期刊
CANCER MEDICINE
卷 12, 期 5, 页码 6225-6243出版社
WILEY
DOI: 10.1002/cam4.5377
关键词
anxiety; cancer; cognitive behavioral therapy; depression; internet-based intervention; parents
类别
This study examined the feasibility and acceptability of internet-administered, guided, low-intensity cognitive behavioral therapy-based self-help intervention for parents of children treated for cancer. The findings suggest that this intervention is feasible and acceptable for these parents.
BackgroundParents of children treated for cancer may experience mental health difficulties, such as depression and anxiety. There is a lack of evidence-based psychological interventions for parents, with psychological support needs unmet. An internet-administered, guided, low-intensity cognitive behavioral therapy-based (LICBT) self-help intervention may provide a solution. MethodsThe feasibility and acceptability of such an intervention was examined using a single-arm feasibility trial (ENGAGE). Primary objectives examined: (1) estimates of recruitment and retention rates; (2) feasibility and acceptability of data collection instruments and procedures; and (3) intervention feasibility and acceptability. Clinical outcomes were collected at baseline, post-treatment (12 weeks), and follow-up (6 months). ResultsThe following progression criteria were met: sample size was exceeded within 5 months, with 11.0% enrolled of total population invited, study dropout rate was 24.0%, intervention dropout was 23.6%, missing data remained at <= 10% per measure, and no substantial negative consequences related to participation were reported. Intervention adherence was slightly lower than progression criteria (47.9%). ConclusionFindings suggest an internet-administered, guided, LICBT self-help intervention may represent a feasible and acceptable solution for parents of children treated for cancer. With minor study protocol and intervention modifications, progression to a pilot randomized controlled trial (RCT) and subsequent superiority RCT is warranted.
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