Development of a dyadic mindfulness self-compassion intervention for patients with lung cancer and their family caregivers: A multi-method study

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-11-15 DOI:10.1016/j.apjon.2024.100622

Juan Li , Tianji Zhou , Chan Li , Jie Zou , Jie Zhang , Bo Yuan , Jingping Zhang

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引用次数: 0

Abstract

Objective

Lung cancer and its prolonged treatment are profoundly unsettling for patients and their family caregivers, and developing dyadic measures to alleviate their negative affectivity is pivotal. This study aimed to develop a complex intervention to alleviate dyadic psychological stress among patients with lung cancer and their family caregivers.

Methods

A stepwise multi-method study was conducted following the Medical Research Council framework. Three phases were adopted, namely: (1) a preparation phase, a systematic review was conducted to identify the evidence base, (2) a development phase, empirical data from a quantitative study and a qualitative study were integrated to identify effective components, and (3) a modification phase, an online Delphi survey was carried out to refine the intervention.

Results

The dyadic Mindfulness Self-Compassion intervention developed in this study consists of six weekly sessions. The key components of the intervention include: (1) getting along with cancer (introductory session targets illness perception), (2) practising mindful awareness (core session for mindfulness), (3) defining dyadic relationships and introducing self-compassion (core session for self-compassion), (4) promoting dyadic communication (maintenance session targets communication skills), (5) promoting dyadic coping (maintenance session targets coping skills), and (6) a summary session reviewing the rewards and challenges of dyadic adaptation named embracing the future.

Conclusions

An evidence-based, theory-driven, and culturally appropriate dyadic Mindfulness Self-Compassion intervention was developed for patients with lung cancer and their family caregivers. Future studies are warranted to pilot and evaluate the usability, feasibility, acceptability, satisfaction, and effectiveness of this complex intervention.

Trial registration

ClinicalTrial.gov NCT04795700.

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肺癌患者及其家庭照顾者二元正念自我同情干预的发展：一项多方法研究。

目的：肺癌及其长期治疗对患者及其家庭照顾者来说是非常令人不安的，制定双重措施来减轻他们的负面影响是关键。本研究旨在建立一种复杂的干预措施，以减轻肺癌患者及其家庭照顾者的双重心理压力。方法：遵循医学研究委员会的框架，采用逐步多方法研究。研究分为三个阶段，即：(1)准备阶段，进行系统评价以确定证据基础；(2)开发阶段，整合定量研究和定性研究的经验数据以确定有效成分；(3)修改阶段，进行在线德尔菲调查以完善干预措施。结果：本研究开发的二元正念自我同情干预包括六个星期的疗程。干预措施的主要组成部分包括：(1)与癌症相处（入门阶段以疾病感知为目标），(2)练习正念意识（核心阶段以正念为目标），(3)定义二元关系并引入自我同情（核心阶段以自我同情为目标），(4)促进二元沟通（维持阶段以沟通技巧为目标），(5)促进二元应对（维持阶段以应对技巧为目标），(6)以拥抱未来为主题的总结环节，回顾二元适应的回报和挑战。结论：为肺癌患者及其家庭照顾者开发了一种循证、理论驱动、文化适宜的二元正念自我同情干预方法。未来的研究需要试点和评估这种复杂干预的可用性、可行性、可接受性、满意度和有效性。试验注册：ClinicalTrial.gov NCT04795700。

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