PDF(Pubmed)
Abstract：
OBJECTIVE: Healthy cancer survivorship involves patients\' active engagement with preventative health behaviors and follow-up care. While clinicians and patients have typically held dual responsibility for activating these behaviors, transitioning some clinician effort to technology and health coaches may enhance guideline implementation. This paper reports on the acceptability of the Shared Healthcare Actions & Reflections Electronic systems in survivorship (SHARE-S) program, an entirely virtual multicomponent intervention incorporating e-referrals, remotely-delivered health coaching, and automated text messages to enhance patient self-management and promote healthy survivorship.
METHODS: SHARE-S was evaluated in single group hybrid implementation-effectiveness pilot study. Patients were e-referred from the clinical team to health coaches for three health self-management coaching calls and received text messages to enhance coaching. Semi-structured qualitative interviews were conducted with 21 patient participants, 2 referring clinicians, and 2 health coaches to determine intervention acceptability (attitudes, appropriateness, suitability, convenience, and perceived effectiveness) and to identify important elements of the program and potential mechanisms of action to guide future implementation.
RESULTS: SHARE-S was described as impactful and convenient. The nondirective, patient-centered health coaching and mindfulness exercises were deemed most acceptable; text messages were less acceptable. Stakeholders suggested increased flexibility in format, frequency, timing, and length of participation, and additional tailored educational materials. Patients reported tangible health behavior changes, improved mood, and increased accountability and self-efficacy.
CONCLUSIONS: SHARE-S is overall an acceptable and potentially effective intervention that may enhance survivors\' self-management and well-being. Alterations to tailored content, timing, and dose should be tested to determine impact on acceptability and outcomes.
METHODS: SHARE-S was evaluated in single group hybrid implementation-effectiveness pilot study. Patients were e-referred from the clinical team to health coaches for three health self-management coaching calls and received text messages to enhance coaching. Semi-structured qualitative interviews were conducted with 21 patient participants, 2 referring clinicians, and 2 health coaches to determine intervention acceptability (attitudes, appropriateness, suitability, convenience, and perceived effectiveness) and to identify important elements of the program and potential mechanisms of action to guide future implementation.
RESULTS: SHARE-S was described as impactful and convenient. The nondirective, patient-centered health coaching and mindfulness exercises were deemed most acceptable; text messages were less acceptable. Stakeholders suggested increased flexibility in format, frequency, timing, and length of participation, and additional tailored educational materials. Patients reported tangible health behavior changes, improved mood, and increased accountability and self-efficacy.
CONCLUSIONS: SHARE-S is overall an acceptable and potentially effective intervention that may enhance survivors\' self-management and well-being. Alterations to tailored content, timing, and dose should be tested to determine impact on acceptability and outcomes.
摘要：
目的：健康的癌症生存涉及患者积极参与预防性健康行为和后续护理。虽然临床医生和患者通常对激活这些行为负有双重责任，将一些临床医生的努力转变为技术和健康教练可能会增强指南的实施。本文报告了幸存者共享医疗行动和反思电子系统(SHARE-S)计划的可接受性，完全虚拟的多成分干预，包括电子推荐，远程提供的健康指导，和自动短信，以增强患者的自我管理并促进健康的生存。
方法：SHARE-S在单组混合实施-有效性试验研究中进行了评估。将患者从临床团队电子转介给健康教练，进行三个健康自我管理教练电话，并收到短信以加强教练。对21名患者参与者进行了半结构化定性访谈，2名临床医生，和2名健康教练，以确定干预的可接受性(态度，适当性，适用性,便利性，和感知的有效性），并确定计划的重要要素和潜在的行动机制，以指导未来的实施。
结果：SHARE-S被描述为具有影响力和便利性。非指令，以患者为中心的健康指导和正念练习被认为是最可接受的;短信不太可接受.利益相关者建议增加格式的灵活性，频率,定时,和参与的时间长短，和其他量身定制的教育材料。患者报告了有形的健康行为变化，改善情绪,并提高责任感和自我效能感。
结论：SHARE-S总体上是一种可接受且潜在有效的干预措施，可以增强幸存者的自我管理和幸福感。对定制内容的更改，定时,和剂量应进行测试，以确定对可接受性和结果的影响。
方法：SHARE-S在单组混合实施-有效性试验研究中进行了评估。将患者从临床团队电子转介给健康教练，进行三个健康自我管理教练电话，并收到短信以加强教练。对21名患者参与者进行了半结构化定性访谈，2名临床医生，和2名健康教练，以确定干预的可接受性(态度，适当性，适用性,便利性，和感知的有效性），并确定计划的重要要素和潜在的行动机制，以指导未来的实施。
结果：SHARE-S被描述为具有影响力和便利性。非指令，以患者为中心的健康指导和正念练习被认为是最可接受的;短信不太可接受.利益相关者建议增加格式的灵活性，频率,定时,和参与的时间长短，和其他量身定制的教育材料。患者报告了有形的健康行为变化，改善情绪,并提高责任感和自我效能感。
结论：SHARE-S总体上是一种可接受且潜在有效的干预措施，可以增强幸存者的自我管理和幸福感。对定制内容的更改，定时,和剂量应进行测试，以确定对可接受性和结果的影响。
