Abstract：
OBJECTIVE: This study tested the feasibility and efficacy of two iterations of a low-intensity online writing intervention, Expand Your Horizon (EYH), in improving body image and distress in a cancer population.
METHODS: In study 1 (3-session version of EYH), adult female cancer survivors (N = 201) were randomised to EYH, where they described their body functionality, or a creative writing control. Outcomes assessed at baseline and one-week follow-up included body appreciation, body dissatisfaction, and distress. In study 2 (1 session version of EYH), adult female cancer survivors (N = 65) were randomised to EYH or a neutral writing control. Outcomes (assessed at baseline, immediately post-intervention and one-week follow-up) included body appreciation, body functionality appreciation, body dissatisfaction and distress.
RESULTS: Study 1 experienced severe attrition; only 14 participants (7 %) completed the intervention and follow-up. Study 2 had higher retention, with 74 % completing the study. In study 2, while no significant differences emerged between EYH or control, both groups significantly improved immediately post-intervention across all outcomes. No differences were found at follow-up.
CONCLUSIONS: A single-session online writing intervention for cancer survivors appears to be more feasible than multi-session, however the efficacy of EYH for this population remains to be established.
METHODS: In study 1 (3-session version of EYH), adult female cancer survivors (N = 201) were randomised to EYH, where they described their body functionality, or a creative writing control. Outcomes assessed at baseline and one-week follow-up included body appreciation, body dissatisfaction, and distress. In study 2 (1 session version of EYH), adult female cancer survivors (N = 65) were randomised to EYH or a neutral writing control. Outcomes (assessed at baseline, immediately post-intervention and one-week follow-up) included body appreciation, body functionality appreciation, body dissatisfaction and distress.
RESULTS: Study 1 experienced severe attrition; only 14 participants (7 %) completed the intervention and follow-up. Study 2 had higher retention, with 74 % completing the study. In study 2, while no significant differences emerged between EYH or control, both groups significantly improved immediately post-intervention across all outcomes. No differences were found at follow-up.
CONCLUSIONS: A single-session online writing intervention for cancer survivors appears to be more feasible than multi-session, however the efficacy of EYH for this population remains to be established.
摘要：
目的：这项研究测试了低强度在线写作干预的两次迭代的可行性和有效性，扩大你的视野（EYH），改善癌症人群的身体形象和痛苦。
方法：在研究1（EYH的3会话版本）中，成年女性癌症幸存者（N=201）被随机分配到EYH，他们描述了他们的身体功能，或创造性的写作控制。在基线和一周随访时评估的结果包括身体欣赏，身体不满，和痛苦。在研究2（EYH的1会话版本）中，成年女性癌症幸存者(N=65)随机分为EYH或中性书写对照.结果(基线评估，立即进行干预后和一周的随访）包括身体欣赏，身体功能欣赏，身体的不满和痛苦。
结果：研究1经历了严重的减员；只有14名参与者（7%）完成了干预和随访。研究2有较高的保留率，74%的人完成了这项研究。在研究2中，虽然EYH和对照之间没有显着差异，在所有结局中,两组在干预后立即显著改善.在随访中没有发现差异。
结论：针对癌症幸存者的单节在线写作干预似乎比多节更为可行，然而,EYH对该人群的疗效尚待确定.
方法：在研究1（EYH的3会话版本）中，成年女性癌症幸存者（N=201）被随机分配到EYH，他们描述了他们的身体功能，或创造性的写作控制。在基线和一周随访时评估的结果包括身体欣赏，身体不满，和痛苦。在研究2（EYH的1会话版本）中，成年女性癌症幸存者(N=65)随机分为EYH或中性书写对照.结果(基线评估，立即进行干预后和一周的随访）包括身体欣赏，身体功能欣赏，身体的不满和痛苦。
结果：研究1经历了严重的减员；只有14名参与者（7%）完成了干预和随访。研究2有较高的保留率，74%的人完成了这项研究。在研究2中，虽然EYH和对照之间没有显着差异，在所有结局中,两组在干预后立即显著改善.在随访中没有发现差异。
结论：针对癌症幸存者的单节在线写作干预似乎比多节更为可行，然而,EYH对该人群的疗效尚待确定.
