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改善年轻成人癌症幸存者的症状管理:试点随机对照试验的理由和研究协议
Caroline S Dorfman1,2,3, Rebecca A Shelby4,5,6, Juliann M Stalls4,5,6
1Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA. Caroline.dorfman@duke.edu.
Pilot and feasibility studies
|June 8, 2024
概括
这项研究为年轻成人癌症幸存者引入了一种新的群体行为干预,这些人经历了持续的症状. 该试验旨在评估可行性和可接受性,为未来的大规模试验提供信息,以更好地管理症状.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 心理学 心理学 心理学
背景情况:
- 年轻成人 (YA) 癌症幸存者面临着治疗后持续的身体和情绪症状管理的未满足需求.
- 这些症状会干扰教育,职业和人际关系等发展里程碑.
- 目前的症状管理策略对于这个不断增长的人口来说是不够的.
研究的目的:
- 评估针对YA癌症幸存者的新型基于群体的行为干预措施的可行性和可接受性.
- 探索关键症状目标的变化,包括疼痛,疲劳和情绪困扰.
- 为更大的随机对照试验收集初步数据.
主要方法:
- 为YA癌症幸存者量身定制的八个会议,视频会议提供的小组行为干预措施的开发.
- 干预整合了传统的应对,身体活动,认知行为策略,自我同情,以意义为中心的心理治疗和沟通技巧.
- 试点研究涉及61名YA癌症幸存者,随机分配到干预或等候名单控制,评估时间超过一年.
主要成果:
- 试点研究正在进行中;招募已经完成,已有61名参与者注册.
- 数据收集包括使用自我报告措施进行基线和多次后续评估.
- 主要结局侧重于可行性和可接受性,次要结局侧重于症状变化.
结论:
- 预计试点试验将提供有关干预可行性和可接受性的关键数据.
- 初步发现将指导招聘,保留和干预精细化,用于未来的研究.
- 结果将支持设计一个更大的,动力随机对照试验,以有效管理YA癌症幸存者的症状.
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