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

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.

癌症诊断需要患者及其亲密伴侣进行有效沟通以应对疾病 - 研究表明，使用有效沟通策略的夫妻会遇到更好的情况。 个体心理调节和较高的关系满意度然而，许多夫妻却存在困难。 沟通可能导致个人、人际关系和患者健康状况恶化的癌症相关问题 虽然改善夫妻沟通的二元干预措施已被证明是有效的，但它们是有效的。 招募夫妻参与二元干预通常需要大量时间且影响范围有限。 有据可查，招募率低，尤其是在服务不足的夫妇中。 其中包括通过短信或手机发送的简短教育材料和简短活动 应用程序具有巨大的潜力，可以通过以下方式增加不同群体的夫妇的影响力和参与度： 先前的研究发现，微观干预可以提高灵活性并减少准入障碍。 有效促进广泛个人的健康行为改变并增强二元性 迄今为止，还没有开发出在社区夫妇中发挥作用的微观干预措施。 并在患有癌症的夫妇中进行了测试因此，拟议的项目旨在开发并试点测试一种方法。 短信微干预的重点是提高夫妻应对问题的沟通技巧 二元微干预的内容将改编自晚期胃肠道（GI）癌症。 目标 1：为癌症和非癌症夫妇开发现有的、经经验验证的基于夫妇的干预措施。 重点是通过焦点小组和对应对问题的夫妇进行访谈来制定微观干预措施 晚期胃肠道癌症和代表少数群体的社区顾问以及用户体验 收集的数据将用于提高内容的相关性、可接受性、 微观干预的可行性和文化敏感性 目标 2 将是二元的随机试点测试。 目标 3 将检查干预前后的结果。 通过关系满意度和建设性沟通的改善来衡量该项目正在进行中。 符合国家癌症研究所癌症生存的优先研究领域，并有潜力 拟议的项目将通过增加服务不足的夫妇的参与来提高癌症的健康公平性。 为申请人提供5个关键领域的培训：（1）心理肿瘤学和癌症控制，（2）理论和 与行为干预的开发、实施和传播相关的教学法 癌症背景，(3) 针对社会心理干预措施发展的混合研究方法，(4) 健康、公平多元化和包容性培训；(5) 独特而广泛的专业发展。 杜克大学医学中心（包括杜克癌症研究所）的可用资源将提供帮助和帮助 加强培训、科学生产力并成功完成拟议项目。