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Purpose 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. Methods 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. Results 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
Journal of Cancer Survivorship: Research and Practice – Springer Journals
Published: Jul 26, 2019
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