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Nurse-led video-coaching interventions in childhood, adolescent and young adult cancer survivors (REVIVER): a protocol for mixed methods feasibility research

Authors
  • Bouwman, Eline1
  • Hermens, Rosella P. M. G.2
  • Blijlevens, Nicole M. A.3
  • Prins, Judith B.4
  • Loonen, Jacqueline J.1
  • 1 Radboud University Medical Centre, Geert Grooteplein Zuid 10 (Route 558), Nijmegen, NL, 6525 GA, Netherlands , Nijmegen (Netherlands)
  • 2 Radboud University Medical Centre, Geert Grooteplein Noord 21 (Route 114), Nijmegen, 6525 EZ, Netherlands , Nijmegen (Netherlands)
  • 3 Radboud University Medical Centre, Geert Grooteplein Zuid 8 (Route 476), Nijmegen, 6525 GA, Netherlands , Nijmegen (Netherlands)
  • 4 Radboud University Medical Centre, Geert Grooteplein Zuid 10 (Route 840), Nijmegen, 6525 GA, Netherlands , Nijmegen (Netherlands)
Type
Published Article
Journal
Pilot and Feasibility Studies
Publisher
BioMed Central
Publication Date
Dec 18, 2019
Volume
5
Issue
1
Identifiers
DOI: 10.1186/s40814-019-0535-1
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundSuccessful cancer treatment can lead to cancer survivors being predisposed to an increased lifelong risk of adverse late health effects. Therefore, high-quality cancer survivorship care to earlier detect and treat late effects or to preserve survivor’s health is essential. Nevertheless, this care needs to be sustainable and cost-effective as well. We developed three different screen-to-screen nurse-led eHealth interventions for survivors of childhood, adolescent and young adult-onset cancer, collectively called the REVIVER interventions. Elaborating on person-centred care principles with content based on cognitive behavioural therapy modules and/or motivational interviewing techniques, these interventions aim to empower and coach survivors to improve (1) symptoms of cancer-related fatigue, (2) self-efficacy and self-management or (3) lifestyle. With the REVIVER study, we aim to evaluate the interventions’ feasibility and gain insights into the potential effectiveness.MethodsThe REVIVER study involves a mixed methods design, including (1) interviews till data saturation with cancer survivors who completed the interventions as well as with all involved medical professionals, (2) reviews of nurses reports and (3) a single-group, pre-post evaluation among cancer survivors. Eligible survivors are survivors of childhood, adolescent and young adult-onset cancer who are referred to one of the interventions, in complete remission of cancer, 16–44 years old at enrolment, completed treatment at least 5 years ago and have access to a device with Internet options. We will assess feasibility in terms of demand, adherence, acceptability, practicality and integration/implementation. Health-related quality of life, as primary outcome of the potential effectiveness evaluation, will be assessed at three different time points: prior to the intervention; immediately following the intervention and 6 months post-intervention. Secondary outcome measures include changes in level of fatigue, self-efficacy, self-management and lifestyle.DiscussionThis is the first study to evaluate the feasibility and potential effectiveness of eHealth nurse-led interventions elaborating on person-centred care, using cognitive behavioural therapy and/or motivational interviewing techniques as an innovative and promising approach for providing CAYA cancer survivorship care. If the interventions prove to be feasible and potential effective, a randomized controlled trial will be conducted to test the (cost)-effectiveness.

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