TY - JOUR AU - Luo, yuyuhui AU - Xia, Wei AU -张，Ankie Tan AU - Ho, Laurie Long Kwan AU - Zhang, Jingping AU - Xie, Jianhui AU - Xiao, Pin AU - Li, Ho张William PY - 2021 DA - 201/11/29 TI -基于移动设备的弹性训练计划在减轻癌症儿童父母抑郁症状和提高弹性和生活质量中的有效性:随机对照试验JO - J Med Internet Res SP - e27639 VL - 23 IS - 11kw -抑郁症状KW -儿童癌症KW -父母KW -生活质量KW -弹性KW -手机AB -背景:照顾患有癌症的儿童对父母来说可能是一种紧张的经历，可能对他们的身体和心理健康有负面影响。尽管有证据表明，恢复力与积极的心理健康有关，但很少有专门设计的干预措施来增强癌症儿童父母的恢复力。目的:本研究的目的是检查基于移动设备的弹性训练计划在减少癌症儿童父母的抑郁症状和提高弹性和生活质量(QoL)方面的有效性。方法:从中国3家三级医院的儿科肿瘤病房招募被诊断患有癌症儿童的父母。参与者被随机分配到实验组(52/ 103,50.5%)接受为期8周的基于移动设备的弹性训练计划，或分配到对照组(51/ 103,49.5%)接受为期8周的安慰剂信息计划。研究结果包括弹性、抑郁症状和生活质量，分别由康纳-戴维森弹性量表、抑郁自评量表和六维健康调查简写表衡量。所有数据均在基线、随访2个月和6个月时收集。数据分析遵循意向治疗原则。采用广义估计方程来检验干预的效果。 Results: The participants were mostly female (72/103, 69.9%), and their mean age was 33.6 (SD 5.2) years. The participants in the experimental group showed significantly higher levels of resilience (mean 67.96, SD 15.8 vs mean 58.27, SD 19.0; P<.001) and lower levels of depressive symptoms (mean 40.17, SD 9.9 vs mean 46.04, SD 10.9; P<.001) than those in the control group at 6 months of follow-up. The intervention showed statistically significant effects in improving resilience (β=6.082; P=.01) and decreasing depressive symptoms (β=−2.772; P=.04) relative to the control group. The QoL score in the experimental group was higher than that in the control group at 6 months of follow-up (mean 0.79, SD 0.2 vs mean 0.76, SD 0.3; P=.07); however, no statistically significant intervention effect was detected (β=.020; P=.38). Conclusions: The mobile device–based resilience training program effectively enhanced resilience and alleviated depressive symptoms in parents of children with cancer. It is highly recommended that health care professionals incorporate this resilience training program when providing psychological care to parents of children with cancer. Trial Registration: Clinical.Trials.gov NCT04038242; http://clinicaltrials.gov/ct2/show/NCT04038242 SN - 1438-8871 UR - //www.mybigtv.com/2021/11/e27639 UR - https://doi.org/10.2196/27639 UR - http://www.ncbi.nlm.nih.gov/pubmed/34847060 DO - 10.2196/27639 ID - info:doi/10.2196/27639 ER -