开发和评估自我护理智能手机应用程序对接受治疗的新诊断乳腺癌患者的自我效能和恢复力的有效性
2022年10月10日 更新者：Hsin-Tien Hsu、Kaohsiung Medical University Chung-Ho Memorial Hospital
本研究旨在开发和评估乳腺癌自我护理应用程序在接受化疗的新诊断乳腺癌患者中的自我效能和恢复力。
研究概览
详细说明
本研究旨在开发和评估乳腺癌自我护理应用程序在接受化疗的新诊断乳腺癌患者中的自我效能和恢复力。
在本研究的第一阶段，通过对患者进行访谈来开发乳腺癌自我护理应用程序的原型。
在第二阶段，一项实验性的两组前测后测定量研究设计旨在评估乳腺癌自我护理应用程序在接受化疗的新诊断乳腺癌患者中的自我效能和恢复力。
患者被随机分配到实验组和对照组。
对照组患者接受一般常规护理，实验组患者接受一般常规护理加 Breast Cancer Self-Care App 干预。
两组在测试前和四个星期后都完成了基本的人口统计、自我效能和复原力问卷调查。
研究类型
介入性
注册 (实际的)
73
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
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Kaohsiung、台湾、807
- Kaohsiung Medical University
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
20年 至 65年 (成人、OLDER_ADULT)
接受健康志愿者
不
有资格学习的性别
全部
描述
纳入标准：
- 意识清醒，20岁以上，能用国语和台语沟通
- 诊断为乳腺癌 I-III 期
- 接受第一次化疗
- 有智能手机
- 接受治疗：EC/ EC+T/LC/LC+T E: (Epirubicin)、C: (Cyclophosphamide)、L: (Lipo-Dox)、T: (Taxotere)
排除标准：
- DSM-V 精神病患者
- IOS系统智能手机
- 65岁以上
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：其他
- 分配：随机化
- 介入模型：平行线
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：一般常规护理和乳腺癌自我护理应用程序
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乳腺癌自我护理App包括几个部分——乳腺癌介绍、治疗类型、副作用护理、营养、放松视频、保险、医学新闻和记录副作用等。
研究者协助在患者手机上安装App，进入个人账户，让患者填写问卷。
患者每周根据化疗药物的种类在乳腺癌自理APP中进行个体化健康教育任务。
四个星期后，他们再次填写问卷。
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NO_INTERVENTION：一般常规护理
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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自我效能感
大体时间：4周
|
使用人们用来促进健康的策略 (SUPPH) 衡量自我保健的自我效能。
共有 29 个项目的量表测量自我照顾自我效能。
以下每项有 3 个子量表：减轻压力（10 项，5-50 分），做出决定（3 项，3-15 分），积极态度（16 项，16-80 分）。
量表总分范围为29-145。
它表明，自理自我效能随着量表总分的增加而增加。
|
4周
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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弹力
大体时间：4周
|
使用弹性量表 14 个项目 (RS-14) 衡量个人弹性。
该量表共有 14 个项目，用于衡量弹性。
量表总分范围为14-98分。
它表明，弹性随着量表总分的增加而增加。
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4周
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993 Winter;1(2):165-78.
- Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 Mar;84(2):191-215. doi: 10.1037//0033-295x.84.2.191. No abstract available.
- Hou IC, Lin HY, Shen SH, Chang KJ, Tai HC, Tsai AJ, Dykes PC. Quality of Life of Women After a First Diagnosis of Breast Cancer Using a Self-Management Support mHealth App in Taiwan: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020 Mar 4;8(3):e17084. doi: 10.2196/17084.
- Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113.
- Aizpurua-Perez I, Perez-Tejada J. Resilience in women with breast cancer: A systematic review. Eur J Oncol Nurs. 2020 Dec;49:101854. doi: 10.1016/j.ejon.2020.101854. Epub 2020 Oct 10.
- Ajčević, M., Dea, F. D., Barbieri, G., & Accardo, A. (2019). A mobile app for the self-management of type 1 diabetes as tool for preventing of exercise-associated glycemic imbalances. World Congress on Medical Physics and Biomedical Engineering 475-479. https://doi.org/10.1007/978-981-10-9035-6_88
- Akin S, Can G, Durna Z, Aydiner A. The quality of life and self-efficacy of Turkish breast cancer patients undergoing chemotherapy. Eur J Oncol Nurs. 2008 Dec;12(5):449-56. doi: 10.1016/j.ejon.2008.07.006. Epub 2008 Oct 7.
