Abstract

Objective

Some psychological interventions have been developed to improve cancer patients’ and survivors’ quality of life, well-being, and health engagement. However, studies are usually focused on effectiveness and less on factors influencing survivors’ decision to participate, both subjective (e.g., needs) and contingent (e.g., factors related to participation/non participation). This scoping review identifies factors influencing participation, decline to participate, attrition and adherence in psychological interventions.

Methods

3 electronic databases were searched for published studies on psychological interventions. Retrieved publications were scanned by authors against inclusion criteria and forty-two articles were selected. Relevant information were summarized narratively.

Results

More information is available on attrition and factors related to participation/non participation, so that future psychological interventions may employ ad-hoc tools to take into consideration patients’ reasons to adhere to psychological interventions. Secondarily, non-participation/dropout is often linked to factors related to intervention’ commitment and its interference with daily life. On the contrary, patients’ reasons to participate often identify with the value they find in the intervention according to their personal needs and experience of illness.

Conclusion

We suggest that future research should analyze patients’ representation of psychological interventions and take them into account to tailor the interventions on participants’ lived experience, to improve participation.

中文翻译：

---

癌症患者对心理干预的参与和承诺：范围审查

摘要

客观的

已经开发了一些心理干预措施来改善癌症患者和幸存者的生活质量、幸福感和健康参与。然而，研究通常侧重于有效性，而不是影响幸存者参与决定的因素，包括主观（例如，需要）和偶然（例如，与参与/不参与相关的因素）。该范围审查确定了影响参与、拒绝参与、减员和坚持心理干预的因素。

方法

检索了 3 个电子数据库以查找已发表的有关心理干预的研究。作者根据纳入标准扫描检索的出版物，并选择了 42 篇文章。对相关信息进行了叙述性总结。

结果

可获得更多关于减员和参与/不参与相关因素的信息，以便未来的心理干预可以采用临时工具来考虑患者坚持心理干预的原因。其次，不参与/辍学通常与干预承诺及其对日常生活的干扰有关。相反，患者参与的理由往往与他们根据个人需求和疾病经历在干预中发现的价值相一致。

结论

我们建议未来的研究应该分析患者对心理干预的表现，并将其考虑在内，以根据参与者的生活经验定制干预措施，以提高参与度。