Acceptance-based Intervention at Colorectal Cancer Patients (ABICOL)
Impact of Perioperative Acceptance-based Intervention on Early Psychological and Fanctional Recovery of Colorectal Cancer Patients
연구 개요
상세 설명
Introduction: Uncertainty, fears and anxiety are common reactions to an upcoming colectomy for colorectal cancer patients and are related not only to cancer disease, but also to the inevitable change in colon anatomy, affecting their preoperative psychological and functional condition and their postsurgical recovery.
Purpose: We aim to evaluate the psychological and functional recovery of colorectal cancer patients, who undergo colectomy, after an acceptance-based nursing intervention. The scope of this brief preoperative intervention is to enable patients to cope more efficiently with the upcoming surgery and their health status, as it is expected to reduce anxiety and have positive effect on postsurgical psychological and functional recovery.
Methods: The study includes histologically diagnosed patients with colorectal cancer, regardless of stage, who are scheduled to undergo colectomy. Patients will be divided into two groups-the experimental and the control group-by simple randomization. Both groups are going to complete a set of same questionnaires regarding quality of life, sleep, anxiety, depression and functional status. Patients in the control arm will then receive treatment-as-usual while patients in the experimental arm will also receive an acceptance-based intervention before surgery. Postoperatively, for both groups, apart from the self-reported symptoms, we will assess objective recovery factors, such as postoperative complications
연구 유형
등록 (예상)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Athens, 그리스, 11528
- 모병
- NKUAthens
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연락하다:
- George Theodoropoulos
- 전화번호: 6945463593
- 이메일: georgetheocrs@live.com
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Patients with histologically proven colorectal adenocarcinoma
- Age > 18 years
Exclusion Criteria:
- Metastasis at time of diagnosis
- Recurrence at time of diagnosis
- History of other malignancies
- Mental retardation
- Deafness
- Illiteracy
- ASA score>3
- Poor performance status
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: ABICOL
24 hours prior to surgery the patients undergo acceptance-based intervention, incorporating questions about their subjective perception about the surgery, the domains of their lives that have been affected, and on their own expectations from surgery and its effects on their lives.
They will be asked to express their fears and worries about their condition and they will be discussed about the likelihood of experiencing postoperative pain.
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24 hours prior to surgery the patients undergo acceptance-based intervention, incorporating questions about their subjective perception about the surgery, the domains of their lives that have been affected, and on their own expectations from surgery and its effects on their lives.
They will be asked to express their fears and worries about their condition and they will be discussed about the likelihood of experiencing postoperative pain.
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간섭 없음: CONTROL
No acceptance-based intervention or other discussion related to the patients' fears and worries will be applied.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Postoperative pain as measured by VAS score
기간: Third postoperative day
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A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured.
The pain VAS is a unidimensional measure of pain intensity, which has been widely used in diverse adult populations.The most simple VAS is a straight horizontal line of fixed length, usually 100 mm.
The ends are defined as the extreme limits of the parameter to be measured orientated from the left (worst) to the right (best).
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Third postoperative day
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Functional status as measured by "Maintain Function" Scale (MFS)
기간: Third postoperative day
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"Maintain function" scale is a validated 5-item summative.
Each item begins with the stem, "How confidant are you that you know or can," and assesses an aspect of daily life-function, such as work and social activities.
The responses are a 5-level Likert scale from 0 = "not at all confident" to 4 = "completely confident."
We did not include a "not applicable" response option.
The self-efficacy scores range between 0 and 20, with a higher score indicating better self-efficacy to maintain function.
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Third postoperative day
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Anxiety and depression measured by Brief Illness Perception Questionnaire (Brief IPQ)
기간: Third postoperative day
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The Brief Illness Perception Questionnaire (Brief IPQ) is a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness.
The Brief IPQ uses a single-item scale approach to assess perception on a 0-10 response scale.
The Brief IBQ comprises 5 items on cognitive representation of illness perception: consequences, timeline, personal control, treatment control, and identity.
There are 2 items on emotional representation: concern and emotions.
One item is on illness comprehensibility.
The last item is on perceived cause of illness, in which respondents list the three most important causal factors in their illness.
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Third postoperative day
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Anxiety and depression measured by State-Trait Anxiety (STAI) questionnaire
기간: Third postoperative day
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The State-Trait Anxiety Inventory (STAI) is a psychological inventory based on a 4-point Likert scale and consists of 40 questions on a self-report basis.
The STAI measures two types of anxiety - state anxiety, or anxiety about an event, and trait anxiety, or anxiety level as a personal characteristic.
Higher scores are positively correlated with higher levels of anxiety.
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Third postoperative day
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공동 작업자 및 조사자
수사관
- 수석 연구원: George E Theodoropoulos, Associate Professor of Surgery
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- IRB6/26-2-2019
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
IPD 공유 기간
IPD 공유 액세스 기준
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- ICF
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