- Akin S, Kas Guner C. Investigation of the relationship among fatigue, self-efficacy and quality of life during chemotherapy in patients with breast, lung or gastrointestinal cancer. Eur J Cancer Care (Engl). 2019 Jan;28(1):e12898. doi: 10.1111/ecc.12898. Epub 2018 Jul 24.
- Aungst TD, Clauson KA, Misra S, Lewis TL, Husain I. How to identify, assess and utilise mobile medical applications in clinical practice. Int J Clin Pract. 2014 Feb;68(2):155-62. doi: 10.1111/ijcp.12375.
- Awan A, Esfahani K. Endocrine therapy for breast cancer in the primary care setting. Curr Oncol. 2018 Aug;25(4):285-291. doi: 10.3747/co.25.4139. Epub 2018 Aug 14.
- Ayyoubzadeh SM, Shirkhoda M, R Niakan Kalhori S, Mohammadzadeh N, Zakerabasali S. A Smartphone Remote Monitoring App to Follow Up Colorectal Cancer Survivors: Requirement Analysis. JMIR Cancer. 2022 Jan 5;8(1):e18083. doi: 10.2196/18083.
- Bandura, A. (1982). Self-efficacy mechanism in human agency. American psychologist, 37(2), 122. https://doi.org/10.1037/0003-066X.37.2.122
- Bandura, A. (1986). The explanatory and predictive scope of self-efficacy theory. Journal of Social and Clinical Psychology, 4(3), 359-373. https://doi.org/10.1521/jscp.1986.4.3.359
- Bandura, A. (2010). Self-efficacy the corsini encyclopedia of psychology. John Wiley & Sons, 10, 1-3. https://doi.org/10.1002/9780470479216.corpsy0836
- Bandura, A., Freeman, W., & Lightsey, R. (1999). Self-efficacy: The exercise of control. 15-17. https://doi.org/10.1007/BF02352723
- Baumel A, Torous J, Edan S, Kane JM. There is a non-evidence-based app for that: A systematic review and mixed methods analysis of depression- and anxiety-related apps that incorporate unrecognized techniques. J Affect Disord. 2020 Aug 1;273:410-421. doi: 10.1016/j.jad.2020.05.011. Epub 2020 May 11.
- Britton WB. Can mindfulness be too much of a good thing? The value of a middle way. Curr Opin Psychol. 2019 Aug;28:159-165. doi: 10.1016/j.copsyc.2018.12.011. Epub 2019 Jan 7.
- Buneviciene I, Mekary RA, Smith TR, Onnela JP, Bunevicius A. Can mHealth interventions improve quality of life of cancer patients? A systematic review and meta-analysis. Crit Rev Oncol Hematol. 2021 Jan;157:103123. doi: 10.1016/j.critrevonc.2020.103123. Epub 2020 Oct 20.
- Cai T, Huang Y, Zhang Y, Lu Z, Huang Q, Yuan C. Mobile health applications for the care of patients with breast cancer: A scoping review. Int J Nurs Sci. 2021 Aug 25;8(4):470-476. doi: 10.1016/j.ijnss.2021.07.003. eCollection 2021 Oct 10.
- Callaghan DM. Health-promoting self-care behaviors, self-care self-efficacy, and self-care agency. Nurs Sci Q. 2003 Jul;16(3):247-54. doi: 10.1177/0894318403016003016.
- Chen YC, Huang HM, Kao CC, Sun CK, Chiang CY, Sun FK. The Psychological Process of Breast Cancer Patients Receiving Initial Chemotherapy: Rising From the Ashes. Cancer Nurs. 2016 Nov/Dec;39(6):E36-E44. doi: 10.1097/NCC.0000000000000331.
- Chen HL, Liu K, You QS. Self-efficacy, cancer-related fatigue, and quality of life in patients with resected lung cancer. Eur J Cancer Care (Engl). 2018 Nov;27(6):e12934. doi: 10.1111/ecc.12934. Epub 2018 Sep 25.
- Chirico A, Lucidi F, Merluzzi T, Alivernini F, Laurentiis M, Botti G, Giordano A. A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget. 2017 May 30;8(22):36800-36811. doi: 10.18632/oncotarget.15758.
