Coping with Breast Cancer and Treatment: An E-Learning Course for Skills and Stra

应对乳腺癌和治疗：技能和策略的电子学习课程

基本信息

批准号：
7668071
负责人：
EILEEN A VAN SCHAIK
金额：
$ 46.51万
依托单位：
TALARIA, INC.
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-06-01 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7668071
关键词：
Achievement Adherence Adjustment Disorders Adjuvant Adverse effects Affect American Anxiety Arts Behavioral Body Image Breast Cancer Treatment Cancer Center Cancer Patient Clinics and Hospitals Cognitive Communication Computer software Control Groups Coping Skills Development Diagnosis Discipline of Nursing Disease Distress Early treatment Educational process of instructing Effectiveness Elements Emotional Evaluation Exercise Feedback Fostering Fright Goals Growth Health Health Personnel Instruction Insurance Coverage Internet Intervention Interview Learning Letters Life Location Malignant Neoplasms Marketing Measures Medicine Meditation Monitor Multimedia NCI Center for Cancer Research Naturopathy Online Systems Outcome Outcome Measure Participant Patients Perception Persons Pharmaceutical Preparations Pharmacologic Substance Phase Post-Traumatic Stress Disorders Provider Psychology Quality of life Randomized Randomized Clinical Trials Randomized Controlled Clinical Trials Recruitment Activity Relaxation Research Research Personnel Sampling School Nursing Self Assessment Self Disclosure Self Efficacy Social Work Social support Staging Stress Support Groups Symptoms Techniques Technology Telephone Testing Translating Treatment Protocols Universities Video Recording Waiting Lists Washington Wellness Center Woman Writing animation anticancer research base breast cancer diagnosis cancer care cancer therapy chronic pain cognitive behavior therapy cognitive training coping cost depression effective intervention emotional disclosure experience group support immune function improved informant malignant breast neoplasm prototype psychoeducation psychosocial public health relevance rehearsal research and development research study safer sex satisfaction self help showing emotion skills skills training sound stress management stressor treatment center usability web site

项目摘要

DESCRIPTION (provided by applicant): Cognitive Behavioral Stress Management (CBSM) interventions have been shown to decrease cancer-related distress, foster emotional growth and improve immune functioning during treatment for breast cancer. CBSM interventions use well-validated cognitive behavioral techniques such as relaxation and meditation training, cognitive restructuring, and communication skills training to increase active, adaptive coping and are typically delivered in a group setting. The present project aims to develop an online version of a CBSM intervention for women undergoing adjuvant treatment for early stage breast cancer. Phase I achievements included developing the user interface and two prototype modules of the web-based intervention. These two modules ("Introduction to Relaxation" and "Communication with Healthcare Providers") were created with Talaria's proprietary software, are highly interactive, and are presented in a multimedia format. Two usability studies, one in- person and one online, with 62 current and past cancer patients, demonstrated high levels of approval, satisfaction, and ease-of-use. In Phase II goals are to develop the entire intervention and examine its effectiveness in a randomized clinical trial. This 10-module intervention will consist of cognitive behavioral techniques adapted for web-presentation by Talaria's experienced eLearning team of clinicians, researchers, writers, programmers and multimedia experts. Each module will include self- assessment and targeted feedback, didactic psychoeducation, interactive exercises, and opportunities for self-monitoring-- all tailored to the needs of women with early stage breast cancer. In addition, guided written self-disclosure exercises will promote emotional expression and a discussion board will encourage group support. The web-based intervention will be usability tested and the final product will be evaluated in a randomized clinical trial with a sample of 120 women in adjuvant treatment for breast cancer. Women will be randomly assigned to use the 10-week intervention with biweekly telephone assessments or to the telephone assessments alone. Outcome measures include patients' confidence in their coping abilities, benefit finding, quality of life, and cancer-related distress. We plan to market this product directly to cancer patients, as well as to cancer care providers, hospitals, clinics and pharmaceutical companies that manufacture cancer medications. Public Health Relevance: Nearly 200,000 American women are diagnosed with breast cancer every year. As they go through cancer treatment, many patients experience a significant decline in their quality of life due to stress, treatment side effects, anxiety, depression, and relationship difficulties. We propose to develop a web-based version of Cognitive Behavioral Stress Management, an empirically supported intervention for women with breast cancer. This web intervention will be convenient, private and available for low cost to women regardless of location or insurance coverage.

描述（由申请人提供）：认知行为压力管理（CBSM）干预措施已被证明可以在乳腺癌治疗期间减少与癌症相关的痛苦，促进情绪成长并改善免疫功能。 CBSM 干预措施使用经过充分验证的认知行为技术，例如放松和冥想训练、认知重组和沟通技巧训练，以增强积极、适应性的应对能力，通常在团体环境中进行。本项目旨在为接受早期乳腺癌辅助治疗的女性开发在线版本的 CBSM 干预措施。第一阶段的成果包括开发用户界面和两个基于网络的干预原型模块。这两个模块（“放松介绍”和“与医疗保健提供者的沟通”）是使用 Talaria 的专有软件创建的，具有高度交互性，并以多媒体格式呈现。两项可用性研究（一项是面对面的，一项是在线的）针对 62 名当前和过去的癌症患者进行了研究，结果显示了高度的认可、满意度和易用性。第二阶段的目标是开发整个干预措施并在随机临床试验中检查其有效性。这个由 10 个模块组成的干预措施将包括认知行为技术，这些技术适用于由 Talaria 经验丰富的电子学习团队（由临床医生、研究人员、作家、程序员和多媒体专家组成）进行网络演示。每个模块将包括自我评估和有针对性的反馈、教学心理教育、互动练习和自我监控的机会——所有这些都是根据患有早期乳腺癌的女性的需求量身定制的。此外，指导性的书面自我表露练习将促进情感表达，讨论板将鼓励小组支持。基于网络的干预措施将进行可用性测试，最终产品将在一项随机临床试验中进行评估，该试验以 120 名接受乳腺癌辅助治疗的女性为样本。妇女将被随机分配使用为期 10 周的干预措施和每两周一次的电话评估或仅接受电话评估。结果指标包括患者对自己应对能力的信心、获益发现、生活质量和癌症相关的痛苦。我们计划直接向癌症患者以及癌症护理提供者、医院、诊所和生产癌症药物的制药公司销售该产品。公共卫生相关性：每年有近 200,000 名美国女性被诊断患有乳腺癌。在接受癌症治疗时，许多患者由于压力、治疗副作用、焦虑、抑郁和人际关系困难而生活质量显着下降。我们建议开发一个基于网络的认知行为压力管理版本，这是一种针对乳腺癌女性的实证支持干预措施。这种网络干预对于女性来说将是方便、私密且低成本的，无论其地点或保险范围如何。