期刊
PSYCHO-ONCOLOGY
卷 28, 期 2, 页码 284-292出版社
WILEY
DOI: 10.1002/pon.4938
关键词
adolescent; feasibility; cancer; psychological interventions; oncology; online videoconferencing; survivorship; young adult
资金
- Cancer Australia [1022868]
- Cancer Council NSW [PG16-02]
- Cancer Institute NSW [11/ECF/3-43, 14/ECF/1-11]
- Kids Cancer Alliance [PG16-02]
- Kids with Cancer Foundation
- National Health and Medical Research Council [APP1111800, APP1143767]
- Cancer Institute of New South Wales [14/ECF/1-11]
- beyond blue [1022868]
ObjectiveOnline psychological therapies provide a way to connect adolescent and young adult (AYA) cancer survivors to evidence-based support. We aimed to establish the feasibility, acceptability, and safety of Recapture life, a six-session group-based online cognitive-behavioural intervention, led by a facilitator, for AYAs in the early post-treatment period. MethodsA randomised-controlled trial compared Recapture Life to an online peer-support group control and a waitlist control. Participants could nominate a support person. Acceptability was assessed using study opt-in and retention rates, participant-reported benefits/burdens of participation, and group facilitator burden. We also assessed the feasibility (eg, frequency/impact of technological difficulties) and psychological safety (ie, occurrence of clinically concerning distress) of the program. ResultsSixty-one participants took part (45 AYAs, 51.1% female; 19 support people). The opt-in rate was 30%, the enrolment rate was 87%, and 75% of participants took part in 5/6 sessions. AYAs reported high benefit and low burden of participation. Overall, 95 online group sessions were conducted; few required rescheduling by group facilitators (3%), but many took place outside of office hours (90hours). It took 40days on average to create online groups, but established weekly sessions commenced quickly (M=4.0minutes). Technological difficulties were common but had a low impact on intervention delivery. Although 54% of AYAs returned a clinically concerning distress screen at some point, none reflected acute mental health risks. ConclusionsThe data largely indicate that Recapture Life is an acceptable, feasible, and safe model of evidence-based psychological support for AYAs during early survivorship, which nevertheless experienced common challenges in online/AYA intervention delivery.
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