况。参与者报告了正念、扎根技术和体育活动方面的益处。
BWP有可能成为支持乳腺癌幸存者心理健康与幸福的有效干预措施。
本研究强调了灵活的干预措施，以满足乳腺癌幸存者的多样化需求，改善心理健康并减轻心理困扰。
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