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.
Center for Cancer Prevention and Control Research, UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA, USA.
J Cancer Surviv. 2019 Aug;13(4):580-592. doi: 10.1007/s11764-019-00777-7. Epub 2019 Jul 26.
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.
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.
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).
Each intervention demonstrated significant benefits compared to the control group.
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.
青少年和年轻成人（AYA）癌症幸存者经历了独特的障碍，这些障碍影响了他们接受生存护理的机会；因此，需要开发创新的教育干预措施来提高 AYA 生存护理的比例。本研究比较了短信和同伴导航干预措施与标准生存教育材料的效果，以提高 AYA （1）晚期效应知识和（2）对寻求以生存为中心的护理的知识、态度和自我效能感。
这是一项三臂、前瞻性、随机对照试验，有一个对照组和两个干预组。对照组接受当前的标准生存教育材料。一个干预组参与了短信项目，另一个干预组参与了同伴导航项目。参与者在干预前后完成了问卷调查。使用 Fisher 精确检验、两样本 t 检验、精确 McNemar 检验、条件逻辑回归模型和协方差分析来量化研究结果变量。
71 名幸存者完成了这项研究（对照组 n=24；短信组 n=23；同伴导航组 n=24）。所有组的晚期效应知识在基线时都很高。短信组的生存护理知识比对照组有所增加（p<0.05）；同伴导航组的生存护理自我效能感比对照组有所增加（p<0.05）。与对照组相比，两个干预组对寻求以生存为中心的护理的态度都有所增加（短信组 p<0.05；同伴导航组 p<0.05）。
与对照组相比，每个干预措施都显示出了显著的益处。
鉴于两种干预措施的初步有效性，未来 AYA 癌症幸存者可以使用这些措施来教育和增强他们获得所需生存护理的能力。