- Chou YH, Chia-Rong Hsieh V, Chen X, Huang TY, Shieh SH. Unmet supportive care needs of survival patients with breast cancer in different cancer stages and treatment phases. Taiwan J Obstet Gynecol. 2020 Mar;59(2):231-236. doi: 10.1016/j.tjog.2020.01.010.
- Civilotti C, Acquadro Maran D, Santagata F, Varetto A, Stanizzo MR. The use of the Distress Thermometer and the Hospital Anxiety and Depression Scale for screening of anxiety and depression in Italian women newly diagnosed with breast cancer. Support Care Cancer. 2020 Oct;28(10):4997-5004. doi: 10.1007/s00520-020-05343-x. Epub 2020 Feb 8.
- Daly RM, Gianoudis J, Hall T, Mundell NL, Maddison R. Feasibility, Usability, and Enjoyment of a Home-Based Exercise Program Delivered via an Exercise App for Musculoskeletal Health in Community-Dwelling Older Adults: Short-term Prospective Pilot Study. JMIR Mhealth Uhealth. 2021 Jan 13;9(1):e21094. doi: 10.2196/21094.
- Deng G. Integrative Medicine Therapies for Pain Management in Cancer Patients. Cancer J. 2019 Sep/Oct;25(5):343-348. doi: 10.1097/PPO.0000000000000399.
- Eberle C, Lohnert M, Stichling S. Effectiveness of Disease-Specific mHealth Apps in Patients With Diabetes Mellitus: Scoping Review. JMIR Mhealth Uhealth. 2021 Feb 15;9(2):e23477. doi: 10.2196/23477.
- Eller LS, Lev EL, Yuan C, Watkins AV. Describing Self-Care Self-Efficacy: Definition, Measurement, Outcomes, and Implications. Int J Nurs Knowl. 2018 Jan;29(1):38-48. doi: 10.1111/2047-3095.12143. Epub 2016 May 31.
- Fanchiang YC, Yen YH, Chen SW. [Using Nursing Digital Technology to Reduce the Rates of Catheter-Associated and Non-Catheter-Associated Urinary Tract Infection]. Hu Li Za Zhi. 2019 Apr;66(2):77-84. doi: 10.6224/JN.201904_66(2).10. Chinese.
- Fang SY, Wang YL, Lu WH, Lee KT, Kuo YL, Fetzer SJ. Long-term effectiveness of an E-based survivorship care plan for breast cancer survivors: A quasi-experimental study. Patient Educ Couns. 2020 Mar;103(3):549-555. doi: 10.1016/j.pec.2019.09.012. Epub 2019 Sep 12.
- Fini, I. A., Adib-Hajbaghery, M., & Khachian, A. (2011). The effect of health-promotion strategies education on self-care self-efficacy in patients with bone marrow transplantation. Iranian Journal of Critical Care Nursing, 4(3), 42-44. https://doi.org/10.1038/bmt.2008.113
- Fisusi FA, Akala EO. Drug Combinations in Breast Cancer Therapy. Pharm Nanotechnol. 2019;7(1):3-23. doi: 10.2174/2211738507666190122111224.
- Gagnon MP, Ngangue P, Payne-Gagnon J, Desmartis M. m-Health adoption by healthcare professionals: a systematic review. J Am Med Inform Assoc. 2016 Jan;23(1):212-20. doi: 10.1093/jamia/ocv052. Epub 2015 Jun 15.
- Garcia-Dia MJ, DiNapoli JM, Garcia-Ona L, Jakubowski R, O'Flaherty D. Concept analysis: resilience. Arch Psychiatr Nurs. 2013 Dec;27(6):264-70. doi: 10.1016/j.apnu.2013.07.003. Epub 2013 Sep 24.
- Giuliano AE, Edge SB, Hortobagyi GN. Eighth Edition of the AJCC Cancer Staging Manual: Breast Cancer. Ann Surg Oncol. 2018 Jul;25(7):1783-1785. doi: 10.1245/s10434-018-6486-6. Epub 2018 Apr 18. No abstract available.
- Godfrey CM, Harrison MB, Lysaght R, Lamb M, Graham ID, Oakley P. Care of self - care by other - care of other: the meaning of self-care from research, practice, policy and industry perspectives. Int J Evid Based Healthc. 2011 Mar;9(1):3-24. doi: 10.1111/j.1744-1609.2010.00196.x.
