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远程提供的舞蹈/运动疗法对成年癌症患者的体验和感知益处:一种多方法的方案评估。

Experiences and perceived benefits of remotely delivered dance/movement therapy for adult cancer patients: a multi-method program evaluation.

机构信息

Department of Medicine, Integrative Medicine Service, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.

MSK Kids, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.

出版信息

Support Care Cancer. 2024 May 27;32(6):388. doi: 10.1007/s00520-024-08591-3.

Abstract

BACKGROUND

Dance/movement therapy (DMT) is increasingly used as a complementary treatment to address psychological and physical wellbeing. However, it is unknown how it can be leveraged in adult cancer care. This mixed methods program evaluation aimed to assess patient-reported benefits and satisfaction with the virtual DMT in an academic oncology setting.

METHODS

We developed, implemented, and evaluated a 6-week virtual, synchronous DMT program aiming to improve physical health, address mental distress, and foster social connection for cancer patients. We used deidentified program evaluation data to assess impact of DMT on patient-reported outcomes and patients' satisfaction with the DMT program. Pre- and post-session data were analyzed using descriptive statistics and a paired t-test. Qualitative data were captured through semi-structured interviews and analyzed using thematic analysis.

RESULTS

Results from 39 participants (mean age 64.7 ± 9.8), majority female (89.7%) with a history of breast cancer (43.6%), showed high satisfaction (100%) and unanimous program recommendation (100%). Significant improvements were noted in anxiety (- 0.42 ± 0.76, p = .009), distress (- 0.35 ± 0.80, p = .036), and sense of joy (0.73 ± 1.18, p = .004), with a non-significant trend in increased physical activity (0.38 ± 0.98, p = .057). Thematic findings indicated that DMT participation (1) facilitated engagement in physical activity for improved physical health, (2) fostered creative expression, (3) improved mental state, and (4) helped build social connections and support.

CONCLUSION

Our DMT program shows promise as a component of integrative cancer care. The mixed-method evaluation provides insightful information to generate hypotheses for future RCT studies aiming to evaluate the specific effects of DMT on patient experience and outcomes.

摘要

背景

舞蹈/运动疗法(DMT)作为一种补充治疗方法,越来越多地被用于改善心理健康和身体健康。然而,目前尚不清楚如何将其应用于成人癌症护理中。本混合方法方案评估旨在评估在学术肿瘤学环境中,患者对虚拟 DMT 的报告益处和满意度。

方法

我们开发、实施并评估了一项为期 6 周的虚拟同步 DMT 计划,旨在改善癌症患者的身体健康、应对精神困扰并促进社交联系。我们使用匿名的方案评估数据来评估 DMT 对患者报告的结果的影响以及患者对 DMT 计划的满意度。使用描述性统计和配对 t 检验分析预-和后-会话数据。通过半结构化访谈收集定性数据,并使用主题分析进行分析。

结果

39 名参与者(平均年龄 64.7±9.8)的结果,其中大多数为女性(89.7%),有乳腺癌病史(43.6%),满意度为 100%,对项目的推荐率为 100%。焦虑(-0.42±0.76,p=0.009)、困扰(-0.35±0.80,p=0.036)和快乐感(0.73±1.18,p=0.004)显著改善,而身体活动量的增加有非显著趋势(0.38±0.98,p=0.057)。主题发现表明,DMT 参与(1)促进了身体活动,改善了身体健康;(2)促进了创造性表达;(3)改善了精神状态;(4)帮助建立了社会联系和支持。

结论

我们的 DMT 计划作为综合癌症护理的一部分具有前景。混合方法评估提供了有价值的信息,可用于生成假设,以进行未来的 RCT 研究,旨在评估 DMT 对患者体验和结果的具体影响。

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