Stress Management Program for Scanxiety in People With Advanced Lung Cancer: Intervention Adaptation and Stakeholder Feedback.
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| Title: | Stress Management Program for Scanxiety in People With Advanced Lung Cancer: Intervention Adaptation and Stakeholder Feedback. |
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| Authors: | Derry‐Vick, Heather (AUTHOR), Khoudary, Amanda (AUTHOR), Billini, Osairys (AUTHOR), Prigerson, Holly G. (AUTHOR), Schwartz, Marc D. (AUTHOR), Cohen, Jeffrey (AUTHOR), Griffin, Chance (AUTHOR), Gutierrez, Martin (AUTHOR), Lichtenthal, Wendy G. (AUTHOR), Carter‐Bawa, Lisa (AUTHOR) |
| Source: | Psycho-Oncology. Jan2025, Vol. 34 Issue 1, p1-15. 15p. |
| Subjects: | Stress management, Lung cancer, Psychoeducation, Stakeholder analysis, Therapeutics, Patient participation, User-centered system design, Performance anxiety |
| Abstract: | Background: Although scanxiety is common and impactful for people with advanced lung cancer, few interventions address this psychosocial concern. Aims: To create a stress management program for scanxiety. Methods: We conducted a structured intervention adaptation process guided by the ADAPT‐ITT framework. We tailored materials from an existing evidence‐based program, drafted additional modules, and obtained feedback on initial content. Following content revisions and website prototype development, 21 participants (patients with metastatic lung cancer, n = 8; family members, n = 3; clinicians, n = 10) reviewed the program. Participants rated the program's acceptability (Acceptability of Intervention Measure; AIM), feasibility (Feasibility of Intervention Measure; FIM), appropriateness (Appropriateness of Intervention Measure; IAM), helpfulness (module Likert ratings), and usability (Post‐Study System Usability Questionnaire; PSSUQ), and completed semi‐structured interviews. Results: Data revealed positive impressions of the program. Participants rated the program as acceptable (89%), feasible (89%), and appropriate (95%; proportion with average ratings ≥ 4 out of 5 on AIM, FIM, and IAM respectively). They rated 6 of the 7 modules as helpful, appropriate, and fitting with their experience (77%–100% with Likert ratings ≥ 4 out of 5); the below‐threshold module (Introduction) was revised based on rapid qualitative analysis of interview data. Although 33% needed help to start using the website, its usability was rated highly after use (PSSUQ Mdn = 1.56, IQR = 1.11–1.82). The refined intervention is a largely self‐guided program to enhance stress management skills using psychoeducation, recorded on‐demand exercises, and 3 brief coaching calls. Conclusions: This highly‐rated intervention has the potential to alleviate scanxiety among people with advanced lung cancer. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Although scanxiety is common and impactful for people with advanced lung cancer, few interventions address this psychosocial concern. Aims: To create a stress management program for scanxiety. Methods: We conducted a structured intervention adaptation process guided by the ADAPT‐ITT framework. We tailored materials from an existing evidence‐based program, drafted additional modules, and obtained feedback on initial content. Following content revisions and website prototype development, 21 participants (patients with metastatic lung cancer, n = 8; family members, n = 3; clinicians, n = 10) reviewed the program. Participants rated the program's acceptability (Acceptability of Intervention Measure; AIM), feasibility (Feasibility of Intervention Measure; FIM), appropriateness (Appropriateness of Intervention Measure; IAM), helpfulness (module Likert ratings), and usability (Post‐Study System Usability Questionnaire; PSSUQ), and completed semi‐structured interviews. Results: Data revealed positive impressions of the program. Participants rated the program as acceptable (89%), feasible (89%), and appropriate (95%; proportion with average ratings ≥ 4 out of 5 on AIM, FIM, and IAM respectively). They rated 6 of the 7 modules as helpful, appropriate, and fitting with their experience (77%–100% with Likert ratings ≥ 4 out of 5); the below‐threshold module (Introduction) was revised based on rapid qualitative analysis of interview data. Although 33% needed help to start using the website, its usability was rated highly after use (PSSUQ Mdn = 1.56, IQR = 1.11–1.82). The refined intervention is a largely self‐guided program to enhance stress management skills using psychoeducation, recorded on‐demand exercises, and 3 brief coaching calls. Conclusions: This highly‐rated intervention has the potential to alleviate scanxiety among people with advanced lung cancer. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10579249 |
| DOI: | 10.1002/pon.70048 |
