Participants complete the self-management + peer mentoring intervention comprising 5 online educational modules and 6 videoconference or phone calls with the peer mentor.

Questionnaire Administration

Complete the self management + peer mentoring intervention with videoconferencing

Telephone-Based Intervention

Katie Devine

This pilot trial studies a peer mentoring and online self-management program to see how well it works in promoting follow-up care self-management in younger childhood cancer survivors. Childhood cancer survivors require lifelong follow-up care to identify, monitor, and treat medical and psychosocial late effects stemming from their cancer, its treatment, and lifestyle factors. A peer mentoring program + self-management may improve disease knowledge, health motivation, problem-solving skills, stress management, and communication with caregivers and providers in adolescent and young adult cancer survivors.

PRIMARY OBJECTIVES:

I. Evaluate the feasibility of the self-management + peer mentoring program in a pilot trial.

II. Assess preliminary outcomes of the peer mentoring program.

OUTLINE:

All Participants will be asked to complete online self-management educational modules and 6 weekly peer mentor calls to facilitate engagement with the online modules and offer specialized support. We will also recruit and train peer Mentors.

Peer Mentoring in Promoting Follow-up Care Self-Management in Younger Childhood Cancer Survivors

Promoting Follow-Up Care Self-Management for Adolescent and Young Adult (AYA) Childhood Cancer Survivors

Descriptive analyses will be used to evaluate expected enrollment (\> 50%), retention (\> 80%), and completion of intervention sessions (\> 75%).

1. General Satisfaction: Average of each item reported separately. 1: Program; 2: Online educational materials; 3: Discussion with mentor; 4: Frequency of calls; 5: Program duration; 6: Material read. Items 1, 2, 3, \& 6 are rated on a 1 "not at all" to 5 "very" scale (higher=higher satisfaction). Item 4 uses a 1 "not frequent enough" to 3 "too frequent" scale. Item 5 uses a 1 "way too short" to 5 "way too long" scale.
2. 12-items adapted from Internet Intervention Utility Questionnaire; measures perceived usefulness on 1 "not at all" to 5 "very" scale, higher=higher usefulness. Average total score reported.
3. 16-item Impact Questionnaire measures perceived effectiveness in improving targeted skills using 1 "not at all" to 5 "very" scale (higher=greater perceived effectiveness). Average total score reported.
4. 6-item Adherence Questionnaire measures barriers to engagement using 1 "not a problem" to 3 "major problem" scale. (higher=bigger barrier). Average total score reported.

Mentor 6-item Training Satisfaction measured on a scale from 1 "strongly disagree" to 4 "strongly agree" (higher score=high satisfaction). Administered to Group Intervention Mentors only. Total average score is reported.

Respondents rate how responsible they are for various healthcare tasks on a 4-point scale, where 1= "not responsible at all", and 4= "almost always responsible." The Adolescent Responsibility Scale is calculated by averaging responses across all 10 items (RTQ-Survivor). A single item assessing "overall readiness to assume complete responsibility for health care" on the same 4-point scale is analyzed separately.

The Transition Readiness Inventory (TRI) yields six sub-scale scores: Knowledge, Skills/Self-Efficacy, Beliefs/Expectations, Goals/Motivation, Relationship/Communication, and Psychosocial/Emotional. Total average score is reported across all sub-scales (TRI-total), as well as each sub-scale total score. Scores are averaged across items on a 5-point scale from 1 "not at all" to 5 "extremely" or "always," with higher scores indicating better functioning.

Respondents report symptoms on a 5-point rating scale from 1 "never" to 5 "always" in the past 7 days, with higher scores indicating higher levels of negative affect. A total raw summary score is calculated and then translated into a standardized T-score with a mean of 50 and standard deviation of 10.

This 4-item scale is measuring cancer-related worries (i.e., recurrence of cancer, future diagnostic tests, cancer coming back, other type of cancer). A total score is calculated by averaging across items on a 5-point scale (from 1="Strongly disagree" to 5="Strongly agree"), with higher scores indicating greater worry. Total average score is reported.

