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首页> 外文期刊>Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer >A psychological intervention ( ConquerFear ConquerFear ) for treating fear of cancer recurrence: Views of study therapists regarding sustainability
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A psychological intervention ( ConquerFear ConquerFear ) for treating fear of cancer recurrence: Views of study therapists regarding sustainability

机译：心理干预（征服恐惧征服恐惧）治疗癌症复发的恐惧：关于可持续性的研究治疗师的观点

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Abstract Objective ConquerFear is a metacognitive intervention for fear of cancer recurrence (FCR) with proven efficacy immmediately and 6?months post‐treatment. This qualitative study documented barriers and facilitators to the sustainability of ConquerFear from the perspective of study therapists. Methods Fourteen therapists who had delivered ConquerFear in a randomised controlled trial completed a semi‐structured phone interview, reaching theoretical saturation. Themes from thematic analysis were mapped to the Promoting Action on Research Implementation in Health Services (PARiHS) implementation framework. Results Participants were 13 males and one female with, on average, 14?years psycho‐oncology experience. Nine over‐arching themes were identified, falling into three domains, which when present, were facilitators, and if absent, were barriers: evidence (intervention credibility, experienced efficacy, perceived need for intervention); context (positive attitude to and capacity for survivorship/FCR care, favourable therapist orientation and flexibility, strong referral pathways); and facilitation of implementation (intervention/service fit, intervention/patient fit, and training, support, and provided resources). Conclusions ConquerFear is a sustainable intervention in routine clinical practise. Facilitators included a sound evidence base; a receptive context; good fit between the intervention, therapist orientation, and patient need; and flexibility of delivery. Where absent, these factors served as barriers. These results have implications for enhancing uptake of psycho‐oncology interventions in routine care.
机译：摘要目的征兆是一种恐惧癌症复发（FCR）的元认知干预，患有经过验证的疗效，6？持续治疗。从研究治疗师的角度，这种定性研究记录了征服者的可持续性障碍和促进者。方法在随机对照试验中交付征服罪的十四个治疗师完成了半结构化的电话面试，达到了理论饱和度。主题分析的主题映射到卫生服务（PARIHS）实施框架的研究实施行动。结果参与者是13名男性和一个女性，平均，14年？年度心理肿瘤学体验。确定了九个过拱形主题，落入三个域名，当存在时，促进者，如果缺席，是障碍：证据（干预信誉，经验丰富的疗效，感知治疗的干预需要）;背景（求生存/ FCR护理的积极态度和能力，有利的治疗师取向和灵活性，强大的推荐途径）;促进实施（干预/服务拟合，干预/患者适合，以及培训，支持和提供资源）。结论征必者是常规临床实践的可持续干预。促进者包括一个合理的证据基础;接受背景;干预，治疗师取向和患者需要良好;交付的灵活性。在缺席的情况下，这些因素担任障碍。这些结果对提高常规护理中的心理肿瘤性干预的影响有影响。

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