Fladeboe Kaitlyn M, O'Daffer Alison, Engelberg Ruth A, Salsman John M, Merluzzi Thomas, Baker K Scott, Yi-Frazier Joyce P, Rosenberg Abby R
Ben Towne Center for Childhood Cancer and Blood Disorders Research, Seattle Children's Research Institute, Seattle, WA 98101, United States.
Department of Pediatrics, University of Washington School of Medicine, Seattle, WA 98195, United States.
Ann Behav Med. 2025 Jan 4;59(1). doi: 10.1093/abm/kaaf012.
Few interventions have improved social health of adolescents and young adults (AYAs) with cancer. Following the obesity-related behavioral intervention trials model, we developed a skill-based social needs module for integration within the Promoting Resilience in Stress Management (PRISM) behavioral intervention.
The social needs module targeting social relationship coping efficacy included behavioral skills adapted to AYAs. The module was refined through 2 separate pilot studies. For Study 1, AYAs 12-24 years old completed the module and a feedback interview. Rapid assessment process methods assessed acceptability, appropriateness, understandability, and informed content revisions. For Study 2, AYAs completed PRISM plus the social needs module (PRISM + Social Needs) and a feedback interview. Rapid assessment process methods assessed acceptability of program and session length, timing, and format.
For Study 1, 6 AYAs completed the initial module focused on identifying and seeking support (mean age = 16 years); most found content acceptable and appropriate (4/6) but suggested adding skills for maintaining social connections and managing cancer-related conversations. Seven AYAs completed the revised module and interview (M = 16 years old); most found content acceptable (6/7) and appropriate (7/7) and suggestions were minimal. For Study 2, 7 AYAs completed the revised full program (M = 16 years old). Most were satisfied with program length (4/7) and duration (7/7); preferred in-person over virtual delivery (6/7); and wanted PRISM + Social Needs early in treatment (5/7).
A skill-based social needs module may be acceptable, appropriate, and promising for AYAs. The PRISM + Social Needs intervention may be best delivered in-person and early in treatment, suggesting AYAs value face-to-face connection. Findings inform subsequent proof-of-concept studies.
很少有干预措施能改善患癌青少年和青年（AYA）的社会健康状况。遵循与肥胖相关的行为干预试验模式，我们开发了一个基于技能的社会需求模块，以整合到压力管理中的促进复原力（PRISM）行为干预中。
针对社会关系应对效能的社会需求模块包括适用于AYA的行为技能。该模块通过2项独立的试点研究进行了完善。在研究1中，12至24岁的AYA完成了该模块并接受了反馈访谈。快速评估过程方法评估了可接受性、适宜性、易懂性，并据此对内容进行了修订。在研究2中，AYA完成了PRISM以及社会需求模块（PRISM + 社会需求）并接受了反馈访谈。快速评估过程方法评估了项目和课程时长、时间安排及形式的可接受性。
在研究1中，6名AYA完成了最初侧重于识别和寻求支持的模块（平均年龄 = 16岁）；大多数人认为内容可接受且适宜（4/6），但建议增加维持社会联系和管理与癌症相关对话的技能。7名AYA完成了修订后的模块及访谈（平均年龄 = 16岁）；大多数人认为内容可接受（6/7）且适宜（7/7），建议很少。在研究2中，7名AYA完成了修订后的完整项目（平均年龄 = 16岁）。大多数人对项目时长（4/7）和持续时间（7/7）感到满意；比起虚拟授课，更喜欢面对面授课（6/7）；并且希望在治疗早期接受PRISM + 社会需求干预（5/7）。
基于技能的社会需求模块对于AYA可能是可接受、适宜且有前景的。PRISM + 社会需求干预可能最好在治疗早期以面对面的方式进行，这表明AYA重视面对面交流。研究结果为后续的概念验证研究提供了参考。