Perseverance is measured via the The Short Grit Scale, an 8-item measure of perseverance for long-term goals. A total scale score is calculated by averaging across all items, on a 5-point scale (from 1 "not at all like me" to 5 "very much like me"), with higher scores indicating greater perseverance.

The three subscales measure perceptions of cancer impact on Body Health (8 items), Personal Growth (5 items), and Memory Problems (4 items). Sub-scales are scored by averaging across items using a 5-point scale (where 1="not at all", and 5="very much"), with higher scores indicating greater impact.

Barriers to follow-up care \& adherence evaluated by insurance status, current provider, and other barriers to care using 6 items from the Follow-Up Care Use and Health Outcomes of Cancer Survivors (FOCUS). Participants report on appointments, cancer screening, and other adherence markers on a 5-point scale (from 1="Strongly disagree" to 5="Strongly agree"), where higher score indicates grater barrier. Total average score is reported.

National Cancer Institute (NCI)

Rutgers, The State University of New Jersey

Assistant Professor of Medicine

one arm, all participants complete 6 week self-management (5 online educational modules) + peer mentoring (6 video-conference or phone calls) intervention.

Group Intervention Participants

Group Intervention Mentors

Total

Age, Categorical

Sex: Female, Male

Race (NIH/OMB)

United States

Region of Enrollment

Group Intervention Participants: all completed baseline survey. Group Intervention Mentors: all completed Mentor training.

Dr. Katie Devine

Study Enrollment Rates

Reason Study Drop Out

Participant Retention Rates

Adherence to Sessions

Group Intervention Participants: the total number of potential participants identified by the Cancer Registry, whose contact information was provided to our study team for recruitment. Group Intervention Mentors-identified and recommended by the local survivorship clinic physicians and clinical staff.

Feasibility as Measured by Study Enrollment Rates, Retention Rates, Adherence to the Intervention, and Reasons for Study Drop Out.

Satisfaction w/Program [Range 1-5]

Satisfaction w/Online materials [Range 1-5]

Satisfaction w/Discussions [Range 1-5]

Frequency of calls [Range 1-3; 2="Just right"]

Program duration [Range 1-5;3="Just right"]

Amount of ed materials read [Range 1-5]

Internet Utility Total Score [Range 1-5]

Impact Questionnaire Total Score [Range 1-5]

Adherence Questionnaire Total [Range 1-3]

Satisfaction with intervention, administered to all Participants, i.e., Group Intervention Participants, n=15.

Satisfaction With Intervention, Measured by 1) General Satisfaction, 2) Intervention Utility Questionnaire, 3) Impact Questionnaire (i.e., Effectiveness), and 4) Adherence Questionnaire ( i.e., Barriers to Engagement).

Mentors completed satisfaction with training questionnaire after completion of the Mentor Training and prior to being matched with a participant (mentee).

Mentor Training Satisfaction

RTQ-Survivor Adolescent Responsibility Score

RTQ-Survivor Adolescent Responsibility pre-

RTQ-Survivor Adolescent Responsibility post-

RTQ-Overall Readiness pre-

RTQ-Overall Readiness post-

All participants who completed baseline assessment, intervention, and follow-up assessment.

Transition Readiness, as Measured by the Readiness for Transition Questionnaire - Survivor Version

TRI-total pre-

TRI-total post-

TRI Knowledge pre-

TRI Knowledge post-

TRI Skills/Self-Efficacy pre-

TRI Skills/Self-Efficacy post-

TRI Beliefs/Expectations pre-

TRI Beliefs/Expectations post-

TRI Goals/Motivation pre-

TRI Goals/Motivation post-

TRI Relationship/Communication pre-

TRI Relationship/Communication post-

TRI Psychosocial/Emotional pre-

TRI Psychosocial/Emotional post-

Participants who completed baseline, intervention, and follow-up.

Transition Readiness, as Measured by the Transition Readiness Inventory (Phase 2).

Depression pre-

Depression post-

We had missing data for one participant, therefore total number of participants analyzed is 14.

Spots Global Cancer Trial Database for Peer Mentoring in Promoting Follow-up Care Self-Management in Younger Childhood Cancer Survivors

Trial Identification

Conditions

Interventions

Study Description

Keywords

Eligibility

Locations

Contact Details

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