Interactive CD-ROM for Coping with Breast Cancer

应对乳腺癌的交互式 CD-ROM

• 批准号: 8960974
• 负责人: KARYN L ANGELL
• 金额: $ 7.69万
• 依托单位: MPOWER, LLC
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-02 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8960974
• 关键词: Award; Breast Cancer Detection; CD-ROM; California; Cancer Patient; Case Study; Companions; Consumer Satisfaction; Disease Outcome; Distress; Education; Educational process of instructing; Emotional; Evaluation; Event; Feedback; Focus Groups; Goals; Health Maintenance Organizations; Health Personnel; Hydrocortisone; Insurance; Internet; Intervention; Life; Life Stress; Link; Low income; Malignant Neoplasms; Manufacturer Name; Marketing; Medical; Mental Depression; Minority; Oregon; Outcome; Patients; Pharmacologic Substance; Phase; Physiological; Process; Psychosocial Stress; Randomized; Randomized Controlled Trials; Recommendation; Recruitment Activity; Recurrence; Relapse; Research; Resources; Rural; Sampling; Site; Small Business Innovation Research Grant; Social support; Source; Stress; Support Groups; Symptoms; Time; Trauma; Update; Walking; Woman; base; biological adaptation to stress; breast cancer diagnosis; cancer site; cancer therapy; coping; design; emotional reaction; experience; follow-up; group intervention; improved; innovation; interactive multimedia; malignant breast neoplasm; medically underserved; oncology; programs; prototype; psychosocial; psychosocial adjustment; skills; stress management; treatment as usual; treatment center; web site

DESCRIPTION: Breast cancer is the most common cancer among women, with over one million new cases reported in the world each year. A diagnosis of breast cancer is frequently and understandably associated with high levels of psychosocial distress. While support groups and stress-management interventions have increased social support, reduced psychosocial and physiological stress, improved active coping, and enhanced psychosocial adjustment, less than 10 percent of patients attend these group-based interventions. This is particularly true of minority and other underserved women. In a Phase I project we developed an innovative interactive multimedia instructional CD-ROM entitled, "Living With Breast Cancer." This product is unique in that it describes and normalizes the range of emotional reactions women with breast cancer experience, organizes and walks women through the medical landscape of breast cancer, directs women's education queries to appropriate sources when they need them, and offers skill building strategies for alleviating psychosocial stress and for creating and maintaining constructive social support. The goals of this Phase II project are to enhance and further refine our product and to develop a companion web site. The web site will provide updated information, links to additional valuable, carefully screened references and an opportunity for CD-ROM users to share their experiences with one another. We will recruit a sample of 120 women with breast cancer, across two demographically different sites, to participate in a randomized controlled trial of the effects of the product and the web site. Women will be randomly assigned to Enhanced Usual Care group (UC) who will receive an educational breast cancer video, or to the CD-ROM Intervention group (CDR) who will receive the "Living With Breast Cancer" product in addition to the video. Women will be assessed at baseline and 3-, 6-, 9-, and 12-month follow-up on psychosocial stress (i.e., life events, perceived stress), psychosocial distress (i.e., depression, trauma symptoms), coping, social support; physiological stress response (i.e., cortisol), breast cancer disease outcomes (i.e., recurrence), and consumer satisfaction. The products will be marketed to cancer treatment centers, independent oncology health care providers, pharmaceutical manufacturers and health maintenance organizations.

描述：乳腺癌是女性中最常见的癌症，每年有超过一百万个新病例。乳腺癌的诊断经常与高水平的社会心理困扰有关。尽管支持小组和压力管理干预措施增加了社会支持，减轻了社会心理和生理压力，改善主动应对以及增强的社会心理调整，但只有不到10％的患者参加了这些基于组的干预措施。少数族裔和其他服务不足的妇女尤其如此。在I阶段项目中，我们开发了一种创新的互动多媒体教学CD-ROM，标题为“患有乳腺癌”。该产品的独特之处在于，它描述并规范了具有乳腺癌经验的女性的情感反应范围，组织并带领妇女通过乳腺癌的医学景观，在需要时将妇女的教育查询指导到适当的来源，并提供减轻心理社会压力的技能策略，以创造和维持建设性的社会支持。该第二阶段项目的目标是增强和进一步完善我们的产品并开发伴侣网站。该网站将提供更新的信息，链接，指向其他有价值的，精心筛选的参考文献以及CD-ROM用户可以彼此分享他们的经验的机会。我们将在两个人口统计学不同的地点招募120名乳腺癌女性的样本，以参与对产品和网站影响的随机对照试验。妇女将被随机分配到增强的常规护理小组（UC），后者将获得教育乳腺癌视频，或者将CD-ROM干预组（CDR）除外，这些干预组（CDR）除了视频外还将获得“患有乳腺癌的生活​​”产品。妇女将在基线和3，6，6，9和12个月的随访中进行评估（即生活事件，感知压力），社会心理困扰（即抑郁症，创伤症状），应对，社会支持；生理胁迫反应（即皮质醇），乳腺癌疾病结果（即复发）和消费者满意度。这些产品将被销售给癌症治疗中心，独立的肿瘤医疗保健提供者，药品制造商和健康维护组织。