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J Cancer Surviv. 2019 Aug;13(4):580-592. doi: 10.1007/s11764-019-00777-7. Epub 2019 Jul 26.

The use of mobile technology and peer navigation to promote adolescent and young adult (AYA) cancer survivorship care: results of a randomized controlled trial.

Author information

1
Department of Pediatrics, Division of Hematology/Oncology, UCLA David Geffen School of Medicine, 10833 Le Conte Avenue, A2-410 MDCC, Los Angeles, CA, 90095-1752, USA. jcasillas@mednet.ucla.edu.
2
Center for Cancer Prevention and Control Research, UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA, USA. jcasillas@mednet.ucla.edu.
3
Department of Pediatrics, Division of Hematology/Oncology, UCLA David Geffen School of Medicine, 10833 Le Conte Avenue, A2-410 MDCC, Los Angeles, CA, 90095-1752, USA.
4
Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
5
Center for Cancer Prevention and Control Research, UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA, USA.
6
Department of Medicine, Division of Hematology/Oncology, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
7
Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
8
Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
9
Department of Psychiatry, Resnick Neuropsychiatric Hospital, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
10
Department of Computer Science, Cornell University, New York, NY, USA.

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.

KEYWORDS:

Adolescents and young adults; Cancer survivors; Cancer survivorship care; Peer navigation; Text-messaging

PMID:
31350681
DOI:
10.1007/s11764-019-00777-7

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