Text-messaging Communication Micro-Intervention for Couples Coping with Advanced GI Cancer

针对晚期胃肠道癌症夫妇的短信沟通微干预

• 批准号: 10607060
• 负责人: Karena Leo
• 金额: $ 7.04万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10607060
• 关键词: Academic Medical Centers; Address; Adherence; Advanced Malignant Neoplasm; Area; Back; Behavior Therapy; Cancer Control; Cancer Intervention; Cancer Survivorship; Caring; Cellular Phone; Communication; Communities; Computers; Control Groups; Couples; Cultural Sensitivity; Data; Development; Diagnosis; Disclosure; Disease; Educational Materials; Exercise; Family Caregiver; Feedback; Focus Groups; Goals; Health; Health Promotion; Health behavior change; Hour; Individual; Internet; Intervention; Interview; Lead; Literature; Low income; Malignant Neoplasms; Malignant neoplasm of gastrointestinal tract; Measures; Medical; Minority Groups; National Cancer Institute; Nature; Oncology; Outcome; Outcome Measure; Participant; Patient Recruitments; Patients; Persons; Pilot Projects; Problem Solving; Process; Productivity; Psychological adjustment; Randomized; Reporting; Research; Research Methodology; Research Personnel; Research Priority; Research Project Grants; Resources; Schedule; Services; Support Groups; Target Populations; Telephone; Testing; Text Messaging; Time; Training; Transportation; Travel; Underserved Population; Waiting Lists; Work; acceptability and feasibility; arm; cancer diagnosis; coping; demographics; equity, diversity, and inclusion; ethnic minority; ethnic minority population; experience; flexibility; health equity; improved; innovation; mobile application; pilot test; post intervention; psychologic; psychological distress; psychosocial development; racial minority; racial minority population; recruit; research study; retention rate; satisfaction; skills; skills training; text messaging intervention; theories; therapy development; uptake; videoconference; Academic Medical Centers; Address; Adherence; Advanced Malignant Neoplasm; Area; Back; Behavior Therapy; Cancer Control; Cancer Intervention; Cancer Survivorship; Caring; Cellular Phone; Communication; Communities; Computers; Control Groups; Couples; Cultural Sensitivity; Data; Development; Diagnosis; Disclosure; Disease; Educational Materials; Exercise; Family Caregiver; Feedback; Focus Groups; Goals; Health; Health Promotion; Health behavior change; Hour; Individual; Internet; Intervention; Interview; Lead; Literature; Low income; Malignant Neoplasms; Malignant neoplasm of gastrointestinal tract; Measures; Medical; Minority Groups; National Cancer Institute; Nature; Oncology; Outcome; Outcome Measure; Participant; Patient Recruitments; Patients; Persons; Pilot Projects; Problem Solving; Process; Productivity; Psychological adjustment; Randomized; Reporting; Research; Research Methodology; Research Personnel; Research Priority; Research Project Grants; Resources; Schedule; Services; Support Groups; Target Populations; Telephone; Testing; Text Messaging; Time; Training; Transportation; Travel; Underserved Population; Waiting Lists; Work; acceptability and feasibility; arm; cancer diagnosis; coping; demographics; equity, diversity, and inclusion; ethnic minority; ethnic minority population; experience; flexibility; health equity; improved; innovation; mobile application; pilot test; post intervention; psychologic; psychological distress; psychosocial development; racial minority; racial minority population; recruit; research study; retention rate; satisfaction; skills; skills training; text messaging intervention; theories; therapy development; uptake; videoconference

