在美国的癌症连续体中基于正念的干预:一个范围的审查
Brent Emerson1, Menaka Reddy2, Paul L Reiter1,3
1Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.
American journal of health promotion : AJHP
|January 11, 2024
概括
在癌症护理中的基于正念的干预措施 (MBI) 在定义和测量方面显示出不一致. 研究经常忽视少数群体,男性和各种癌症类型,缺乏行为理论整合.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 心理社会瘤学
背景情况:
- 基于正念的干预 (MBI) 越来越多地被用于癌症患者.
- 随机对照试验 (RCT) 对于评估干预疗效至关重要.
- 了解MBI在癌症护理中的现状,对于未来的研究和临床应用至关重要.
研究的目的:
- 在整个癌症连续过程中,对在随机对照试验 (RCT) 中评估的基于正念的干预措施 (MBIs) 进行范围审查.
- 确定用于癌症研究的MBI的关键特征,方法和结果.
- 突出有关MBI在瘤学的现有证据中存在的空白和不一致.
主要方法:
- 在主要数据库 (PubMed,CINAHL,Web of Science,PsycINFO,Embase) 中进行了系统的搜索.
- 两个独立的审稿人根据相关性,RCT设计,正念组件和国家 (美国) 选了文章.
- 数据提取集中在研究特征,参与者人口统计,正念定义/措施和理论基础上,随后进行描述性统计和内容分析.
主要成果:
- 28个RCT符合纳入标准,主要关注生存率 (50%) 和治疗 (46%) 阶段.
- 在46%的研究中定义了正念,并在43%的研究中测量了正念;乳腺癌是研究最多的地点 (73%).
- 大多数参与者都是非西班牙裔白人女性,这表明其他人口统计和癌症类型的代表性不足.
结论:
- 在癌症干预中定义和测量正念存在重大不一致.
- 在MBI研究中,种族/民族少数群体,男性和非乳腺癌部位的代表性明显不足.
- 对癌症患者的MBI的设计,实施和评估中缺乏行为理论的整合.
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