Developing a Dyadic Survivorship Intervention for Black Women with Breast Cancer and Their Informal Caregivers

为患有乳腺癌的黑人女性及其非正式护理人员制定二元生存干预措施

基本信息

批准号：
10901074
负责人：
Tess Thompson
金额：
$ 9.05万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-25 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10901074
关键词：
Address Adherence Black race Breast Cancer Patient Breast Cancer survivor Cancer Center Cancer Patient Cancer Survivorship Caregiver support Caregivers Caring Characteristics Clinical Consolidated Framework for Implementation Research Data Family Family member Feasibility Studies Feedback Female Focus Groups Foundations Friends Goals Health Individual Intervention Interview Long Term Survivorship Malignant Neoplasms Measures Methods Outcome Patient-Focused Outcomes Patients Persons Positioning Attribute Psychology Quality of life Randomized, Controlled Trials Reduce health disparities Reporting Research Sampling Services Spouse Caregiver Spouses Teleconferences Testing Time Work acceptability and feasibility active method black patient black women brief intervention caregiving clinical care design experience health care service utilization improved improved outcome informal caregiver malignant breast neoplasm member novel physical conditioning pilot test programs psychosocial recruit remote delivery satisfaction survivorship therapy design therapy development

项目摘要

1 Breast cancer patients and their informal caregivers often report unmet psychosocial, relational, and physical 2 health needs that persist into long-term survivorship. Although dyadic interventions have shown promise in 3 improving outcomes for patients and caregivers, few existing interventions are designed for Black patients and 4 the female family members and friends who provide the majority of unpaid care and support. This study will 5 develop a novel dyadic intervention delivered via video teleconferencing (VTC) to Black breast cancer patients 6 and their female informal caregivers to improve quality of life and relationship outcomes during the transition to 7 long-term survivorship. This proposal is directly responsive to NCI’s priorities about caregiving and cancer 8 survivorship and will lay the foundation for a randomized controlled trial of a first-of-its-kind dyadic intervention. 9 First, we will build on our previous and current work with Black breast cancer patients and their informal 10 caregivers by asking dyads to evaluate potential intervention content. Next, we will design for dissemination by 11 interviewing stakeholders to identify facilitators and barriers to implementing dyadic survivorship interventions 12 in clinical care. Finally, we will develop a brief intervention and evaluate its acceptability and feasibility. The 13 aims of this proposal are as follows: Aim 1: Evaluate the potential domains and characteristics of a brief 14 VTC intervention to improve quality of life for Black breast cancer patients and female informal 15 caregivers during the transition to long-term survivorship. We will solicit qualitative and quantitative 16 feedback from both members of dyads individually and together (N = 20 dyads) about themes, domains, and 17 characteristics of a culturally appropriate patient- and caregiver-centered VTC survivorship intervention. Aim 2. 18 Identify facilitators and barriers to implementing dyadic survivorship interventions in clinical care. We 19 will design for dissemination by conducting interviews (N = 15) with stakeholders the cancer center based on 20 the Consolidated Framework for Implementation Research. A directed thematic analysis will allow us to 21 understand barriers and facilitators to delivering dyadic interventions in clinical care. Aim 3. Evaluate a brief 22 VTC intervention in a pilot feasibility study (N = 20 dyads). Based on the formative research in Aims 1 and 23 2, we will develop a 4-session intervention delivered remotely by psychology service staff at the cancer center 24 around the time patients complete active treatment and transition to long-term survivorship. We will collect 25 quantitative and qualitative feasibility data from patients and their female caregivers about satisfaction and 26 intervention acceptability. We will also pilot test the assessment battery, including validated measures of 27 relationship outcomes, health care utilization, and quality of life for both dyad members. Upon completion of 28 this project, our team will be well-positioned to test the intervention in a larger trial. The ultimate goal of this 29 research program is to reduce health disparities by improving outcomes for Black breast cancer patients and 30 their female caregivers.

1名乳腺癌患者及其非正式护理人员经常报告未满足的社会心理，关系和身体 2健康需要长期生存。尽管二元干预措施已经显示出希望 3改善患者和看护人的结果，为黑人患者和 4提供大多数无薪护理和支持的女性家庭成员和朋友。这项研究会 5开发一种新型的二元干预措施，该干预通过视频电信（VTC）提供给黑乳腺癌患者 6及其女性非正式护理人员，以改善过渡到过渡期间的生活质量和关系成果 7长期生存。该提案直接响应NCI关于护理和癌症的优先事项 8幸存者，并将为初始二元干预的随机对照试验奠定基础。 9首先，我们将与黑乳腺癌患者及其非正式有关 10个护理人员通过要求二元组评估潜在的干预含量。接下来，我们将设计用于传播 11采访利益相关者，以确定实施二元表面冲浪干预措施的促进者和障碍 12临床护理。最后，我们将进行简短的干预措施，并评估其可接受性和可行性。这 13该提案的目的如下：目标1：评估简短的潜在领域和特征 14 VTC干预以改善黑乳腺癌患者和女性非正式的生活质量在过渡到长期生存期间的15名护理人员。我们将征求定性和定量 16个单独和二元组成员的反馈（n = 20个二元组），涉及主题，域和 17具有文化适当的患者和以护理人员为中心的VTC生存干预的特征。目标2。 18确定在临床护理中实施二元式表面介绍干预措施的促进者和障碍。我们 19将通过对利益相关者进行访谈（n = 15）来设计传播 20实施研究的合并框架。定向主题分析将使我们能够 21了解障碍和促进者在临床护理中提供二元干预措施。目标3。评估简短 22 VTC干预试验可行性研究（n = 20个二元）。基于目标1和 23 2，我们将开发由癌症中心心理学服务人员远程提供的4条干预措施 24大约在患者完成积极治疗并过渡到长期生存的时候。我们将收集 25来自患者及其女性护理人员满意和的定性可行性数据 26干预可接受性。我们还将试用评估电池，包括经过验证的措施 27二元成员的关系结果，医疗保健利用和生活质量。完成后 28这个项目，我们的团队将有充分的位置，以测试更大的试验中的干预措施。最终目标 29研究计划是通过改善黑乳腺癌患者的预后和 30他们的女性照顾者。