A cancer diagnosis requires patients and their intimate partners to communicate effectively to navigate illness- related challenges. Research indicates that couples who use effective communication strategies have better individual psychological adjustment and higher relationship satisfaction. However, many couples have difficulty communicating about cancer-related issues which can lead to poorer individual, relationship, and patient health outcomes. While dyadic interventions to improve couple communication have proven efficacious, they are often time intensive and have limited reach. The challenges of recruiting couples into dyadic interventions are well-documented, with low recruitment rates especially among underserved couples. Micro-interventions, which consist of brief educational materials and short activities delivered via text message or a mobile application, have significant potential to increase reach and participation in diverse groups of couples by increasing flexibility and reducing barriers to access. Previous studies have found micro-interventions to be effective in promoting health behavior change in a wide range of individuals and in enhancing dyadic functioning in community couples. To date, there are no existing micro-interventions that have been developed and tested in couples coping with cancer. Therefore, the proposed project aims to develop, and pilot test a text-messaging micro-intervention focused on improving communication skills for couples coping with advanced gastrointestinal (GI) cancer. The content of the dyadic micro-intervention will be adapted from existing, empirically validated couple-based interventions developed for cancer and non-cancer couples. Aim 1 focuses on developing the micro-intervention through focus groups and interviews with couples coping with advanced GI cancer and community advisors representative of minority groups, along with user experience testing with the target population. The data collected will be used to increase content relevance, acceptability, feasibility, and cultural sensitivity of the micro-intervention. Aim 2 will be a randomized pilot test of the dyadic micro-intervention to assess feasibility and acceptability. Aim 3 will examine pre-to-post intervention outcomes as measured by improvements in relationship satisfaction and constructive communication. This project is in line with the National Cancer Institute’s priority research area of cancer survivorship and has the potential to increase health equity in cancer by increasing participation of underserved couples. The proposed project will provide training in 5 key areas for the applicant: (1) psycho-oncology and cancer control, (2) theories and didactics related to the development, implementation, and dissemination of behavioral interventions in the context of cancer, (3) mixed research methods specific to development of psychosocial interventions, (4) health equity, diversity, and inclusion training, and (5) professional development. The unique and extensive resources available at Duke University Medical Center, including the Duke Cancer Institute, will aid and enhance training, scientific productivity, and successful completion of the proposed project.

癌症诊断要求患者及其亲密伴侣有效沟通以应对疾病 - 相关挑战。研究表明，使用有效沟通策略的夫妇有更好的 个人的心理调整和更高的关系满意度。但是，许多夫妻都很困难 沟通与癌症相关的问题，这些问题可能导致个人，关系和患者健康状况较差 结果。虽然二分化的干预措施改善了夫妻的沟通有效的效率，但它们是 通常是耗时的，覆盖范围有限。将夫妇招募成二元干预措施的挑战是 有据可查的人，招募率低，尤其是在服务不足的夫妇中。微型干预， 其中包括简短的教育材料和通过短信或手机提供的简短活动 应用，具有巨大的潜力，可以通过 提高灵活性并减少障碍。先前的研究发现微型干扰是 有效地促进广泛的个体的健康行为改变并增强二元 在社区夫妇中发挥作用。迄今为止，还没有开发的现有微型干扰 并在应对癌症的夫妇中进行了测试。因此，拟议的项目旨在开发和试点测试 短信微干预重点是提高夫妻应对的沟通技巧 晚期胃肠道（GI）癌。二元微干预的含量将从 现有的，经验验证的基于夫妇的干预措施是为癌症和非癌症夫妇开发的。目标1 专注于通过焦点小组开发微干预，并与应对夫妇的访谈 高级GI癌症和代表少数群体的社区顾问以及用户体验 与目标人群进行测试。收集的数据将用于增加内容相关性，可接受性， 微干预的可行性和文化敏感性。 AIM 2将是对二元的随机试验测试 微型干预以评估可行性和可接受性。 AIM 3将检查前至第一个的干预结果 通过改善关系满意度和建设性沟通来衡量。这个项目在 与国家癌症研究所的优先研究领域的癌症生存领域保持一致，并有可能 通过增加服务不足的夫妇的参与来增加癌症的健康公平性。拟议的项目将 在5个关键领域为申请人提供培训：（1）心理肿瘤和癌症控制，（2）理论和 与行为干预措施的发展，实施和传播有关的教学法 癌症的背景，（3）对社会心理干预措施发展的混合研究方法，（4） 健康公平，多样性和包容培训，以及（5）专业发展。独特而广泛的 杜克大学医学中心可用的资源，包括杜克癌症研究所，将有助于 提高培训，科学生产力并成功完成拟议项目。