在年轻的癌症幸存者中进行多模式的生活方式心理社会生存计划:CARE for CAYA计划-一个随机临床试验嵌入纵向队列研究中
Julia von Grundherr1, Simon Elmers1,2, Barbara Koch1
1Department of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
JAMA network open
|March 25, 2024
概括
这项研究发现,生活方式干预并没有显著降低儿童,青少年和年轻成人 (CAYA) 癌症幸存者的高需求率. 然而,两组人都报告生活质量和满意度有所改善.
科学领域:
- 在瘤学瘤学.
- 精神瘤学 精神瘤学
- 公共卫生 公共卫生
背景情况:
- 儿童,青少年和年轻成人 (CAYA) 癌症幸存者经常面临生活方式和心理社会福祉方面的未满足需求.
- 在研究针对CAYA癌症幸存者的辅导干预措施方面存在一个公认的差距.
研究的目的:
- 评估基于需求的干预计划CARE for CAYA计划 (CFC-P) 的有效性.
- 评估CAYA中的生活习惯和心理社会状况,以指导干预开发.
主要方法:
- 一个多中心随机临床试验 (RCT) 和纵向队列研究,涉及788名CAYA (15-39岁).
- 干预组接受了5次咨询会议加新闻通讯;对照组接受了1次会议.
- 主要结局:52周高需求CAYA的变化;次要结局包括生活质量和疲劳.
主要成果:
- 52周后,干预组的87.0%和对照组的86.5%仍有高需求 (OR,1.04;P=.91).
- 两组之间主要结果没有显著差异.
- 两组人都报告生活质量有所改善,疲劳减少,对计划的满意度很高.
结论:
- 生活方式干预没有达到其主要结果,即减少CAYA的高需求.
- 尽管没有达到初级结果,但干预表明了可行性和参与者的满意度.
- 结果可能会为未来多式联络干预方案的设计提供信息,用于CAYA的癌症幸存者护理.
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