항해향해 소개 (about 4H)
About Hoisting Hope, Heading to Healing Program
“Hoisting Hope, Heading to Healing” is a psychological intervention program jointly developed by National Cancer Center, Korea
Seoul National University Children’s Hospital, and the Trees and Forest Psychological Counseling Center,
as a part of a HEALTHCARE PROJECT for Cancer Patients,
supported by both Ministry of Health and Welfare, and National Cancer Center, Korea.
“Hoisting Hope, Heading to Healing” is an individually delivered program that supports young cancer patients and their caregivers — through diagnosis and the whole trajectory of cancer treatment.
Background and Objectives
and survivors—from diagnosis onward—face persistent psychosocial challenges together with their families.
In response to these challenges, our research team has developed
a psychological intervention program.
The main goal of the patient and survivor program is to ease the psychological stress that can arise during treatment and the return to daily life, and also includes training to support executive function.
For the caregiver program, its goal is to provide psychological support and parenting-skills training to improve caregiver quality of life.
Design Principle
- The program is designed on four main principle: an evidence-based development, an integrated approach, a modular design, and a common session frame
- The program is built on a systematic literature review and qualitative interview findings with patients, survivors, and families.
- It combines psychoeducation with hands-on psychological intervention for both patients and caregivers.
- The program is composed of core modules and optional modules, so the length and focus can be tailored to each participant.
- Every session follows the same rhythm: Intro → Mindfulness exercise → Education → Activity → Wrap-up.
Therapeutic Components
Six therapeutic components of the program are as follows
Trauma-Focused CBT
Mindfulness
Emotion & Stress Management
Resilience & Positive Psychology
Family & Parenting Coaching
Cognitive Skills Training
Naming of the Program
– two near-identical words: 항해 (voyage) and 향해 (moving toward).
Therefore, playing on the linguistic similarity between these words: a hopeful voyage that keeps moving forward.
For the English name for the program, two conditions were considered:
① reflection of the pronunciation of the Korean name “HangHae, HyangHae”; to begin with an ‘H’ and
② convey a similar meaning to “HangHae, HyangHae”.
Thus, the “Hoisting Hope, Heading to Healing”(4H)
Program Overview
Module Settings
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| Category | Core Module | Optional Module | Total |
|---|---|---|---|
| Active-Treatment | 4 | 1 (1 of the 3 topics) | 5 |
| Early-Survivorship | 7 | 3 | 10 |
- Individual psychological counseling for patients and caregivers
- Includes one family counseling session
- Each session lasts approximately 50 minutes
- One-on-one, in-person or remote depending on participants availability
Program for Active Treatment
Adapt to the difficulties of treatment to ease psychological stress and improve quality of life.
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| CORE SESH | Patient Program | Caregiver Program |
|---|---|---|
| 1 | First Meeting - Introduces the program and shares information helpful during treatment. | First Meeting - Introduces the program and shares information helpful during treatment. |
| 2 | Knowing Myself - Understand the diagnosis and its changes; learn to talk with caregivers and the care team. | Becoming a Wise Parent - Recognize the child’s challenging emotions and behaviors; practice handling them. |
| 3 | Managing My Mind - Understand stress and emotions and learn to manage them wisely. | Overcoming Difficulties - Learn various ways to cope wisely with present difficulties. |
| 4 | Family, the Root of Happiness family session - Build family coping to keep hold of happiness during treatment. | |
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| ELEC SESH | Patient Program | Caregiver Program |
|---|---|---|
| 5 | Problem-Solving - Problem-solving skills for the changes and new situations of treatment. | Problem-Solving - Problem-solving skills for the changes and new situations of treatment. |
| 6 | Knowing Myself - Understand the diagnosis and its changes; learn to talk with caregivers and the care team. | Managing My Mind - Understand stress responses to the child’s illness and cope wisely. |
| 7 | Managing My Mind - Understand stress and emotions and learn to manage them wisely. | Accepting Distress - Skills for when distress overwhelms in situations that can’t be changed. |
Program for Early Survivorship
Adapt to the difficulties of returning to daily life to ease psychological stress and improve quality of life.
- The after-treatment program adds cognitive skills training — working memory, attention, and executive function — to support the return to school and daily routines.
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| CORE SESH | Patient Program | Caregiver Program |
|---|---|---|
| 1 | First Meeting - Introduces the program and shares information helpful after treatment. | First Meeting - Introduces the program and shares information helpful after treatment. |
| 2 | Practicing Gratitude - Look back on and practice gratitude, growing happiness within. | Becoming a Wise Parent I - Understand a child who struggles with emotion/behavior regulation; learn sound parenting. |
| 3 | Problem-Solving - Skills to handle the problems of returning to daily life. | Problem-Solving - Learn the 5 steps of problem-solving and apply them at home. |
| 4 | Master of My Time - Executive function: strategies for time management and getting tasks done. | Master of Time & Action - Executive function: strategies for time management and efficient tasks. |
| 5 | Master of My Actions - Behavioral-activation strategies that help carry out plans. | The Voyage of Life - Find meaning in adversity and restore a balanced view of life. |
| 6 | Toward a New Everyday - Reflect on the situations one may meet in daily life after treatment. | Toward a New Everyday - Think through how to talk about the cancer-treatment experience. |
| 7 | Strength in Each Other, Family family session - Revisit the journey as a family and strengthen family support. | |
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| ELEC SESH | Patient Program | Caregiver Program |
|---|---|---|
| 8 | Building Memory Capacity - Learn what working memory is and practice strategies to strengthen it. | Building Memory & Focus - Strategies and tasks to improve the child’s memory and attention. |
| 9 | Building Focus - Learn the everyday role of attention and strategies to improve it. | Managing My Mind - Understand different emotions and skills to cope with each. |
| 10 | Managing My Mind - Understand anger, distress, and sadness and skills to handle each. | Becoming a Wise Parent II - Deepen understanding and sound parenting after treatment. |