- Habibullah G, Gul R, Cassum S, Elahi R. Experiences of the Breast Cancer Patients Undergoing Radiotherapy at a Public Hospital Peshawar Pakistan. Asia Pac J Oncol Nurs. 2018 Apr-Jun;5(2):184-194. doi: 10.4103/apjon.apjon_70_17.
- Harrison, R., Flood, D., & Duce, D. (2013). Usability of mobile applications: literature review and rationale for a new usability model. Journal of Interaction Science, 1(1), 1-16. https://doi.org/10.1186/2194-0827-1-1
- Inan FS, Gunusen NP, Ustun B. Experiences of Newly Diagnosed Breast Cancer Patients in Turkey. J Transcult Nurs. 2016 May;27(3):262-9. doi: 10.1177/1043659614550488. Epub 2014 Sep 15.
- Jongerius C, Russo S, Mazzocco K, Pravettoni G. Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review. JMIR Mhealth Uhealth. 2019 Feb 11;7(2):e10930. doi: 10.2196/10930.
- Kewan T, Alomari M, Khazaaleh S, Covut F, Olayan M. Hand-foot Syndrome Secondary to Low-dose Docetaxel in a Breast Cancer Patient. Cureus. 2019 Apr 6;11(4):e4400. doi: 10.7759/cureus.4400.
- Konaszewski, K., Kolemba, M., & Niesiobędzka, M. (2021). Resilience, sense of coherence and self-efficacy as predictors of stress coping style among university students. Current Psychology, 40(8), 4052-4062. https://doi.org/10.1007/s12144-019-00363-1
- Latifi M, Alishan Karami N, Beiraghdar M, Maraki F, Allahbakhshian Farsani L. Impact of Health Information Prescription on Self-care of Women with Breast Cancer. Adv Biomed Res. 2018 Oct 31;7:139. doi: 10.4103/abr.abr_142_18. eCollection 2018.
- Lee TY, Hsing SC, Li CC. An Improved Stress-Scale Specifically Designed to Measure Stress of Women with Newly Diagnosed Breast Cancer. Int J Environ Res Public Health. 2021 Feb 27;18(5):2346. doi: 10.3390/ijerph18052346.
- Lin PJ, Fang SY, Kuo YL. Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery. J Cancer Educ. 2021 Feb;36(1):160-167. doi: 10.1007/s13187-019-01612-4.
- Lozano-Lozano M, Galiano-Castillo N, Martin-Martin L, Pace-Bedetti N, Fernandez-Lao C, Arroyo-Morales M, Cantarero-Villanueva I. Monitoring Energy Balance in Breast Cancer Survivors Using a Mobile App: Reliability Study. JMIR Mhealth Uhealth. 2018 Mar 27;6(3):e67. doi: 10.2196/mhealth.9669.
- Meric-Bernstam F, Johnson AM, Dumbrava EEI, Raghav K, Balaji K, Bhatt M, Murthy RK, Rodon J, Piha-Paul SA. Advances in HER2-Targeted Therapy: Novel Agents and Opportunities Beyond Breast and Gastric Cancer. Clin Cancer Res. 2019 Apr 1;25(7):2033-2041. doi: 10.1158/1078-0432.CCR-18-2275. Epub 2018 Nov 15.
- Messner, E.-M., Probst, T., O'Rourke, T., Stoyanov, S., & Baumeister, H. (2019). mHealth applications: potentials, limitations, current quality and future directions. In Digital Phenotyping and Mobile Sensing (pp. 235-248). Springer. https://doi.org/10.1007/978-3-030-31620-4_15
- Moszeik, E. N., von Oertzen, T., & Renner, K.-H. (2020). Effectiveness of a short Yoga Nidra meditation on stress, sleep, and well-being in a large and diverse sample. Current Psychology, 1-15. https://link.springer.com/article/10.1007/s12144-020-01042-2
- Omran S, Mcmillan S. Symptom Severity, Anxiety, Depression, Self- Efficacy and Quality of Life in Patients with Cancer. Asian Pac J Cancer Prev. 2018 Feb 26;19(2):365-374. doi: 10.22034/APJCP.2018.19.2.365.
- Osborn J, Ajakaiye A, Cooksley T, Subbe CP. Do mHealth applications improve clinical outcomes of patients with cancer? A critical appraisal of the peer-reviewed literature. Support Care Cancer. 2020 Mar;28(3):1469-1479. doi: 10.1007/s00520-019-04945-4. Epub 2019 Jul 4.
