Evaluation of a transition to survivorship program for pediatric, adolescent, and young adult cancer patients and caregivers
Background Survivorship education and anticipatory guidance represent an unmet need for pediatric, adolescent, and young adult (AYA) cancer survivors and their caregivers when treatment ends. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a structured transiti...
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| Veröffentlicht in: | Pediatric blood & cancer 2023-05, Vol.70 (5), p.e30277-n/a |
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| creator | Bingen, Kristin Karst, Jeffrey Anderson, Lynnette Chan, Sherilynn Jordan, Anna Morin, Jocelyn Nichols, Julie Palou‐Torres, Akasha Phelan, Rachel Schmidt, Debra Yan, Ke Hoag, Jennifer A |
| description | Background
Survivorship education and anticipatory guidance represent an unmet need for pediatric, adolescent, and young adult (AYA) cancer survivors and their caregivers when treatment ends. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a structured transition program, bridging treatment to survivorship, to reduce distress and anxiety and increase perceived preparedness for survivors and caregivers.
Procedure
Bridge to Next Steps is a two‐visit program, within 8 weeks prior to treatment completion and 7 months post treatment, which provides survivorship education, psychosocial screening, and resources. Fifty survivors (age range 1–23 years) and 46 caregivers participated. Participants completed pre‐ and post‐intervention measures: Distress Thermometer and Patient‐Reported Outcomes Measurement Information System (PROMIS) anxiety/emotional distress (ages ≥8 years), and perceived preparedness survey (ages ≥14 years). AYA survivors and caregivers completed a post‐intervention acceptability survey.
Results
Most participants (77.8%) completed both visits, and most AYA survivors (57.1%) and caregivers (76.5%) endorsed the program as helpful. Caregivers’ distress and anxiety scores decreased from pre to post intervention (p |
| doi_str_mv | 10.1002/pbc.30277 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2784385435</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2784385435</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3887-cbc643549ebba5089f56c52ceb69fc2125e1dfe9a75b5154e03f324d119f1dc33</originalsourceid><addsrcrecordid>eNp1kV1LwzAUhoMobk4v_AMS8EbBbUnTtOmljvkBA73Q65KmJzOja2rSTgb-eLMPvRC8Ol8P7zmHF6FzSkaUkGjcFGrESJSmB6hPecyHnND08DcnWQ-deL8IaEK4OEY9lghBUsr66Gu6klUnW2NrbDWWuHWy9mZbtxb7zq3Myjr_bhrcODt3com1dbiB0sjWGXWDZWkr8ArqNuR1ide2q-eh21UtVrJWEOiwIMz9dq6kg7lZgfOn6EjLysPZPg7Q2_30dfI4nD0_PE1uZ0PFhEiHqlBJzHicQVFITkSmeaJ4pKBIMq0iGnGgpYZMprzg4WcgTLMoLinNNC0VYwN0tdMNH3x04Nt8acLBVSVrsJ3Po1TETPCwI6CXf9CF7VwdrttQWcJFzLNAXe8o5az3DnTeOLOUbp1Tkm8syYMl-daSwF7sFbtiCeUv-eNBAMY74NNUsP5fKX-5m-wkvwGekpb3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2789658459</pqid></control><display><type>article</type><title>Evaluation of a transition to survivorship program for pediatric, adolescent, and young adult cancer patients and caregivers</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Bingen, Kristin ; Karst, Jeffrey ; Anderson, Lynnette ; Chan, Sherilynn ; Jordan, Anna ; Morin, Jocelyn ; Nichols, Julie ; Palou‐Torres, Akasha ; Phelan, Rachel ; Schmidt, Debra ; Yan, Ke ; Hoag, Jennifer A</creator><creatorcontrib>Bingen, Kristin ; Karst, Jeffrey ; Anderson, Lynnette ; Chan, Sherilynn ; Jordan, Anna ; Morin, Jocelyn ; Nichols, Julie ; Palou‐Torres, Akasha ; Phelan, Rachel ; Schmidt, Debra ; Yan, Ke ; Hoag, Jennifer A</creatorcontrib><description>Background
Survivorship education and anticipatory guidance represent an unmet need for pediatric, adolescent, and young adult (AYA) cancer survivors and their caregivers when treatment ends. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a structured transition program, bridging treatment to survivorship, to reduce distress and anxiety and increase perceived preparedness for survivors and caregivers.
