Objective To develop an advance care planning(ACP)intervention program for adolescent and young adult(AYA)can-cer patients in China,and to improve the effectiveness of ACP in this population.Methods Based on the transtheoretical model,the ACP intervention program for AYA cancer patients was developed through literature review,focus group interviews,and semi-structured interviews.Then,15 experts were consulted using the Delphi technique.Results All experts returned their questionnaires in the two-round consultation,with the authority coefficient of 0.865.The Kendall's coefficients of concordance were between 0.238 and 0.394 in round 2(all P＜0.05).Final version of the ACP intervention program included five stages:precontemplation,contemplation,preparation,action,and maintenance.And specific implementation strategies were provided,including interven-tion timing,themes,contents,objectives,methods,and evaluation indicators.Conclusion The ACP intervention program for AYA cancer patients based on the transtheoretical model is well-accepted by experts.However,it remains to be validated in further stu-dies.
关键词
癌症/青少年/年轻成人/预立医疗照护计划/跨理论模型/干预方案/德尔菲
Key words
cancer/adolescent/young adult/advance care planning/transtheoretical model/intervention program/Del-phi method
维普
万方数据