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Purpose <p>Women with breast cancer often experience persistent psychological distress. Promoting resilience in stress management (PRISM) is a manualized, skills-based, psychosocial intervention shown to promote resilience and alleviate psychological distress among adolescents and young adults with cancer.</p> Methods <p>This pilot, convergent mixed methods study examined PRISM’s feasibility and in-sample preliminary impact (single-group) on psychosocial outcomes of women with early stage breast cancer (EBC). Women receiving chemotherapy for stage I–III breast cancer completed six standard PRISM sessions focused on rapport building, stress management, goal setting, cognitive reframing, meaning-making, and family integration. Feasibility, the primary outcome, was defined as 70% of participants completing all intervention sessions and pre-post survey. Secondary outcomes included intervention acceptability, appropriateness, and 8 psychosocial outcomes. Patient perspectives on PRISM were elucidated via qualitative interviews and deductively analyze. Pre- and post-intervention changes in survey scores were analyzed using paired t-tests and Cohen’s <i>d</i> effect size.</p> Results <p>Of 57 patients approached, 30 (53%) participated in PRISM; participants were 57% Black with median age of 51&#xa0;years (IQR 47–59). PRISM sessions were feasible based on the 83% completion rate. Additional secondary implementation outcomes also demonstrated feasibility, acceptability, and appropriateness using validated survey measured. The largest effects were observed in participants’ resilience (<i>d</i> = 0.6), growth (<i>d</i> = 0.5), and self-improvement (<i>d</i> = 0.5). Interviews supported both feasibility and impact of PRISM.</p> Conclusion <p>The PRISM-EBC intervention was feasible, and pre-post changes suggest potential benefit, warranting further investigation in a future randomized controlled trial.</p>

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Promoting resilience in stress management (PRISM) for patients with early stage breast cancer: a pilot feasibility study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月16日

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  • Gabrielle B Rocque,
  • Etzael Ortiz Olguin,
  • Jessi M. Shuey,
  • Tanvi Padalkar,
  • Courtney P. Williams,
  • Andres Azuero,
  • Ana Falcao,
  • Nicole L. Henderson,
  • Chloe J. Taub,
  • Molly Ream,
  • Joyce P. Yi-Frazier,
  • Courtney C. Junkins,
  • Katherine Reeder-Hayes,
  • Abby R. Rosenberg

摘要

Purpose

Women with breast cancer often experience persistent psychological distress. Promoting resilience in stress management (PRISM) is a manualized, skills-based, psychosocial intervention shown to promote resilience and alleviate psychological distress among adolescents and young adults with cancer.

Methods

This pilot, convergent mixed methods study examined PRISM’s feasibility and in-sample preliminary impact (single-group) on psychosocial outcomes of women with early stage breast cancer (EBC). Women receiving chemotherapy for stage I–III breast cancer completed six standard PRISM sessions focused on rapport building, stress management, goal setting, cognitive reframing, meaning-making, and family integration. Feasibility, the primary outcome, was defined as 70% of participants completing all intervention sessions and pre-post survey. Secondary outcomes included intervention acceptability, appropriateness, and 8 psychosocial outcomes. Patient perspectives on PRISM were elucidated via qualitative interviews and deductively analyze. Pre- and post-intervention changes in survey scores were analyzed using paired t-tests and Cohen’s d effect size.

Results

Of 57 patients approached, 30 (53%) participated in PRISM; participants were 57% Black with median age of 51 years (IQR 47–59). PRISM sessions were feasible based on the 83% completion rate. Additional secondary implementation outcomes also demonstrated feasibility, acceptability, and appropriateness using validated survey measured. The largest effects were observed in participants’ resilience (d = 0.6), growth (d = 0.5), and self-improvement (d = 0.5). Interviews supported both feasibility and impact of PRISM.

Conclusion

The PRISM-EBC intervention was feasible, and pre-post changes suggest potential benefit, warranting further investigation in a future randomized controlled trial.