生态瞬间评估用于评估与抑郁症相关的情绪模式,用于初级保健中的癌症幸存者:试点研究
Jolien A Lissa Panjer1, Mariken E Lisabeth Stegmann1, Daan Brandenbarg1
1Department of Primary and Long-Term Care, Cure and Care in the Community Context (FOUR-C) - Research Program, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Psycho-oncology
|December 31, 2025
概括
在癌症幸存者中基于智能手机的生态瞬间评估 (EMA) 显示出混合的可行性. 虽然用户友好和有洞察力,但高提示频率和持续时间影响了患者的参与,这表明那些有抑郁症状的人有潜力.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 在癌症幸存者中,抑郁症状很普遍.
- 由于回忆偏差和治疗副作用,如认知障碍,评估抑郁症具有挑战性.
- 在这个群体中,自我报告问卷可能缺乏可靠性.
研究的目的:
- 评估基于智能手机的生态瞬间评估 (EMA) 的可行性和患者满意度.
- 评估EMA在癌症幸存者的初级保健机构中的实用性.
主要方法:
- 选择的成年癌症幸存者 (在2年内接受治疗) 进行6周的研究.
- 利用基于智能手机的EMA,每天三次对影响和经验进行问卷调查.
- 提供每周反报告,并通过问卷和电话进行研究后评估.
主要成果:
- 实现了17.0%的招聘覆盖率和20.9%的响应率.
- 大多数参与者发现EMA清晰易懂,完成率为67%.
- 报告了高提示频率 (64%) 和关于持续时间的混合观点 (52%是适当的,48%太长);参与者注意到随着时间的推移注意力不集中,但重视每周的反.
结论:
- 6周的EMA可行性和可接受性在没有抑郁症状的初级保健癌症幸存者中没有得到充分的支持,这是由于覆盖率和响应率低.
- EMA被认为是用户友好的,提供有价值的见解,可能更适合癌症幸存者经历抑郁症状.
- 进一步的研究可以完善EMA的协议,以更好地参与幸存者护理.
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