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Hybrid-delivered cognitive behavioral symptom management and activity coaching intervention for patients undergoing hematopoietic stem cell transplant: Findings from intervention development and a pilot randomized trial.

Publication ,  Journal Article
Kelleher, SA; Fisher, HM; Hyland, K; Miller, SN; Amaden, G; Diachina, A; Pittman, AS; Winger, JG; Sung, A; Berchuck, S; Samsa, G; Somers, TJ
Published in: J Psychosoc Oncol
2023

OBJECTIVE: Develop and pilot test a mobile health (mHealth) cognitive behavioral coping skills training and activity coaching protocol (HCT Symptoms and Steps) for hematopoietic stem cell transplant (HCT) patients. DESIGN: Two-phase, mixed methods study. SAMPLE: HCT patients and healthcare providers. METHODS: Phase I was patient (n = 5) and provider (n = 1) focus groups and user testing (N = 5) to develop the HCT Symptoms and Steps protocol. Phase II was a pilot randomized trial (N = 40) to evaluate feasibility, acceptability, and pre-to-post outcomes (e.g., physical disability, pain, fatigue, distress, physical activity, symptom self-efficacy) compared to an education control. FINDINGS: Qualitative feedback on symptoms, recruitment strategies, coping skills, and mHealth components (e.g., Fitbit, mobile app) were integrated into the protocol. HCT Symptoms and Steps were feasible and acceptable. Pre-post changes suggest physical disability and activity improved while symptoms (e.g., fatigue, distress) decreased. CONCLUSIONS: HCT Symptoms and Steps have strong feasibility and acceptability and shows promise for benefits. Larger, fully-powered randomized trials are needed to examine intervention efficacy. IMPLICATIONS: HCT Symptoms and Steps may reduce physical disability and improve health outcomes post-transplant. CLINICAL TRIAL REGISTRATION NUMBER: NCT03859765.

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Published In

J Psychosoc Oncol

DOI

EISSN

1540-7586

Publication Date

2023

Volume

41

Issue

5

Start / End Page

539 / 557

Location

United States

Related Subject Headings

  • Pilot Projects
  • Oncology & Carcinogenesis
  • Mentoring
  • Humans
  • Hematopoietic Stem Cell Transplantation
  • Fatigue
  • Depression
  • Cognition
  • 5203 Clinical and health psychology
  • 1701 Psychology
 

Citation

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ICMJE
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Kelleher, S. A., Fisher, H. M., Hyland, K., Miller, S. N., Amaden, G., Diachina, A., … Somers, T. J. (2023). Hybrid-delivered cognitive behavioral symptom management and activity coaching intervention for patients undergoing hematopoietic stem cell transplant: Findings from intervention development and a pilot randomized trial. J Psychosoc Oncol, 41(5), 539–557. https://doi.org/10.1080/07347332.2022.2152519
Kelleher, Sarah A., Hannah M. Fisher, Kelly Hyland, Shannon N. Miller, Grace Amaden, Allison Diachina, Alyssa S. Pittman, et al. “Hybrid-delivered cognitive behavioral symptom management and activity coaching intervention for patients undergoing hematopoietic stem cell transplant: Findings from intervention development and a pilot randomized trial.J Psychosoc Oncol 41, no. 5 (2023): 539–57. https://doi.org/10.1080/07347332.2022.2152519.
Kelleher SA, Fisher HM, Hyland K, Miller SN, Amaden G, Diachina A, Pittman AS, Winger JG, Sung A, Berchuck S, Samsa G, Somers TJ. Hybrid-delivered cognitive behavioral symptom management and activity coaching intervention for patients undergoing hematopoietic stem cell transplant: Findings from intervention development and a pilot randomized trial. J Psychosoc Oncol. 2023;41(5):539–557.

Published In

J Psychosoc Oncol

DOI

EISSN

1540-7586

Publication Date

2023

Volume

41

Issue

5

Start / End Page

539 / 557

Location

United States

Related Subject Headings

  • Pilot Projects
  • Oncology & Carcinogenesis
  • Mentoring
  • Humans
  • Hematopoietic Stem Cell Transplantation
  • Fatigue
  • Depression
  • Cognition
  • 5203 Clinical and health psychology
  • 1701 Psychology