PDF(Pubmed)
Abstract：
BACKGROUND: Cancer is the leading cause of death in Canada, and living with cancer generates psychological demands, including depression and anxiety among cancer survivors and caregivers. Text4Hope-Cancer Care SMS text messaging-based service was provided to people with cancer and caregivers during the COVID-19 pandemic to support their mental health.
OBJECTIVE: The aim of this study is to examine the clinical effectiveness of and satisfaction with Text4Hope-Cancer Care in addressing mental health conditions among people living with cancer and caregivers.
METHODS: The study was conducted in Alberta, Canada. People who were diagnosed or receiving cancer treatment and caregivers self-subscribed to receive 3-months daily supportive cognitive behavioral therapy-based SMS text messages and a web-based survey was sent at designated time points to collect clinical and nonclinical data. The Hospital Anxiety and Depression scale (HADS) was used to examine changes in anxiety and depression symptoms after receiving the service. Satisfaction with the service was assessed using a survey with a Likert scale. Descriptive and inferential statistics were used, and test significance was considered with P≤.05.
RESULTS: Overall, 107 individuals subscribed to the service, and 93 completed the program (completion rate 93/107, 86.9%). A significant improvement in the anxiety symptoms (HADS-Anxiety [HADS-A] subscale) was reported after 3 months of Text4Hope-Cancer Care (t11=2.62; P=.02), with medium effect size (Hedges g=0.7), but not depression symptoms (HADS-Depression [HADS-D] subscale). Subscribers expressed high satisfaction and agreed that the service has helped them to cope with mental health symptoms and improve their quality of life. Most subscribers read the SMS text messages more than once (30/30, 100%); took time to reflect or took a beneficial action after reading the messages (27/30, 90%); and highly agreed (27/30, >80%) with the value of the received supportive SMS text messages as being relevant, succinct, affirmative, and positive. All subscribers recommended SMS text messaging for stress, anxiety, and depression and for cancer care support (30/30, 100%).
CONCLUSIONS: Text4Hope-Cancer Care was well-perceived and effectively addressed anxiety symptoms among people living with cancer and caregivers during the peak of the COVID-19 pandemic. This study provides evidence-based support and insight for policy and stakeholders to implement similar convenient, economic, and accessible mental health services that support vulnerable populations during crises.
UNASSIGNED: RR2-10.2196/20240.
OBJECTIVE: The aim of this study is to examine the clinical effectiveness of and satisfaction with Text4Hope-Cancer Care in addressing mental health conditions among people living with cancer and caregivers.
METHODS: The study was conducted in Alberta, Canada. People who were diagnosed or receiving cancer treatment and caregivers self-subscribed to receive 3-months daily supportive cognitive behavioral therapy-based SMS text messages and a web-based survey was sent at designated time points to collect clinical and nonclinical data. The Hospital Anxiety and Depression scale (HADS) was used to examine changes in anxiety and depression symptoms after receiving the service. Satisfaction with the service was assessed using a survey with a Likert scale. Descriptive and inferential statistics were used, and test significance was considered with P≤.05.
RESULTS: Overall, 107 individuals subscribed to the service, and 93 completed the program (completion rate 93/107, 86.9%). A significant improvement in the anxiety symptoms (HADS-Anxiety [HADS-A] subscale) was reported after 3 months of Text4Hope-Cancer Care (t11=2.62; P=.02), with medium effect size (Hedges g=0.7), but not depression symptoms (HADS-Depression [HADS-D] subscale). Subscribers expressed high satisfaction and agreed that the service has helped them to cope with mental health symptoms and improve their quality of life. Most subscribers read the SMS text messages more than once (30/30, 100%); took time to reflect or took a beneficial action after reading the messages (27/30, 90%); and highly agreed (27/30, >80%) with the value of the received supportive SMS text messages as being relevant, succinct, affirmative, and positive. All subscribers recommended SMS text messaging for stress, anxiety, and depression and for cancer care support (30/30, 100%).
CONCLUSIONS: Text4Hope-Cancer Care was well-perceived and effectively addressed anxiety symptoms among people living with cancer and caregivers during the peak of the COVID-19 pandemic. This study provides evidence-based support and insight for policy and stakeholders to implement similar convenient, economic, and accessible mental health services that support vulnerable populations during crises.
