Promoting Resilience in Stress Management: A Pilot Study of a Novel Resilience-Promoting Intervention for Adolescents and Young Adults With Serious Illness

Abby R Rosenberg, Joyce P Yi-Frazier, Lauren Eaton, Claire Wharton, Katherine Cochrane, Catherine Pihoker, K Scott Baker, Elizabeth McCauley, Abby R Rosenberg, Joyce P Yi-Frazier, Lauren Eaton, Claire Wharton, Katherine Cochrane, Catherine Pihoker, K Scott Baker, Elizabeth McCauley

Abstract

Objective: To examine the feasibility and format of the Promoting Resilience in Stress Management (PRISM) intervention among two groups of adolescents and young adults (AYAs) at-risk for poor outcomes: those with Type 1 diabetes (T1D) or cancer.

Methods: PRISM consists of two long or four short skills-based modules. English-speaking patients 12-25 years old were eligible if they had T1D for >6 months or cancer for >2 weeks. Feasibility was defined as an 80% completion rate and high satisfaction. Ongoing monitoring shaped iterative refinement of disease-specific approach.

Results: 12 of 15 patients with T1D (80%) completed the two-session intervention. 3 of 15 patients with cancer declined to complete the two-session version, citing prohibitive length of individual sessions. 12 (80%) completed the four-session version. Patient-reported satisfaction was high across groups.

Conclusions: The PRISM intervention is feasible and well-accepted by AYAs with cancer or T1D. Differences in patient populations warrant differences in approach.

Keywords: AYA; adolescent young adult; cancer; coping; diabetes; health outcomes; intervention; psychosocial outcomes; resilience.

© The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Source: PubMed

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