目标:青少年和年轻成人(AYA)癌症患者,年龄在15至39岁之间,遭受长期的心理困扰,面对低自我效能感和各种心理问题。本研究构建基于线上的团体同伴支持干预结合线下活动,探讨其对AYA癌症患者心理困扰的影响。
方法:随机,我们进行了双臂临床试验,招募了90例AYA癌症患者.对照组(N=45)接受常规心理护理和治疗,实验组(N=45)接受了8周的在线同伴支持干预。结果测量包括心理困扰(困扰温度计,DT),焦虑和抑郁(医院焦虑和抑郁量表,HADS),感知的同伴支持(癌症同伴支持量表,CaPSS),和准备重返工作岗位(准备重返工作规模,RRTW)。
结果:为期八周的同伴支持干预有效地改善了心理困扰,焦虑,与抑郁症状相比,实验组差异具有统计学意义(P<0.05)。时间影响心理困扰,焦虑,AYA癌症患者的抑郁症状(P<0.05),与干预因素存在交互作用(P<0.05)。干预对缓解AYA癌症患者的心理状况具有积极作用。为了准备重返工作岗位,实验组立即处于行动-行为阶段的准备阶段,干预结束后1个月和3个月(P<0.01),支持尚未重返工作岗位的AYA癌症患者,以保持最佳的重返工作准备。
结论:基于小组在线的同伴支持干预是受欢迎的,具有良好的科学性,有效性,和对AYA癌症患者的现实意义。
背景:这项研究已在临床试验中注册。(ChiCTR2100053091,2021年11月10日注册)。
OBJECTIVE: Adolescent and young adult (AYA) cancer patients, aged between 15 to 39 years old, suffer from long-term psychological distress, confronting low self-efficacy and various psychological problems. This study constructs a group online-based peer support intervention combined with offline activities to explore its impact on the psychological distress of AYA cancer patients.
METHODS: A randomized, two-arm clinical trial was conducted in which 90 AYA cancer patients were recruited. The control group (N = 45) received conventional psychological care and treatment, and the experimental group (N = 45) received 8 weeks of an online peer support intervention. Outcome measures included psychological distress (Distress Thermometer, DT), anxiety and depression (Hospital Anxiety and Depression Scale, HADS), perceived peer support (Cancer Peer Support Scales, CaPSS), and readiness for return to work (Readiness to Return-To-Work Scale, RRTW).
RESULTS: Eight-week peer support intervention was effective in improving psychological distress, anxiety, and depressive symptoms in the experimental group with statistically significant differences (P < 0.05). Time affected psychological distress, anxiety, and depressive symptoms in AYA cancer patients (P < 0.05), and there was an interaction with intervention factors (P < 0.05). The intervention has a positive effect on relieving the psychological status of AYA cancer patients. For readiness for return to work, the experimental group was in the preparation for the action-behavioral stage immediately, 1 month and 3 months after the end of the intervention (P < 0.01), supporting AYA cancer patients who have not returned to work to maintain optimal return-to-work readiness.
CONCLUSIONS: The group online-based peer support intervention is popular and has good scientificity, effectiveness, and practical significance for AYA cancer patients.
BACKGROUND: This study was registered at clinicaltrials.gov. (ChiCTR2100053091, registered on 10 November 2021).