Psychosocial Interventions for Pain Management in Breast Cancer Survivors: A RE-AIM Evaluation.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2023-03-01 Epub Date: 2022-05-13 DOI:10.1007/s10880-022-09874-9

Emily Cox-Martin, Phoutdavone Phimphasone-Brady, Lilian Hoffecker, Russell E Glasgow

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Abstract

Psychosocial interventions for breast-cancer-related pain are effective, yet over 45% of survivors continue to struggle with this often-chronic side effect. This study evaluated multilevel indicators that can influence successful translation of interventions into clinical practice. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was applied to evaluate reporting of individual and setting/staff-level intervention indicators. A systematic search and multi-step screening process identified 31 randomized controlled trials for psychosocial interventions for breast cancer-related pain. Average reporting of indicators for individual-level dimensions (Reach and Effectiveness) were 65.2% and 62.3%, respectively. Comparatively, indicators for setting/staff-level dimensions were reported at a lower average frequency (Implementation, 46.8%; Adoption, 15.2%; Maintenance, 7.7%). Low reporting of setting/staff-level dimensions suggests gaps in the sustained implementation of psychosocial interventions. Implementation science methods and frameworks could improve trial design and accelerate the translation of psychosocial interventions for breast cancer-related pain into clinical practice.

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乳腺癌幸存者疼痛管理的社会心理干预：RE-AIM 评估。

针对乳腺癌相关疼痛的社会心理干预是有效的，但超过 45% 的幸存者仍在与这种经常出现的慢性副作用作斗争。本研究评估了可影响干预措施成功转化为临床实践的多层次指标。研究采用了 "到达、效果、采用、实施和维持"（RE-AIM）框架来评估个人和环境/工作人员层面的干预指标报告。通过系统检索和多步骤筛选过程，确定了 31 项针对乳腺癌相关疼痛的心理干预的随机对照试验。个人层面指标（到达率和有效性）的平均报告率分别为 65.2% 和 62.3%。相比之下，环境/工作人员层面指标的平均报告频率较低（实施，46.8%；采用，15.2%；维持，7.7%）。对环境/工作人员层面指标的低报告率表明，在持续实施社会心理干预方面存在差距。实施科学方法和框架可以改进试验设计，加快将针对乳腺癌相关疼痛的心理干预措施转化为临床实践。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.