000 03296nam a22003737a 4500
008 240723s20242024 xxu||||| |||| 00| 0 eng d
022 _a1551-7144
024 _aS1551-7144(24)00128-9 [pii]
040 _aOvid MEDLINE(R)
099 _a38657732
245 _aA digital, coach-assisted intervention to address the psychosocial needs of young adult cancer survivors: Randomized controlled trial protocol and intervention adaptation process.
251 _aContemporary Clinical Trials. 141:107545, 2024 Apr 23.
252 _aContemp Clin Trials. 141:107545, 2024 Apr 23.
253 _aContemporary clinical trials
260 _c2024
260 _p2024 Apr 23
265 _saheadofprint
265 _tPublisher
266 _d2024-07-23
520 _aBACKGROUND: Given the increasing number of young adult cancer survivors and the impacts of cancer on various life domains, interventions addressing the psychosocial needs of young adult survivors are crucial. However, such intervention research is limited, and the existing literature has often: 1) overlooked young adult survivors' psychosocial needs; 2) targeted depression, anxiety, or fear of recurrence - rather than positive outcomes like well-being; and 3) failed to consider scalable approaches, like digital health.
520 _aCONCLUSIONS: This paper may facilitate discussion regarding approaches for addressing the significant psychosocial challenges faced by young adult survivors and catalyze dissemination of trial results.
520 _aMETHODS: This paper documents the development and refinement of an 8-week digital, coach-assisted intervention targeting hope among young adult cancer survivors (ages 18-39, within 3 years of treatment completion) and presents the protocol of the 2-arm RCT (comparing intervention vs. attention control). The intervention builds upon a 2017-2018 pilot trial (n = 56); intervention refinements were based on subsequent semi-structured interviews among young adult survivors (n = 23).
520 _aRESULTS: The pending trial design involves an increased sample size (n = 150) to increase power and diversified recruitment efforts (i.e., clinic-based, social media, community-based organizations, etc.) to facilitate intervention reach, accessibility, and scalability. The intervention was enhanced by integrating highly relevant theoretical and therapeutic frameworks, specifically the concept of hope and Acceptance and Commitment Therapy, as well as updating intervention delivery technology. Intervention outcomes include feasibility and acceptability at end-of-treatment and preliminary efficacy on hope (primary outcome) and quality of life measures (secondary outcomes) at end-of-treatment and 16-week follow-up.
520 _aTRIAL REGISTRATION: NCT05905250. Copyright © 2024 Elsevier Inc. All rights reserved.
546 _aEnglish
650 _zAutomated
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Health Research Institute
657 _aJournal Article
700 _aArem, Hannah
_bMHRI
790 _aMcCready DM, Arem H, Duarte DA, Dennis K, Ball N, Cafferty LA, Hinds PS, Howlader A, Berg CJ
856 _uhttps://dx.doi.org/10.1016/j.cct.2024.107545
_zhttps://dx.doi.org/10.1016/j.cct.2024.107545
942 _cART
_dArticle
999 _c14161
_d14161