The use of mobile technology and peer navigation to promote adolescent and young adult (AYA) cancer survivorship care: results of a randomized controlled trial
| Autor: | Katherine L. Kahn, Patricia A. Ganz, Faisal Alquaddomi, Jacqueline Casillas, Deborah Estrin, Margaret L. Stuber, Catherine M. Crespi, Roshan Bastani, Lindsay F. Schwartz |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Comparative Effectiveness Research Cancer survivors Psychological intervention Survivorship law.invention 0302 clinical medicine Cancer Survivors Randomized controlled trial 7.1 Individual care needs law Neoplasms Surveys and Questionnaires Medicine 030212 general & internal medicine Prospective Studies Young adult Child Fisher's exact test Cancer Pediatric Peer navigation Oncology (nursing) Palliative Care Rehabilitation Mobile Applications humanities Telemedicine Cancer survivorship care Oncology 030220 oncology & carcinogenesis symbols Public Health and Health Services Female Adult medicine.medical_specialty Adolescent Clinical Trials and Supportive Activities Oncology and Carcinogenesis Text-messaging Article Peer Group 03 medical and health sciences symbols.namesake Young Adult McNemar's test Clinical Research Intervention (counseling) Survivorship curve Humans Patient Navigation Oncology & Carcinogenesis Text Messaging business.industry Public health Prevention Psychosocial Support Systems Patient Acceptance of Health Care Adolescents and young adults Physical therapy Management of diseases and conditions business |
| Zdroj: | Journal of cancer survivorship : research and practice, vol 13, iss 4 J Cancer Surviv |
| Popis: | PurposeAdolescent 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.MethodsThis 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.ResultsSeventy-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 |
| Databáze: | OpenAIRE |
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