瑞典 "促进压力管理中的复原力 "干预措施的适应性和可行性,针对新诊断出癌症的青少年。

IF 1.5 4区 医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-10-28 DOI:10.1080/07347332.2024.2419663
Maria Ödling, Anna Jervaeus, Yvonne Wengström, Abby R Rosenberg, Joyce P Yi-Frazier, Jeanette Winterling
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引用次数: 0

摘要

目的描述瑞典版 "促进压力管理中的复原力(PRISM)"干预措施在新诊断出癌症的青少年中的适应性和可行性:PRISM是一项为期5个疗程的手册化计划,旨在通过促进抗压技能(压力管理、目标设定、认知重塑和意义建构)来加强青少年和年轻人管理压力的个人资源。该计划由干预专家通过视频访问的方式进行 1 对 1 的指导。PRISM 由美国开发,并针对瑞典人口进行了调整。我们进行了一项可行性研究,考察了干预的招募、保留、可接受性(评估调查和退出访谈)以及前后探索性社会心理结果测量(复原力、整体健康、情绪功能和康复需求)。参与者是从瑞典的一家综合癌症中心招募的:在符合条件的 31 人(16-30 岁)中,20 人(65%)同意参加,11 人(55%)完成了 PRISM。在完成评估调查的参与者中,86%(6/7)认为模块顺序和内容 "非常好或好"。参加结业访谈的青少年表示,该计划提供了新的知识,对一些人来说,确认了以前的知识,这在参与期间和之后都很有价值。与会者强调,干预者的作用对于支持参与者完成计划非常重要。对未来的建议包括使 PRISM 更加个性化。探索性定量分析显示,从干预前到干预后,恢复力、整体健康和情绪功能的平均得分均有所提高:本研究表明,在确诊癌症后的初期,参与 PRISM 有可能为青少年提供指导。进一步提高 PRISM 的个性化程度可能会提高亚裔美国人对 PRISM 的兴趣和完成率。
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Adaptation and feasibility of the Swedish Promoting Resilience in Stress Management intervention targeting adolescents and young adults newly diagnosed with cancer.

Objective: To describe the adaptation and feasibility of the Swedish version of the Promoting Resilience in Stress Management (PRISM) intervention among adolescents and young adults (AYAs) newly diagnosed with cancer.

Methods: PRISM is a 5-session, manualized program designed to strengthen AYAs individual resources for managing stress by promoting resilience skills: stress-management, goal-setting, cognitive reframing and meaning-making. It is delivered 1:1 by an interventionist via video-visits. PRISM was developed in the US and adapted for a Swedish population. A feasibility study was conducted looking at recruitment, retention, acceptability of the intervention (evaluation survey and exit interviews) and pre- and post- exploratory psychosocial outcome measures (resilience, global health, emotional functioning and rehabilitation needs). Participants were recruited from a comprehensive cancer center in Sweden.

Results: Of the 31 eligible individuals (16-30 years), 20 (65%) agreed to participate and 11 (55%) completed PRISM. Eighty-six percent (6/7) of the participants who completed the evaluation survey thought that the order of the modules and the content were "very good or good". The AYAs that participated in the exit interviews expressed that the programme contributed new knowledge and for some confirmed previous knowledge, which was valuable both during and after participation. The role of the interventionist was stressed as important to support participants through the programme. Suggestions for the future included making PRISM more personalized. Exploratory quantitative analyses suggested improved mean scores regarding resilience, global health and emotional functioning from pre- to post-intervention.

Conclusions: This study suggests that participating in PRISM has the potential to guide AYAs during the initial period after a cancer diagnosis. Further work to make PRISM more personalized might increase AYAs' interest in, and completion of, PRISM.

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来源期刊
Journal of Psychosocial Oncology
Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-
CiteScore
4.20
自引率
0.00%
发文量
36
期刊介绍: Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.
期刊最新文献
Correction. Understanding the patient-spouse communication experience during chemotherapy for gastric cancer: A qualitative study. Quality of life and unmet needs of late-stage and metastatic colorectal cancer survivors: An integrative review. The meaning-making process in the re-entry phase: A qualitative focus group study with patients treated for breast cancer or melanoma. Adaptation and feasibility of the Swedish Promoting Resilience in Stress Management intervention targeting adolescents and young adults newly diagnosed with cancer.
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