Zhang Yao, Tang Ruijin, Wang Dan, Li Xiaoxu, Bi Liuna, Shi Ming, Han Jing
Xuzhou Medical University, Xuzhou, China.
Xinyi People's Hospital, Xuzhou, China.
BMC Psychol. 2025 Mar 27;13(1):310. doi: 10.1186/s40359-025-02632-0.
Breast cancer patients and their family caregivers would experience positive changes after diagnosed. We aimed to construct an online positive psychological intervention program for breast cancer patients and their caregivers and evaluate its feasibility and preliminary effects on positive psychological experience and quality of life.
A single-arm pretest and posttest quasi-experimental design was used in this study. Thirty-five dyads of chemotherapeutic breast cancer patients and caregivers were recruited. Four modules of online positive psychological interventions were developed, each lasting 20-30 min. Participants received a 4-week online positive psychological intervention during chemotherapy. Feasibility was assessed, including the rates of enrollment, retention, adherence and acceptability. Resilience, hope, perceived benefit, positive aspects of caregiving, and quality of life were assessed as the preliminary effects of the intervention. 62.5% of recruited individuals participated in the intervention. The mean number of watching modules was 2.8 ± 0.8 for breast cancer patients and 2.6 ± 0.8 for caregivers. 52.2% of patients and 47.8% of caregivers watched three modules in the intervention. For the loving-kindness meditation practice, 34.8% of patients practiced for 15 to 21 days and 52.2% of caregivers practiced for < 7 days. For the three good things practice, 56.5% of patients and 47.8% of caregivers practiced for 7 to 14 days. Mean scores on the acceptable scale for patients and caregivers were 27.61 ± 3.71 and 25.91 ± 3.01, respectively. The results of a linear mixed model showed that the preliminary effects of the intervention on participants' resilience, hope, perceived benefits, positive aspects of caregiving, and quality of life were significant (p < 0.05).
The online positive psychological interventions for breast cancer patients and family caregivers are feasible, and has significant preliminary effects on participants' resilience, hope, perceived benefits, positive aspects of caregiving, and quality of life, however, the effects warrant further randomized controlled trials.
Chinese Clinical Trial Registry (ChiCTR) ChiCTR2300072809. Registered on 26 June 2023Retrospectively registered.
乳腺癌患者及其家庭照顾者在确诊后会经历积极的变化。我们旨在为乳腺癌患者及其照顾者构建一个在线积极心理干预项目，并评估其可行性以及对积极心理体验和生活质量的初步影响。
本研究采用单臂前后测准实验设计。招募了35对化疗期乳腺癌患者及其照顾者。开发了四个模块的在线积极心理干预，每个模块持续20 - 30分钟。参与者在化疗期间接受为期4周的在线积极心理干预。评估了可行性，包括入组率、留存率、依从性和可接受性。评估了心理韧性、希望、感知益处、照顾的积极方面以及生活质量作为干预的初步效果。62.5%的招募个体参与了干预。乳腺癌患者观看模块的平均数量为2.8±0.8个，照顾者为2.6±0.8个。52.2% 的患者和47.8% 的照顾者在干预中观看了三个模块。对于慈心禅练习，34.8% 的患者练习了15至21天，52.2% 的照顾者练习了少于7天。对于三件好事练习，56.5% 的患者和47.8% 的照顾者练习了7至14天。患者和照顾者在可接受性量表上的平均得分分别为27.61±3.71和25.91±3.01。线性混合模型的结果表明，干预对参与者的心理韧性、希望、感知益处、照顾的积极方面以及生活质量的初步影响显著（p<0.05）。
针对乳腺癌患者及其家庭照顾者的在线积极心理干预是可行的，并且对参与者的心理韧性、希望、感知益处、照顾的积极方面以及生活质量有显著的初步影响，然而，这些效果有待进一步的随机对照试验验证。
中国临床试验注册中心（ChiCTR）ChiCTR2300072809。于2023年6月26日追溯注册。
