Promoting Resilience in Stress Management: A Pilot Study of a Novel Resilience-Promoting Intervention for Adolescents and Young Adults With Serious Illness
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OBJECTIVE: To examine the feasibility and format of the Promoting Resilience in Stress Management (PRISM) intervention among two groups of adolescents and young adults (AYAs) at-risk for poor outcomes: those with Type 1 diabetes (T1D) or cancer. METHODS: PRISM consists of two long or four short skills-based modules. English-speaking patients 12-25 years old were eligible if they had T1D for >6 months or cancer for >2 weeks. Feasibility was defined as an 80% completion rate and high satisfaction. Ongoing monitoring shaped iterative refinement of disease-specific approach. RESULTS: 12 of 15 patients with T1D (80%) completed the two-session intervention. 3 of 15 patients with cancer declined to complete the two-session version, citing prohibitive length of individual sessions. 12 (80%) completed the four-session version. Patient-reported satisfaction was high across groups. CONCLUSIONS: The PRISM intervention is feasible and well-accepted by AYAs with cancer or T1D. Differences in patient populations warrant differences in approach.
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PRISM was administered by trained bachelor's-level nonclinical staff who received at least 8 hours of standardized training including mock sessions with role playing.
“PRISM was administered by trained, bachelor's degreelevel nonclinical staff.25 All interventionists received ≥8 hours of standardized training, including mock sessions with role playing.”
From Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial (2018) · cites this paper as [25]
PRISM is a novel, developmentally appropriate, brief, skills-based psychosocial intervention targeting resilience resources.
“we developed and demonstrated the feasibility and acceptability of a novel, developmentally appropriate, brief, skills-based psychosocial intervention targeting resilience resources: Promoting Resilience in Stress Management (PRISM).24,25”
From Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial (2018) · cites this paper as [25]
Fidelity was assessed by audio-recording all PRISM sessions and scoring the first 5 sessions and 1 of any 5 randomly selected sessions with a standardized tool; no remediation was necessary.
“All PRISM sessions were audio-recorded.For each interventionist, the first 5 sessions and 1 of any 5 randomly selected sessions were scored for fidelity with a standardized tool.25,27 Although our protocol included processes to retrain interventionists if needed, no remediation was necessary.”
From Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial (2018) · cites this paper as [25]
PRISM's feasibility and acceptability have been demonstrated.
“we developed and demonstrated the feasibility and acceptability of a novel, developmentally appropriate, brief, skills-based psychosocial intervention targeting resilience resources: Promoting Resilience in Stress Management (PRISM).24,25”
From Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial (2018) · cites this paper as [25]
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Self-citation
- Authors
- Rosenberg, A. R., Yi-Frazier, J. P., Eaton, L., Wharton, C., Cochrane, K., Pihoker, C., Baker, K. S., & McCauley, E.
- Affiliations
- University of Washington (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-02-11
- Volume
- 40
- Issue
- 9
- Pages
- 992-999
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4580756
- OpenAlex
- W2139093728
- Cited by
- 179
- References
- 46
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 22 · 2023: 9 · 2022: 17 · 2021: 18 · 2020: 48 · 2019: 19 · 2018: 9 · 2017: 11 · 2016: 5 · 2015: 2
- FWCI
- 11.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Seattle Children's Research Institute
- National Institutes of Health (UL1TR000423, UL1TR002319)
- Center for Clinical and Translational Research
- National Cancer Institute (L40 CA170049)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- resilience, stress management, adolescents and young adults, serious illness, type 1 diabetes, cancer, skills-based intervention, feasibility, patient satisfaction, intervention development
- MeSH terms
- Adolescent, Adult, Child, Counseling, Diabetes Mellitus, Type 1, Female, Humans, Male, Neoplasms, Personal Satisfaction, Pilot Projects, Stress, Psychological, Resilience, Psychological, Young Adult
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