Effects of Digital Stories Intervention on Psychosocial Well-being for Cancer Patients and Caregivers undergoing Hematopoietic Stem Cell Transplantation (HCT)

数字故事干预对接受造血干细胞移植 (HCT) 的癌症患者和护理人员心理健康的影响

• 批准号: 9377379
• 负责人: Sunny Wonsun Kim
• 金额: $ 48.47万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9377379
• 关键词: Acute; Adult; Age; Anxiety; Arizona; Behavioral; Breast Cancer Patient; Cancer Patient; Caregivers; Caring; Clinic; Communication; Data; Data Collection; Disclosure; Distress; Educational workshop; Electronic Mail; Emotional; Emotions; Exposure to; Face; Fostering; Gender; Health behavior; Hematopoietic Stem Cell Transplantation; Hospitalization; Immunosuppression; Individual; Intervention; Interview; Investigation; Language; Malignant Neoplasms; Measures; Mediating; Medical; Mental Depression; Mentorship; Modeling; Moods; Morbidity - disease rate; Nature; Notification; Nursing Students; Online Systems; Outcome; Participant; Patients; Phonation; Pilot Projects; Process; Psychosocial Assessment and Care; Quality of life; Randomized; Randomized Controlled Trials; Reporting; Research; Resolution; Resources; Risk; Secure; Series; Services; Social isolation; Survivors; Telephone; Testing; Therapeutic Intervention; Time; Transplantation; Transportation; Universities; Work; arm; base; cancer care; cancer education; cancer therapy; caregiving; college; coping; cost effective; design; digital; effective intervention; efficacy testing; emotional distress; experience; follow-up; improved; loved ones; mortality; oncology; post intervention; programs; psychologic; psychosocial; response; showing emotion; social; stressor; tool; undergraduate student

Project Summary/Abstract Patients and caregivers undergoing hematopoietic stem cell transplantation (HCT) are at particular risk for reduced psychological and social well-being due to the rigorous and unique nature of the transplant experience, such as prolonged immunosuppression and multiple post HCT complications resulting in frequent hospitalizations. However, few studies have evaluated interventions to alleviate psychosocial distress for both patients and caregivers, and those have yielded inconclusive results. A narrative-based (storytelling) approach may be an effective intervention tool for HCT patients and caregivers coping with psychosocial distress. Our preliminary data show that stories shared by individuals in which a range of emotional expression or resolutions are described, may have beneficial effects on emotional well-being. In a recent pilot study of a 3- day digital storytelling workshop, we produced a series of digital videos with narratives from a panel of post- HCT patients. We propose to use these digital stories (DS), to be viewed and discussed by HCT patient/caregiver dyads, as a therapeutic intervention and to examine influences on their psychosocial status. This cost-effective, non-invasive, and easy-to-deliver psychosocial support vehicle has never been formally tested as an intervention for HCT patients or patient-caregiver dyads. To build upon our preliminary studies and to pilot test the efficacy of this series of DS, 110 adult patients undergoing HCT at the Mayo Clinic Arizona and their respective adult caregivers (N=220 total participants) will be randomized to either (a) an intervention using DS (dyadic exposure to four 5-minute modules) or (b) an information control (IC) video group (dyadic exposure to four videos containing only information about post- HCT care) followed by encouragement to discuss as a dyad. Exposure will occur once per week over 4 weeks via a secure web-based data collection platform (REDcap) with a weekly email notification and reminder phone call. Using our model of Narrative Effects on Socio-Emotional Well-Being, we will also examine expected mediating factors to determine how stories may "work" to reduce psychosocial distress by fostering emotional processing, acceptance, and dyadic disclosure of emotions.

项目概要/摘要 接受造血干细胞移植 (HCT) 的患者和护理人员面临特别的风险 由于移植的严格性和独特性，心理和社会福祉下降 经验，例如长期免疫抑制和多种 HCT 后并发症，导致频繁发生 住院治疗。然而，很少有研究评估缓解两者心理困扰的干预措施。 患者和护理人员，这些都没有得出结论性的结果。基于叙事（讲故事）的方法 可能是 HCT 患者和护理人员应对社会心理困扰的有效干预工具。我们的 初步数据显示，个人分享的故事中包含一系列情感表达或 描述的决议可能对情绪健康产生有益的影响。在最近一项针对 3- 在一天的数字讲故事研讨会上，我们制作了一系列数字视频，其中包含来自后期小组的叙述 HCT 患者。我们建议使用这些数字故事 (DS)，供 HCT 查看和讨论 患者/护理人员二元组，作为治疗干预并检查对其心理社会状态的影响。 这种具有成本效益、非侵入性且易于提供的社会心理支持工具从未被正式使用过。 作为对 HCT 患者或患者-护理人员二人组的干预措施进行了测试。 为了以我们的初步研究为基础并初步测试这一系列 DS 的功效，我们对 110 名成年患者进行了试验 在亚利桑那州梅奥诊所接受 HCT 的患者及其各自的成年护理人员（总共 220 名参与者）将 被随机分配到 (a) 使用 DS 进行干预（二元暴露于四个 5 分钟模块）或 (b) 信息控制（IC）视频组（对四个视频进行二元曝光，仅包含有关后期信息的信息） HCT 护理），然后鼓励作为二人进行讨论。暴露将在 4 周内每周发生一次 通过基于网络的安全数据收集平台 (REDcap)，每周发送电子邮件通知和提醒电话 称呼。使用我们的叙事对社会情感健康的影响模型，我们还将检查预期的 调解因素来确定故事如何“发挥作用”，通过培养情感来减少社会心理困扰 情绪的处理、接受和二元披露。

项目成果

Hematopoietic Cell Transplantation Patient-Caregiver Dyad Perspectives on Participation in a Digital Storytelling Intervention: A Qualitative Approach.

造血细胞移植患者-护理人员对参与数字讲故事干预的二元视角：定性方法。

• 发表时间: 2023-08
• 作者: Kim, Sunny Wonsun;Langer, Shelby;Ahern, Mary;Larkey, Linda;Todd, Michael;Martin, Danielle;Weihs, Karen;Khera, Nandita
• 通讯作者: Khera, Nandita

Feasibility and Acceptability of a 3-Day Group-Based Digital Storytelling Workshop among Caregivers of Allogeneic Hematopoietic Cell Transplantation Patients: A Mixed-Methods Approach.

同种异体造血细胞移植患者的护理人员举办为期 3 天的小组数字讲故事研讨会的可行性和可接受性：混合方法。

• 发表时间: 2019
• 作者: Kim, Wonsun;Bangerter, Lauren R;Jo, Soojung;Langer, Shelby;Larkey, Linda;Griffin, Joan;Khera, Nandita
• 通讯作者: Khera, Nandita