UNASSIGNED: RR2-10.2196/20240.
摘要：
背景：癌症是加拿大的主要死亡原因，和癌症一起生活会产生心理需求，包括癌症幸存者和护理人员的抑郁和焦虑。在COVID-19大流行期间，为癌症患者和护理人员提供了Text4Hope-CancerCare短信服务，以支持他们的心理健康。
目的：本研究的目的是研究Text4Hope-CancerCare在解决癌症患者和护理人员的心理健康状况方面的临床有效性和满意度。
方法：这项研究是在艾伯塔省进行的，加拿大。被诊断或接受癌症治疗的人和护理人员自行订阅接受3个月的每日支持性认知行为疗法的SMS短信，并在指定时间点发送基于网络的调查以收集临床和非临床数据。使用医院焦虑和抑郁量表（HADS）检查接受服务后焦虑和抑郁症状的变化。使用Likert量表进行调查，评估了对服务的满意度。使用了描述性和推断性统计数据，P≤.05时考虑检验显著性。
结果：总体而言，107个人订阅了这项服务，93人完成了项目(完成率93/107，86.9%)。在Text4Hope-CancerCare治疗3个月后，焦虑症状（HADS-焦虑[HADS-A]分量表）显着改善（t11=2.62；P=0.02），具有中等效果大小(对冲g=0.7)，但不是抑郁症状（HADS-抑郁[HADS-D]分量表）。订户表示非常满意，并同意该服务已帮助他们应对精神健康症状并改善他们的生活质量。大多数用户不止一次地阅读短信（30/30，100%）；阅读短信后花时间反映或采取了有益的行动（27/30，90%）；高度认同（27/30，>80%）所收到的支持性短信的价值是相关的，简洁,肯定的,肯定的和积极的。所有订阅者都推荐SMS短信以缓解压力，焦虑,和抑郁症和癌症护理支持（30/30，100％）。
结论：Text4Hope-CancerCare在COVID-19大流行的高峰期间，对癌症患者和护理人员的焦虑症状有很好的认识，并有效地解决了焦虑症状。本研究为政策和利益相关者实施类似的便利提供了循证支持和洞察力，经济,以及在危机期间为弱势群体提供支持的可获得的精神卫生服务。
■RR2-10.2196/20240。
目的：本研究的目的是研究Text4Hope-CancerCare在解决癌症患者和护理人员的心理健康状况方面的临床有效性和满意度。
方法：这项研究是在艾伯塔省进行的，加拿大。被诊断或接受癌症治疗的人和护理人员自行订阅接受3个月的每日支持性认知行为疗法的SMS短信，并在指定时间点发送基于网络的调查以收集临床和非临床数据。使用医院焦虑和抑郁量表（HADS）检查接受服务后焦虑和抑郁症状的变化。使用Likert量表进行调查，评估了对服务的满意度。使用了描述性和推断性统计数据，P≤.05时考虑检验显著性。
结果：总体而言，107个人订阅了这项服务，93人完成了项目(完成率93/107，86.9%)。在Text4Hope-CancerCare治疗3个月后，焦虑症状（HADS-焦虑[HADS-A]分量表）显着改善（t11=2.62；P=0.02），具有中等效果大小(对冲g=0.7)，但不是抑郁症状（HADS-抑郁[HADS-D]分量表）。订户表示非常满意，并同意该服务已帮助他们应对精神健康症状并改善他们的生活质量。大多数用户不止一次地阅读短信（30/30，100%）；阅读短信后花时间反映或采取了有益的行动（27/30，90%）；高度认同（27/30，>80%）所收到的支持性短信的价值是相关的，简洁,肯定的,肯定的和积极的。所有订阅者都推荐SMS短信以缓解压力，焦虑,和抑郁症和癌症护理支持（30/30，100％）。
结论：Text4Hope-CancerCare在COVID-19大流行的高峰期间，对癌症患者和护理人员的焦虑症状有很好的认识，并有效地解决了焦虑症状。本研究为政策和利益相关者实施类似的便利提供了循证支持和洞察力，经济,以及在危机期间为弱势群体提供支持的可获得的精神卫生服务。
■RR2-10.2196/20240。
