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一项 MyInspiration 的单臂试验:一种新型数字资源,用于支持接受癌症定向手术的患者的精神需求。

A single-arm pilot of MyInspiration: a novel digital resource to support spiritual needs of patients undergoing cancer-directed surgery.

机构信息

Department of Surgery, The Ohio State University Wexner Medical Center, James Comprehensive Cancer Center, 395 W 12th Ave. Suite 670, Columbus, OH, USA.

Center for Integrative Health, Department of Family and Community Medicine, The Ohio State College of Medicine, Columbus, OH, USA.

出版信息

Support Care Cancer. 2024 Apr 16;32(5):289. doi: 10.1007/s00520-024-08496-1.

Abstract

PURPOSE

This study aimed to assess the feasibility, acceptability, and satisfaction associated with the MyInspiration intervention, a digital spiritual support tool for patients undergoing cancer surgery. Additionally, we evaluated changes in spiritual well-being and the ability to find meaning in their experience with cancer before and after the intervention.

METHODS

This was a prospective, single-arm pilot study. Feasibility and acceptability were assessed by ratio of participants who completed all assessments among individuals who had signed consent forms. Satisfaction was assessed with 5 Likert-style questions around user experience. Patient spiritual well-being and finding meaning in their experience with cancer were measured at baseline and post-intervention.

RESULTS

Forty patients were enrolled, the majority of whom were female (80.0%) and diagnosed with breast cancer (52.5%), with an average age of 54.4 years (SD = 13.7, range 29.0-82.0). Regarding feasibility and acceptability, 76.9% of patients who consented to participate completed the full study protocol. In assessing satisfaction, 59% of patients were satisfied with the overall experience of MyInspiration. There was no difference in spiritual well-being pre-/post-intervention. There was a difference in pre (M = 1.95, SD = .95) and post (M = 2.23, SD = .86) scores relative to "finding meaning in the cancer experience" with a mean difference of 0.28 (p = 0.008).

CONCLUSION

MyInspiration was feasible and acceptable to patients, and the majority were satisfied with the tool. The intervention was associated with changes in patients' ability to find meaning within their cancer experience. A randomized control trial is needed to evaluate the efficacy of the tool in a broader population of patients with cancer.

摘要

目的

本研究旨在评估 MyInspiration 干预措施的可行性、可接受性和满意度,该措施是一种针对接受癌症手术的患者的数字精神支持工具。此外,我们评估了干预前后患者的精神幸福感和在癌症经历中找到意义的能力的变化。

方法

这是一项前瞻性、单臂试点研究。通过签署同意书的参与者中完成所有评估的参与者比例来评估可行性和可接受性。通过 5 个关于用户体验的李克特量表问题来评估满意度。在基线和干预后测量患者的精神幸福感和在癌症经历中找到意义的能力。

结果

共纳入 40 名患者,其中大多数为女性(80.0%),诊断为乳腺癌(52.5%),平均年龄为 54.4 岁(SD=13.7,范围 29.0-82.0)。关于可行性和可接受性,76.9%同意参与的患者完成了完整的研究方案。在评估满意度方面,59%的患者对 MyInspiration 的整体体验感到满意。干预前后的精神幸福感没有差异。在“在癌症经历中找到意义”方面,干预前后的得分存在差异,平均值分别为 1.95(SD=.95)和 2.23(SD=.86),平均差异为 0.28(p=0.008)。

结论

MyInspiration 对患者是可行和可接受的,大多数患者对该工具满意。该干预措施与患者在癌症经历中找到意义的能力的变化有关。需要进行随机对照试验,以评估该工具在更广泛的癌症患者群体中的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/11021224/dab1f370dab6/520_2024_8496_Fig1_HTML.jpg

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