Procedure
Bridge to Next Steps is a two‐visit program, within 8 weeks prior to treatment completion and 7 months post treatment, which provides survivorship education, psychosocial screening, and resources. Fifty survivors (age range 1–23 years) and 46 caregivers participated. Participants completed pre‐ and post‐intervention measures: Distress Thermometer and Patient‐Reported Outcomes Measurement Information System (PROMIS) anxiety/emotional distress (ages ≥8 years), and perceived preparedness survey (ages ≥14 years). AYA survivors and caregivers completed a post‐intervention acceptability survey.
Results
Most participants (77.8%) completed both visits, and most AYA survivors (57.1%) and caregivers (76.5%) endorsed the program as helpful. Caregivers’ distress and anxiety scores decreased from pre to post intervention (p < .01). Survivors’ scores remained the same, which were low at baseline. Survivors and caregivers felt more prepared for survivorship from pre to post intervention (p = .02, <.01, respectively).
Conclusions
Bridge to Next Steps was feasible and acceptable for most participants. AYA survivors and caregivers felt more prepared for survivorship care after participation. Caregivers reported decreased anxiety and distress from pre to post Bridge, whereas survivors remained at a low level for both. Effective transition programs that better prepare and support pediatric and AYA cancer survivors and families from active treatment to survivorship care can contribute to healthy adjustment.</description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.30277</identifier><identifier>PMID: 36880713</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Anxiety ; Cancer ; cancer survivors ; Caregivers ; Child ; Child, Preschool ; Feasibility studies ; Hematology ; Humans ; Infant ; Neoplasms - psychology ; Neoplasms - therapy ; Oncology ; Patients ; pediatric and AYA ; Pediatrics ; Pilot Projects ; psychological distress ; Surveys ; Survival ; Survivors ; Survivorship ; transition program ; Young Adult ; Young adults</subject><ispartof>Pediatric blood & cancer, 2023-05, Vol.70 (5), p.e30277-n/a</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3887-cbc643549ebba5089f56c52ceb69fc2125e1dfe9a75b5154e03f324d119f1dc33</citedby><cites>FETCH-LOGICAL-c3887-cbc643549ebba5089f56c52ceb69fc2125e1dfe9a75b5154e03f324d119f1dc33</cites><orcidid>0000-0002-6080-4997 ; 0000-0002-3987-128X ; 0000-0002-2481-2826</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpbc.30277$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpbc.30277$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36880713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bingen, Kristin</creatorcontrib><creatorcontrib>Karst, Jeffrey</creatorcontrib><creatorcontrib>Anderson, Lynnette</creatorcontrib><creatorcontrib>Chan, Sherilynn</creatorcontrib><creatorcontrib>Jordan, Anna</creatorcontrib><creatorcontrib>Morin, Jocelyn</creatorcontrib><creatorcontrib>Nichols, Julie</creatorcontrib><creatorcontrib>Palou‐Torres, Akasha</creatorcontrib><creatorcontrib>Phelan, Rachel</creatorcontrib><creatorcontrib>Schmidt, Debra</creatorcontrib><creatorcontrib>Yan, Ke</creatorcontrib><creatorcontrib>Hoag, Jennifer A</creatorcontrib><title>Evaluation of a transition to survivorship program for pediatric, adolescent, and young adult cancer patients and caregivers</title><title>Pediatric blood & cancer</title><addtitle>Pediatr Blood Cancer</addtitle><description>Background
Survivorship education and anticipatory guidance represent an unmet need for pediatric, adolescent, and young adult (AYA) cancer survivors and their caregivers when treatment ends. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a structured transition program, bridging treatment to survivorship, to reduce distress and anxiety and increase perceived preparedness for survivors and caregivers.
