Derry-Vick Heather, Khoudary Amanda, Billini Osairys, Prigerson Holly G, Schwartz Marc D, Cohen Jeffrey, Griffin Chance, Gutierrez Martin, Lichtenthal Wendy G, Carter-Bawa Lisa
Cancer Prevention Precision Control Institute, Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.
Hackensack Meridian School of Medicine, Nutley, New Jersey, USA.
Psychooncology. 2025 Jan;34(1):e70048. doi: 10.1002/pon.70048.
Although scanxiety is common and impactful for people with advanced lung cancer, few interventions address this psychosocial concern.
To create a stress management program for scanxiety.
We conducted a structured intervention adaptation process guided by the ADAPT-ITT framework. We tailored materials from an existing evidence-based program, drafted additional modules, and obtained feedback on initial content. Following content revisions and website prototype development, 21 participants (patients with metastatic lung cancer, n = 8; family members, n = 3; clinicians, n = 10) reviewed the program. Participants rated the program's acceptability (Acceptability of Intervention Measure; AIM), feasibility (Feasibility of Intervention Measure; FIM), appropriateness (Appropriateness of Intervention Measure; IAM), helpfulness (module Likert ratings), and usability (Post-Study System Usability Questionnaire; PSSUQ), and completed semi-structured interviews.
Data revealed positive impressions of the program. Participants rated the program as acceptable (89%), feasible (89%), and appropriate (95%; proportion with average ratings ≥ 4 out of 5 on AIM, FIM, and IAM respectively). They rated 6 of the 7 modules as helpful, appropriate, and fitting with their experience (77%-100% with Likert ratings ≥ 4 out of 5); the below-threshold module (Introduction) was revised based on rapid qualitative analysis of interview data. Although 33% needed help to start using the website, its usability was rated highly after use (PSSUQ Mdn = 1.56, IQR = 1.11-1.82). The refined intervention is a largely self-guided program to enhance stress management skills using psychoeducation, recorded on-demand exercises, and 3 brief coaching calls.
This highly-rated intervention has the potential to alleviate scanxiety among people with advanced lung cancer.
尽管扫描焦虑症在晚期肺癌患者中很常见且影响较大，但很少有干预措施能解决这一心理社会问题。
创建一个针对扫描焦虑症的压力管理项目。
我们在ADAPT-ITT框架的指导下进行了结构化干预调整过程。我们对现有循证项目的材料进行了调整，起草了额外的模块，并获取了对初始内容的反馈。在内容修订和网站原型开发之后，21名参与者（转移性肺癌患者，n = 8；家庭成员，n = 3；临床医生，n = 10）对该项目进行了评估。参与者对该项目的可接受性（干预措施可接受性；AIM）、可行性（干预措施可行性；FIM）、适宜性（干预措施适宜性；IAM）、帮助性（模块李克特评分）和可用性（研究后系统可用性问卷；PSSUQ）进行了评分，并完成了半结构化访谈。
数据显示对该项目的积极评价。参与者将该项目评为可接受（89%）、可行（89%）和适宜（95%；在AIM、FIM和IAM上平均评分分别≥4分（满分5分）的比例）。他们将7个模块中的6个评为有帮助、适宜且符合他们的经历（李克特评分≥4分（满分5分）的比例为77%-100%）；低于阈值的模块（引言）根据访谈数据的快速定性分析进行了修订。尽管33%的人在开始使用网站时需要帮助，但其可用性在使用后得到了高度评价（PSSUQ中位数 = 1.56，四分位距 = 1.11-1.82）。经过完善的干预措施是一个主要通过心理教育、按需录制的练习和3次简短辅导电话来提高压力管理技能的自我指导项目。
这个获得高度评价的干预措施有可能缓解晚期肺癌患者的扫描焦虑症。
