The Use of Mobile Technology and Peer Navigation to Promote Adolescent and Young Adult (AYA) Cancer Survivorship Care: Results of a Randomized Controlled Trial

Overview

Journal J Cancer Surviv

Specialty Oncology

Date 2019 Jul 28

PMID 31350681

Citations 31

Authors

Jacqueline N Casillas

Lindsay F Schwartz

Catherine M Crespi

Patricia A Ganz

Katherine L Kahn

Margaret L Stuber

Roshan Bastani

Faisal Alquaddomi

Deborah L Estrin

Affiliations

Soon will be listed here.

Abstract

Purpose: Adolescent and young adult (AYA) cancer survivors experience unique barriers that compromise receipt of survivorship care; therefore, development of innovative educational interventions to improve rates of AYA survivorship care is needed. The efficacy of text-messaging and peer navigation interventions was compared to standard-of-care survivorship educational materials to increase AYAs' (1) late effects knowledge and (2) knowledge, attitudes, and self-efficacy towards seeking survivor-focused care.

Methods: This was a three-armed, prospective, randomized controlled trial with one control group and two intervention groups. The control group received current standard-of-care educational materials. One intervention group participated in a text-messaging program, and the second participated in a peer navigator program. Participants completed pre- and post-intervention questionnaires. Study outcome variables were quantified using Fisher exact tests, two-sample t tests, exact McNemar tests, conditional logistic regression models, and analysis of covariance.

Results: Seventy-one survivors completed the study (control n = 24; text-messaging n = 23; peer navigation n = 24). Late effects knowledge was high at baseline for all groups. The text-messaging group had increased survivorship care knowledge compared to the control group (p < 0.05); the peer navigation group had increased survivorship care self-efficacy compared to the control group; p < 0.05. Both intervention groups showed increased attitudes towards seeking survivor-focused care compared to the control group (text-messaging p < 0.05; peer navigation p < 0.05).

Conclusions: Each intervention demonstrated significant benefits compared to the control group.

Implications For Cancer Survivors: Given the preliminary effectiveness of both interventions, each can potentially be used in the future by AYA cancer survivors to educate and empower them to obtain needed survivorship care.

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References

Berland G, Elliott M, Morales L, Algazy J, Kravitz R, Broder M . Health information on the Internet: accessibility, quality, and readability in English and Spanish. JAMA. 2001; 285(20):2612-21. PMC: 4182102. DOI: 10.1001/jama.285.20.2612. View

Kadan-Lottick N, Robison L, Gurney J, Neglia J, Yasui Y, Hayashi R . Childhood cancer survivors' knowledge about their past diagnosis and treatment: Childhood Cancer Survivor Study. JAMA. 2002; 287(14):1832-9. DOI: 10.1001/jama.287.14.1832. View

Butterfield P, Yates S, Rogers B, Healow J . Overcoming subject recruitment challenges: strategies for successful collaboration with novice research agencies. Appl Nurs Res. 2003; 16(1):46-52. DOI: 10.1053/apnr.2003.50004. View

Hudson M, Mertens A, Yasui Y, Hobbie W, Chen H, Gurney J . Health status of adult long-term survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. JAMA. 2003; 290(12):1583-92. DOI: 10.1001/jama.290.12.1583. View

Zebrack B, Eshelman D, Hudson M, Mertens A, Cotter K, Foster B . Health care for childhood cancer survivors: insights and perspectives from a Delphi panel of young adult survivors of childhood cancer. Cancer. 2004; 100(4):843-50. DOI: 10.1002/cncr.20033. View

Oeffinger K, Mertens A, Hudson M, Gurney J, Casillas J, Chen H . Health care of young adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Ann Fam Med. 2004; 2(1):61-70. PMC: 1466633. DOI: 10.1370/afm.26. View

Oeffinger K, Hudson M . Long-term complications following childhood and adolescent cancer: foundations for providing risk-based health care for survivors. CA Cancer J Clin. 2004; 54(4):208-36. DOI: 10.3322/canjclin.54.4.208. View

