TY - JOUR AU - Compen, Félix R AU - Bisseling, Else M AU - Schellekens, Melanie PJ AU - Jansen, Ellen TM AU - van der Lee, Marije L AU - Speckens, Anne EM PY - 2017 DA - 2017/12/18 TI -基于正念的癌症患者认知疗法:JO - J Med Internet Res SP - e407 VL - 19 IS - 12 KW -正念KW -心理肿瘤KW -癌症幸存者KW -远程医疗KW -定性研究AB -背景:癌症患者的数量在不断增加，大量患者遭受心理困扰。基于正念的干预(mbi)似乎对减轻心理困扰有效。不幸的是，一些癌症患者发现很难，如果不是不可能，参加一个以小组为基础的课程。基于互联网的MBIs (eMBIs)，如基于互联网的正念认知疗法(eMBCT)可能提供解决方案。然而，目前还没有研究癌症患者在eMBCT过程中经历了什么促进因素和障碍。目的:本研究旨在探讨个体异步治疗师辅助eMBCT的促进因素和障碍，以患者和治疗师的经验。方法:采用eMBCT对患有心理困扰的肿瘤患者进行诊断。这9周的干预反映了基于群体的MBCT协议，包括每周异步书面治疗师反馈。患者被允许访问一个包含eMBCT协议的网站和一个安全的收件箱，他们被要求练习并填写日记，治疗师根据日记提供反馈。 In total, 31 patients participated in an individual posttreatment interview on experienced facilitators and barriers during eMBCT. Moreover, eight therapists were interviewed. The data were analyzed with qualitative content analysis to identify barriers and facilitators in eMBCT. Results: Both patients and therapists mentioned four overarching themes as facilitators and barriers: treatment setting (the individual and Internet-based nature of the treatment), treatment format (how the treatment and its guidance were organized and delivered), role of the therapist, and individual patient characteristics. Conclusions: The eMBCT provided flexibility in when, where, and how patients and therapists engage in MBCT. Future studies should assess how different eMBCT designs could further improve barriers that were found. SN - 1438-8871 UR - //www.mybigtv.com/2017/12/e407/ UR - https://doi.org/10.2196/jmir.7783 UR - http://www.ncbi.nlm.nih.gov/pubmed/29254912 DO - 10.2196/jmir.7783 ID - info:doi/10.2196/jmir.7783 ER -