Hybrid-delivered cognitive behavioral symptom management and activity coaching intervention for patients undergoing hematopoietic stem cell transplant: Findings from intervention development and a pilot randomized trial.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2023-01-01 Epub Date: 2022-12-08 DOI:10.1080/07347332.2022.2152519

Sarah A Kelleher, Hannah M Fisher, Kelly Hyland, Shannon N Miller, Grace Amaden, Allison Diachina, Alyssa S Pittman, Joseph G Winger, Anthony Sung, Samuel Berchuck, Greg Samsa, Tamara J Somers

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引用次数: 0

Abstract

Objective: Develop and pilot test a mobile health (mHealth) cognitive behavioral coping skills training and activity coaching protocol (HCT Symptoms and Steps) for hematopoietic stem cell transplant (HCT) patients.

Design: Two-phase, mixed methods study.

Sample: HCT patients and healthcare providers.

Methods: Phase I was patient (n = 5) and provider (n = 1) focus groups and user testing (N = 5) to develop the HCT Symptoms and Steps protocol. Phase II was a pilot randomized trial (N = 40) to evaluate feasibility, acceptability, and pre-to-post outcomes (e.g., physical disability, pain, fatigue, distress, physical activity, symptom self-efficacy) compared to an education control.

Findings: Qualitative feedback on symptoms, recruitment strategies, coping skills, and mHealth components (e.g., Fitbit, mobile app) were integrated into the protocol. HCT Symptoms and Steps were feasible and acceptable. Pre-post changes suggest physical disability and activity improved while symptoms (e.g., fatigue, distress) decreased.

Conclusions: HCT Symptoms and Steps have strong feasibility and acceptability and shows promise for benefits. Larger, fully-powered randomized trials are needed to examine intervention efficacy.

Implications: HCT Symptoms and Steps may reduce physical disability and improve health outcomes post-transplant.

Clinical trial registration number: NCT03859765.

查看原文本刊更多论文

造血干细胞移植患者的混合认知行为症状管理和活动指导干预：干预发展和一项试点随机试验的结果。

目的：为造血干细胞移植（HCT）患者开发并初步测试移动健康（mHealth）认知行为应对技能培训和活动指导方案（HCT症状和步骤）。设计：两阶段，混合方法研究。样本：HCT患者和医疗保健提供者。方法：I期患者（n = 5）和提供者（n = 1）焦点小组和用户测试（N = 5）制定HCT症状和步骤方案。II期是一项试验性随机试验（N = 40），以评估与教育对照相比的可行性、可接受性和前后结果（例如，身体残疾、疼痛、疲劳、痛苦、身体活动、症状自我效能）。研究结果：关于症状、招募策略、应对技能和mHealth组件（如Fitbit、移动应用程序）的定性反馈被整合到协议中。HCT症状和步骤可行且可接受。前后变化表明，身体残疾和活动有所改善，而症状（如疲劳、痛苦）有所减轻。结论：HCT症状和步骤具有很强的可行性和可接受性，并显示出良好的疗效。需要更大规模的、全功率的随机试验来检验干预效果。影响：HCT症状和步骤可以减少身体残疾并改善移植后的健康结果。临床试验注册号：NCT03859765。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.