Procedure
Bridge to Next Steps is a two‐visit program, within 8 weeks prior to treatment completion and 7 months post treatment, which provides survivorship education, psychosocial screening, and resources. Fifty survivors (age range 1–23 years) and 46 caregivers participated. Participants completed pre‐ and post‐intervention measures: Distress Thermometer and Patient‐Reported Outcomes Measurement Information System (PROMIS) anxiety/emotional distress (ages ≥8 years), and perceived preparedness survey (ages ≥14 years). AYA survivors and caregivers completed a post‐intervention acceptability survey.
Results
Most participants (77.8%) completed both visits, and most AYA survivors (57.1%) and caregivers (76.5%) endorsed the program as helpful. Caregivers’ distress and anxiety scores decreased from pre to post intervention (p < .01). Survivors’ scores remained the same, which were low at baseline. Survivors and caregivers felt more prepared for survivorship from pre to post intervention (p = .02, <.01, respectively).
Conclusions
Bridge to Next Steps was feasible and acceptable for most participants. AYA survivors and caregivers felt more prepared for survivorship care after participation. Caregivers reported decreased anxiety and distress from pre to post Bridge, whereas survivors remained at a low level for both. Effective transition programs that better prepare and support pediatric and AYA cancer survivors and families from active treatment to survivorship care can contribute to healthy adjustment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Cancer</subject><subject>cancer survivors</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Feasibility studies</subject><subject>Hematology</subject><subject>Humans</subject><subject>Infant</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Oncology</subject><subject>Patients</subject><subject>pediatric and AYA</subject><subject>Pediatrics</subject><subject>Pilot Projects</subject><subject>psychological distress</subject><subject>Surveys</subject><subject>Survival</subject><subject>Survivors</subject><subject>Survivorship</subject><subject>transition program</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1LwzAUhoMobk4v_AMS8EbBbUnTtOmljvkBA73Q65KmJzOja2rSTgb-eLMPvRC8Ol8P7zmHF6FzSkaUkGjcFGrESJSmB6hPecyHnND08DcnWQ-deL8IaEK4OEY9lghBUsr66Gu6klUnW2NrbDWWuHWy9mZbtxb7zq3Myjr_bhrcODt3com1dbiB0sjWGXWDZWkr8ArqNuR1ide2q-eh21UtVrJWEOiwIMz9dq6kg7lZgfOn6EjLysPZPg7Q2_30dfI4nD0_PE1uZ0PFhEiHqlBJzHicQVFITkSmeaJ4pKBIMq0iGnGgpYZMprzg4WcgTLMoLinNNC0VYwN0tdMNH3x04Nt8acLBVSVrsJ3Po1TETPCwI6CXf9CF7VwdrttQWcJFzLNAXe8o5az3DnTeOLOUbp1Tkm8syYMl-daSwF7sFbtiCeUv-eNBAMY74NNUsP5fKX-5m-wkvwGekpb3</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Bingen, Kristin</creator><creator>Karst, Jeffrey</creator><creator>Anderson, Lynnette</creator><creator>Chan, Sherilynn</creator><creator>Jordan, Anna</creator><creator>Morin, Jocelyn</creator><creator>Nichols, Julie</creator><creator>Palou‐Torres, Akasha</creator><creator>Phelan, Rachel</creator><creator>Schmidt, Debra</creator><creator>Yan, Ke</creator><creator>Hoag, Jennifer A</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6080-4997</orcidid><orcidid>https://orcid.org/0000-0002-3987-128X</orcidid><orcidid>https://orcid.org/0000-0002-2481-2826</orcidid></search><sort><creationdate>202305</creationdate><title>Evaluation of a transition to survivorship program for pediatric, adolescent, and young adult cancer patients and caregivers</title><author>Bingen, Kristin ; Karst, Jeffrey ; Anderson, Lynnette ; Chan, Sherilynn ; Jordan, Anna ; Morin, Jocelyn ; Nichols, Julie ; Palou‐Torres, Akasha ; Phelan, Rachel ; Schmidt, Debra ; Yan, Ke ; Hoag, Jennifer A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-cbc643549ebba5089f56c52ceb69fc2125e1dfe9a75b5154e03f324d119f1dc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Cancer</topic><topic>cancer survivors</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Feasibility studies</topic><topic>Hematology</topic><topic>Humans</topic><topic>Infant</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Oncology</topic><topic>Patients</topic><topic>pediatric and AYA</topic><topic>Pediatrics</topic><topic>Pilot Projects</topic><topic>psychological