title: Promoting Resilience in Stress Management: A Pilot Study of a Novel Resilience-Promoting Intervention for Adolescents and Young Adults With Serious Illness.
abstract: 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.
authors: Seattle Children's Research Institute, University of Washington School of Medicine and Fred Hutchinson Cancer Research Center abby.rosenberg@seattlechildrens.org.
authors: Abby R
authors: AR
authors: Rosenberg
authors: Seattle Children's Research Institute, University of Washington School of Medicine and.
authors: Joyce P
authors: JP
authors: Yi-Frazier
authors: Seattle Children's Research Institute, University of Washington School of Medicine and.
authors: Lauren
authors: L
authors: Eaton
authors: Seattle Children's Research Institute, University of Washington School of Medicine and.
authors: Claire
authors: C
authors: Wharton
authors: Seattle Children's Research Institute, University of Washington School of Medicine and.
authors: Katherine
authors: K
authors: Cochrane
authors: Seattle Children's Research Institute, University of Washington School of Medicine and.
authors: Catherine
authors: C
authors: Pihoker
authors: Seattle Children's Research Institute, University of Washington School of Medicine and Fred Hutchinson Cancer Research Center.
authors: K Scott
authors: KS
authors: Baker
authors: Seattle Children's Research Institute, University of Washington School of Medicine and.
authors: Elizabeth
authors: E
authors: McCauley
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003376:Counseling; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D010549:Personal Satisfaction; D010865:Pilot Projects; D055500:Resilience, Psychological; D013315:Stress, Psychological / Q000523:psychology* / Q000628:therapy; D055815:Young Adult
keywords: AYA; adolescent young adult; cancer; coping; diabetes; health outcomes; intervention; psychosocial outcomes; resilience