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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.
- Source :
- Journal of Psychosocial Oncology; 2023, Vol. 41 Issue 5, p539-557, 19p
- Publication Year :
- 2023
-
Abstract
- 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. Two-phase, mixed methods study. HCT patients and healthcare providers. 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. 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. 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. HCT Symptoms and Steps may reduce physical disability and improve health outcomes post-transplant. NCT03859765 [ABSTRACT FROM AUTHOR]
- Subjects :
- PILOT projects
FOCUS groups
RESEARCH methodology
COGNITION
BEHAVIOR disorders
PHYSICAL activity
ABILITY
TRAINING
RANDOMIZED controlled trials
PRE-tests & post-tests
DESCRIPTIVE statistics
RESEARCH funding
HEMATOPOIETIC stem cell transplantation
PSYCHOLOGICAL adaptation
STATISTICAL sampling
FATIGUE (Physiology)
DISEASE management
PSYCHOLOGICAL distress
Subjects
Details
- Language :
- English
- ISSN :
- 07347332
- Volume :
- 41
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Psychosocial Oncology
- Publication Type :
- Academic Journal
- Accession number :
- 171338938
- Full Text :
- https://doi.org/10.1080/07347332.2022.2152519