Underhill Meghan L, Hong Fangxin, Jones Tarsha, Sprunck-Harrild Kim, Walsh Sarah K, Boyajian Richard, Berry Donna L, Partridge Ann
Meghan L. Underhill, Fangxin Hong, Kim Sprunck-Harrild, Sarah K. Walsh, Donna L. Berry, and Ann Partridge, Dana-Farber Cancer Institute; Richard Boyajian, Brigham and Women's Hospital Boston, MA; and Tarsha Jones, Florida Atlantic University, Boca Raton, FL.
JCO Clin Cancer Inform. 2017 Nov;1:1-10. doi: 10.1200/CCI.17.00012.
Evaluate rates of enrollment, completion, and patient-reported acceptability of an educational survivorship-care Web site for survivors of Hodgkin disease (HD).
The study was a mixed-method evaluation design. Eligible participants were adults who had completed treatment of a primary diagnosis of HD ≥ 2 years before enrollment. Patients were recruited through postal mail and telephone and were asked to review a Web site, complete an adapted version of the Acceptability E-scale (total score of 24 or greater indicates acceptability), and respond to a structured telephone or e-mail interview to discuss experiences with the Web site.
Of 259 potentially eligible participants identified by medical record review, 124 survivors had confirmed contact with study staff and were invited to participate; 63 people (50.8%; 90% CI, 43% to 59%) enrolled; 37 participants (58.7%) were men. The median age at time of enrollment was 51.0 years (range, 29.3 to 80.0 years), and the median time since completion of treatment of HD was 14.9 years (range, 3 to 38.75 years). Overall, 82.5% of those enrolled viewed all Web site content. Forty-eight participants completed the acceptability survey, which resulted in a mean acceptability score of 26.5 (standard deviation, 3.5). The majority of enrollees (67%) completed a follow-up interview.
Overall, HD survivor participants viewed the content and reviewed it favorably. A Web-based intervention is a promising way to provide survivors of HD with information about how to manage the long-term and late effects from cancer and treatment, and provide trusted survivorship resources.
评估霍奇金病(HD)幸存者教育性生存护理网站的注册率、完成率以及患者报告的可接受性。
本研究采用混合方法评估设计。符合条件的参与者为在入组前至少2年已完成原发性HD诊断治疗的成年人。通过邮寄信件和电话招募患者,要求他们浏览一个网站,完成改编版的可接受性E量表(总分24分及以上表示可接受),并通过结构化电话或电子邮件访谈来讨论对该网站的体验。
通过病历审查确定的259名潜在符合条件的参与者中,124名幸存者确认与研究人员取得联系并被邀请参与;63人(50.8%;90%置信区间,43%至59%)注册;37名参与者(58.7%)为男性。入组时的中位年龄为51.0岁(范围,29.3至80.0岁),完成HD治疗后的中位时间为14.9年(范围,3至38.75年)。总体而言,82.5%的注册者浏览了网站的所有内容。48名参与者完成了可接受性调查,平均可接受性得分为26.5(标准差,3.5)。大多数注册者(67%)完成了随访访谈。
总体而言,HD幸存者参与者浏览并积极评价了网站内容。基于网络的干预是一种很有前景的方式,可为HD幸存者提供有关如何应对癌症及治疗的长期和晚期影响的信息,并提供可靠的生存护理资源。