- Pez M, Keller A, Welzel G, Abo-Madyan Y, Ehmann M, Tuschy B, Berlit S, Sutterlin M, Wenz F, Giordano FA, Sperk E. Long-term outcome after intraoperative radiotherapy as a boost in breast cancer. Strahlenther Onkol. 2020 Apr;196(4):349-355. doi: 10.1007/s00066-019-01525-7. Epub 2019 Oct 22.
- Riegel B, Jaarsma T, Stromberg A. A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci. 2012 Jul-Sep;35(3):194-204. doi: 10.1097/ANS.0b013e318261b1ba.
- Sheu, H.-B., Lent, R. W., Miller, M. J., Penn, L. T., Cusick, M. E., & Truong, N. N. (2018). Sources of self-efficacy and outcome expectations in science, technology, engineering, and mathematics domains: A meta-analysis. Journal of Vocational Behavior, 109, 118-136. https://doi.org/10.1016/j.jvb.2018.10.003
- Sisto A, Vicinanza F, Campanozzi LL, Ricci G, Tartaglini D, Tambone V. Towards a Transversal Definition of Psychological Resilience: A Literature Review. Medicina (Kaunas). 2019 Nov 16;55(11):745. doi: 10.3390/medicina55110745.
- Sohrabei, S., & Atashi, A. (2021). The impact of mobile health on breast cancer patient's life and treatment: A systematic review. Frontiers in Health Informatics, 10(1), 88. https://doi.org/10.30699/fhi.v10i1.295
- Tan WS, Beatty L, Koczwara B. Do cancer patients use the term resilience? A systematic review of qualitative studies. Support Care Cancer. 2019 Jan;27(1):43-56. doi: 10.1007/s00520-018-4456-y. Epub 2018 Sep 12.
- van Seijen M, Lips EH, Thompson AM, Nik-Zainal S, Futreal A, Hwang ES, Verschuur E, Lane J, Jonkers J, Rea DW, Wesseling J; PRECISION team. Ductal carcinoma in situ: to treat or not to treat, that is the question. Br J Cancer. 2019 Aug;121(4):285-292. doi: 10.1038/s41416-019-0478-6. Epub 2019 Jul 9.
- Wang Z, Cheng Y, Li J, Hu X. Effect of integrated medical and nursing intervention model on quality of life and unhealthy emotion of patients with esophageal cancer undergoing radiotherapy. Am J Transl Res. 2021 Apr 15;13(4):3780-3786. eCollection 2021.
- Wang Z, Yin G, Jia R. Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy. Complement Ther Med. 2019 Apr;43:165-169. doi: 10.1016/j.ctim.2019.01.027. Epub 2019 Feb 1.
- Xu, Y. F., Xu, X. F., Song, K., Qiu, C., Zhang, X., & DI LI NU ER-RE, H. (2021). Effects of Extended Care Based on the WeChat Platform on Self-Efficacy and Quality of Life of Postoperative Breast Cancer Patients. Indian Journal of Pharmaceutical Sciences, 23-30. https://doi.org/10.36468/pharmaceutical-sciences.spl.165
- Zhou K, Li J, Li X. Effects of cyclic adjustment training delivered via a mobile device on psychological resilience, depression, and anxiety in Chinese post-surgical breast cancer patients. Breast Cancer Res Treat. 2019 Nov;178(1):95-103. doi: 10.1007/s10549-019-05368-9. Epub 2019 Jul 24.
- Zhu J, Ebert L, Liu X, Wei D, Chan SW. Mobile Breast Cancer e-Support Program for Chinese Women With Breast Cancer Undergoing Chemotherapy (Part 2): Multicenter Randomized Controlled Trial. JMIR Mhealth Uhealth. 2018 Apr 30;6(4):e104. doi: 10.2196/mhealth.9438.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2020年9月18日
初级完成 (实际的)
2022年8月15日
研究完成 (实际的)
2022年8月15日
研究注册日期
首次提交
2022年9月26日
首先提交符合 QC 标准的
2022年10月10日
首次发布 (实际的)
2022年10月12日
研究记录更新
最后更新发布 (实际的)
2022年10月12日
上次提交的符合 QC 标准的更新
2022年10月10日
最后验证
2022年10月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.