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Acceptability, feasibility and preliminary effects of an online group psychotherapy intervention for adolescents and young adults with cancer
Psycho-Oncology ( IF 3.6 ) Pub Date : 2024-03-25 , DOI: 10.1002/pon.6335
Perri R. Tutelman 1, 2 , Chelsea Moran 1, 3 , Sara M. Beattie 1, 2 , Melanie Khu 4 , Melissa Howlett 4, 5 , Jessica Scheidl 1 , April Boychuk 1 , Kristen Silveira 1 , Jan‐Willem Henning 2, 6 , Fiona S. M. Schulte 2, 4
Affiliation  

BackgroundAdolescents and young adults (AYAs; ages 15–29 years) diagnosed with cancer are increasingly recognized as an oncology population with distinct psychosocial needs. However, few specialized psychosocial interventions for AYAs currently exist. This study reports on the development of a novel group‐based psychotherapy intervention to address the psychosocial needs of AYAs. The objective was to evaluate the acceptability, feasibility, and preliminary effects of the intervention.MethodsThe manualized group psychotherapy program is delivered virtually over an 8‐week period by registered psychologists. Four groups (n = 5–11 AYAs per group) with a total of N = 33 participants (Mage = 20.97 years, SD = 3.68, range = 15–29 years, 76% women) were conducted. Recruitment and retention data assessed intervention feasibility. Patient‐reported psychosocial outcomes were measured at baseline and immediately following the intervention to assess preliminary effects. Acceptability was assessed following the intervention using a self‐report measure of participant satisfaction.ResultsOverall, the completion rate of the intervention was 85% (n = 28). All participants “strongly agreed” (88%) or “agreed” (13%) that they were satisfied with the group. Meeting, sharing experiences, and expressing feelings with other AYAs were identified as the most helpful aspects. Participants reported significant improvements in emotional (p < 0.05) and functional (p < 0.01) quality of life from baseline to immediately post‐intervention with medium effect sizes (d = 0.58–0.70).ConclusionsFindings suggest that the intervention is feasible, acceptable, and shows promise for improving psychosocial outcomes for AYAs. Further research will refine the intervention and establish efficacy in a randomized trial.

中文翻译:

青少年癌症在线团体心理治疗干预的可接受性、可行性和初步效果

背景越来越多的人认识到被诊断患有癌症的青少年和年轻人(AYA;年龄 15-29 岁)是具有独特心理社会需求的肿瘤人群。然而,目前针对 AYA 的专门心理社会干预措施还很少。本研究报告了一种新型的基于团体的心理治疗干预措施的开发,以满足 AYA 的社会心理需求。目的是评估干预措施的可接受性、可行性和初步效果。方法手动团体心理治疗计划实际上是由注册心理学家在 8 周的时间内提供的。四组(n= 每组 5–11 个 AYA),总共= 33 名参与者 (中号年龄= 20.97 岁,SD = 3.68,范围 = 15-29 岁,76% 为女性)。招聘和保留数据评估了干预的可行性。在基线和干预后立即测量患者报告的心理社会结果,以评估初步效果。干预后使用参与者满意度的自我报告测量来评估可接受性。结果总体而言,干预的完成率为 85%(n= 28)。所有参与者“强烈同意”(88%)或“同意”(13%)他们对小组感到满意。与其他 AYA 会面、分享经验和表达感受被认为是最有帮助的方面。参与者报告情绪显着改善(p< 0.05) 和功能 (p< 0.01) 从基线到干预后立即的生活质量,中等效果大小(d= 0.58–0.70)。结论研究结果表明,干预措施是可行的、可接受的,并且有望改善 AYA 的心理社会结果。进一步的研究将完善干预措施并在随机试验中确定疗效。
更新日期:2024-03-25
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