Landier W, Bhatia S, Eshelman D, Forte K, Sweeney T, Hester A . Development of risk-based guidelines for pediatric cancer survivors: the Children's Oncology Group Long-Term Follow-Up Guidelines from the Children's Oncology Group Late Effects Committee and Nursing Discipline. J Clin Oncol. 2004; 22(24):4979-90. DOI: 10.1200/JCO.2004.11.032. View

Tercyak K, Donze J, Prahlad S, Mosher R, Shad A . Identifying, recruiting, and enrolling adolescent survivors of childhood cancer into a randomized controlled trial of health promotion: preliminary experiences in the Survivor Health and Resilience Education (SHARE) Program. J Pediatr Psychol. 2005; 31(3):252-61. DOI: 10.1093/jpepsy/jsj013. View

10.

Doig G, Simpson F . Randomization and allocation concealment: a practical guide for researchers. J Crit Care. 2005; 20(2):187-91. DOI: 10.1016/j.jcrc.2005.04.005. View

11.

Geenen M, Cardous-Ubbink M, Kremer L, van den Bos C, van der Pal H, Heinen R . Medical assessment of adverse health outcomes in long-term survivors of childhood cancer. JAMA. 2007; 297(24):2705-15. DOI: 10.1001/jama.297.24.2705. View

12.

Nathan P, Greenberg M, Ness K, Hudson M, Mertens A, Mahoney M . Medical care in long-term survivors of childhood cancer: a report from the childhood cancer survivor study. J Clin Oncol. 2008; 26(27):4401-9. PMC: 2653112. DOI: 10.1200/JCO.2008.16.9607. View

13.

Walsh T, Volsko T . Readability assessment of internet-based consumer health information. Respir Care. 2008; 53(10):1310-5. View

14.

Mertens A, Liu Q, Neglia J, Wasilewski K, Leisenring W, Armstrong G . Cause-specific late mortality among 5-year survivors of childhood cancer: the Childhood Cancer Survivor Study. J Natl Cancer Inst. 2008; 100(19):1368-79. PMC: 2556702. DOI: 10.1093/jnci/djn310. View

15.

Linabery A, Ross J . Childhood and adolescent cancer survival in the US by race and ethnicity for the diagnostic period 1975-1999. Cancer. 2008; 113(9):2575-96. PMC: 2765225. DOI: 10.1002/cncr.23866. View

16.

Lester R, Karanja S . Mobile phones: exceptional tools for HIV/AIDS, health, and crisis management. Lancet Infect Dis. 2008; 8(12):738-9. DOI: 10.1016/S1473-3099(08)70265-2. View

17.

Fjeldsoe B, Marshall A, Miller Y . Behavior change interventions delivered by mobile telephone short-message service. Am J Prev Med. 2009; 36(2):165-73. DOI: 10.1016/j.amepre.2008.09.040. View

18.

Oeffinger K, Ford J, Moskowitz C, Diller L, Hudson M, Chou J . Breast cancer surveillance practices among women previously treated with chest radiation for a childhood cancer. JAMA. 2009; 301(4):404-14. PMC: 2676434. DOI: 10.1001/jama.2008.1039. View

19.

McCann L, Maguire R, Miller M, Kearney N . Patients' perceptions and experiences of using a mobile phone-based advanced symptom management system (ASyMS) to monitor and manage chemotherapy related toxicity. Eur J Cancer Care (Engl). 2009; 18(2):156-64. DOI: 10.1111/j.1365-2354.2008.00938.x. View

20.

Mariotto A, Rowland J, Yabroff K, Scoppa S, Hachey M, Ries L . Long-term survivors of childhood cancers in the United States. Cancer Epidemiol Biomarkers Prev. 2009; 18(4):1033-40. DOI: 10.1158/1055-9965.EPI-08-0988. View