distress</topic><topic>Surveys</topic><topic>Survival</topic><topic>Survivors</topic><topic>Survivorship</topic><topic>transition program</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bingen, Kristin</creatorcontrib><creatorcontrib>Karst, Jeffrey</creatorcontrib><creatorcontrib>Anderson, Lynnette</creatorcontrib><creatorcontrib>Chan, Sherilynn</creatorcontrib><creatorcontrib>Jordan, Anna</creatorcontrib><creatorcontrib>Morin, Jocelyn</creatorcontrib><creatorcontrib>Nichols, Julie</creatorcontrib><creatorcontrib>Palou‐Torres, Akasha</creatorcontrib><creatorcontrib>Phelan, Rachel</creatorcontrib><creatorcontrib>Schmidt, Debra</creatorcontrib><creatorcontrib>Yan, Ke</creatorcontrib><creatorcontrib>Hoag, Jennifer A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bingen, Kristin</au><au>Karst, Jeffrey</au><au>Anderson, Lynnette</au><au>Chan, Sherilynn</au><au>Jordan, Anna</au><au>Morin, Jocelyn</au><au>Nichols, Julie</au><au>Palou‐Torres, Akasha</au><au>Phelan, Rachel</au><au>Schmidt, Debra</au><au>Yan, Ke</au><au>Hoag, Jennifer A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of a transition to survivorship program for pediatric, adolescent, and young adult cancer patients and caregivers</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr Blood Cancer</addtitle><date>2023-05</date><risdate>2023</risdate><volume>70</volume><issue>5</issue><spage>e30277</spage><epage>n/a</epage><pages>e30277-n/a</pages><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract>Background
Survivorship education and anticipatory guidance represent an unmet need for pediatric, adolescent, and young adult (AYA) cancer survivors and their caregivers when treatment ends. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a structured transition program, bridging treatment to survivorship, to reduce distress and anxiety and increase perceived preparedness for survivors and caregivers.
Procedure
Bridge to Next Steps is a two‐visit program, within 8 weeks prior to treatment completion and 7 months post treatment, which provides survivorship education, psychosocial screening, and resources. Fifty survivors (age range 1–23 years) and 46 caregivers participated. Participants completed pre‐ and post‐intervention measures: Distress Thermometer and Patient‐Reported Outcomes Measurement Information System (PROMIS) anxiety/emotional distress (ages ≥8 years), and perceived preparedness survey (ages ≥14 years). AYA survivors and caregivers completed a post‐intervention acceptability survey.
Results
Most participants (77.8%) completed both visits, and most AYA survivors (57.1%) and caregivers (76.5%) endorsed the program as helpful. Caregivers’ distress and anxiety scores decreased from pre to post intervention (p < .01). Survivors’ scores remained the same, which were low at baseline. Survivors and caregivers felt more prepared for survivorship from pre to post intervention (p = .02, <.01, respectively).
Conclusions
Bridge to Next Steps was feasible and acceptable for most participants. AYA survivors and caregivers felt more prepared for survivorship care after participation. Caregivers reported decreased anxiety and distress from pre to post Bridge, whereas survivors remained at a low level for both. Effective transition programs that better prepare and support pediatric and AYA cancer survivors and families from active treatment to survivorship care can contribute to healthy adjustment.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36880713</pmid><doi>10.1002/pbc.30277</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6080-4997</orcidid><orcidid>https://orcid.org/0000-0002-3987-128X</orcidid><orcidid>https://orcid.org/0000-0002-2481-2826</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adolescent Adult Anxiety Cancer cancer survivors Caregivers Child Child, Preschool Feasibility studies Hematology Humans Infant Neoplasms - psychology Neoplasms - therapy Oncology Patients pediatric and AYA Pediatrics Pilot Projects psychological distress Surveys Survival Survivors Survivorship transition program Young Adult Young adults |
| title | Evaluation of a transition to survivorship program for pediatric, adolescent, and young adult cancer patients and caregivers |
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