A Pilot Randomized Control Trial of Teens Taking Charge: A Web-based Self-management Program for Adolescents with Cancer

被引：3

作者：

Breakey, Vicky R. ^{[1
]}

Gupta, Abha ^{[2
]}

Johnston, Donna L. ^{[3
]}

Portwine, Carol ^{[1
]}

Laverdiere, Caroline ^{[4
]}

Le May, Sylvie ^{[5
]}

Dick, Bruce ^{[6
]}

Hundert, Amos ^{[7
]}

Nishat, Fareha ^{[7
]}

Killackey, Tieghan ^{[7
]}

Nguyen, Cynthia ^{[7
]}

Lalloo, Chitra ^{[7
]}

Stinson, Jennifer ^{[7
,8
]}

机构：

[1] McMaster Childrens Hosp, Hamilton, ON, Canada

[2] Hosp Sick Children, 555 Univ Ave, Toronto, ON, Canada

[3] Childrens Hosp Eastern Ontario, Ottawa, ON, Canada

[4] Univ Montreal, Dept Pediat, Ctr Hosp Univ St Justine CHU St Justine, Montreal, PQ, Canada

[5] Univ Montreal, Fac Sci Infirmieres, Montreal, PQ, Canada

[6] Univ Alberta, Dept Anesthesiol & Pain Med, Div Pain & Med, Edmonton, AB, Canada

[7] Hosp Sick Children, Child Hlth Evaluat Sci, Toronto, ON, Canada

[8] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON, Canada

来源：

JOURNAL OF PEDIATRIC HEMATOLOGY-ONCOLOGY NURSING | 2022年 / 39卷 / 06期

基金：

加拿大健康研究院;

关键词：

online; feasibility; adolescent; pediatric cancer; self-management; YOUNG-ADULT SURVIVORS; HOSPITAL ANXIETY; HEALTH-CARE; CHILDHOOD-CANCER; DEPRESSION SCALE; PEDIATRIC CANCER; VIDEO GAME; INTERNET; INTERVENTIONS; VALIDITY;

D O I：

10.1177/27527530211068778

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: There is a lack of self-management tools for adolescents with cancer (AWC). This study evaluated the feasibility of Teens Taking Charge Cancer, a web-based self-management program. Methods: A pilot randomized control trial (RCT) was conducted across 4 pediatric oncology clinics. AWC (12-18 years) and their caregivers were randomized to either the intervention or control group. All were asked to complete 12 website modules over 12 weeks (at their own pace) and received monthly calls from health coaches. The intervention website was based on cognitive behavioral principals, designed as an interactive self-guided online program, while the control consisted of education and included links to 12 general cancer websites. Outcome assessments occurred at enrollment and 12 weeks post-intervention. The primary outcomes included rate of accrual and retention, adherence to the protocol, acceptability and satisfaction with intervention using questionnaire and semi-structured interviews, adverse events and engagement with the intervention. Results: Eighty-one teen-caregiver dyads were enrolled with a retention rate of 33%. In the intervention group 46% (n = 18) logged in at least once over the 12-week period. A mean of 2.4 of 12 modules (SD 3.0) were completed; and no one completed the program. Thirty-three percent of caregivers in the intervention logged into the website at least once and none completed the full program. Discussion: The results from this pilot study suggest that the current design of the Teens Taking Charge Cancer RCT lacks feasiblity. Future web-based interventions for this group should include additional features to promote uptake and engagement with the program.

引用

页码：366 / 378

页数：13

共 53 条

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