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走出迷雾™:一项比较认知康复干预两种虚拟形式的初步可行性研究。

Emerging From the Haze™: Pilot Feasibility Study Comparing Two Virtual Formats of a Cognitive Rehabilitation Intervention.

机构信息

University of Kansas.

Cedars-Sinai Medical Center.

出版信息

Oncol Nurs Forum. 2024 Apr 18;51(3):223-242. doi: 10.1188/24.ONF.223-242.

Abstract

OBJECTIVES

To gather feasibility and preliminary data comparing two virtual delivery methods for providing Emerging From the Haze™ (Haze) to cancer survivors compared to waitlist control (WLC).

SAMPLE & SETTING: Eligible participants (N = 93) reported cancer-related cognitive impairment following chemotherapy for stage I-III solid tumors, Hodgkin lymphoma, or non-Hodgkin lymphoma.

METHODS & VARIABLES: A three-arm randomized design was used to compare virtual live group presentation of Haze sessions, virtual prerecorded Haze group sessions, and WLC. Data were collected at baseline, week 10, and week 14.

RESULTS

Feasibility was demonstrated. Significant cognitive function improvement at week 10 versus WLC was reported for the live group, and clinical improvement was reported for the prerecorded group. The prerecorded group reported significant improvement at week 14 versus WLC in physical activity, sleep, and health-related quality of life.

IMPLICATIONS FOR NURSING

Additional pilot and feasibility evidence for cognitive rehabilitation interventions was demonstrated. Prerecorded Haze delivery shows potential for clinical effectiveness and scalability. Future multisite research is warranted.

摘要

目的

比较两种提供 Emerging From the Haze(Haze)的虚拟交付方法的可行性和初步数据,与候补名单对照(WLC)相比,这两种方法适用于癌症幸存者。

样本和设置

符合条件的参与者(N=93)在接受 I-III 期实体瘤、霍奇金淋巴瘤或非霍奇金淋巴瘤的化疗后报告了与癌症相关的认知障碍。

方法和变量

使用三臂随机设计比较了 Haze 会议的虚拟现场组演示、虚拟预录制 Haze 组会议和 WLC。数据在基线、第 10 周和第 14 周收集。

结果

证明了可行性。与 WLC 相比,现场组在第 10 周报告了显著的认知功能改善,预录组报告了临床改善。与 WLC 相比,预录组在第 14 周在身体活动、睡眠和健康相关生活质量方面报告了显著的改善。

对护理的影响

为认知康复干预措施提供了额外的试点和可行性证据。预录制的 Haze 交付显示出临床有效性和可扩展性的潜力。需要进行未来的多站点研究。

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