Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol

Abstract Background Providing opportunities for social interaction and access to psychosocial interventions are 2 of the 15 Standards for Psychosocial Care for Children with Cancer and Their Families. Peer relationships are especially important among adolescents and young adults (AYAs), and cancer d...

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Main Authors: Sherilynn F. Chan, Joanna Patten, Nancy Lau
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Pilot and Feasibility Studies
Subjects:
Online Access:https://doi.org/10.1186/s40814-024-01590-5
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author Sherilynn F. Chan
Joanna Patten
Nancy Lau
author_facet Sherilynn F. Chan
Joanna Patten
Nancy Lau
author_sort Sherilynn F. Chan
collection DOAJ
description Abstract Background Providing opportunities for social interaction and access to psychosocial interventions are 2 of the 15 Standards for Psychosocial Care for Children with Cancer and Their Families. Peer relationships are especially important among adolescents and young adults (AYAs), and cancer disrupts this aspect of social development. Many AYAs with cancer report a desire to engage in peer support groups; however, this remains a critical unmet need. Telehealth is a cost-effective and increasingly common modality for delivering health care that reduces access barriers and may be an especially good fit for AYAs with cancer. Little work has evaluated the feasibility and acceptability of peer support groups for AYAs with cancer. The purpose of this study is to evaluate the feasibility and acceptability of a telehealth peer support group intervention for AYAs with cancer. Methods Telehealth group interventions are offered twice yearly as standard of care at Seattle Children’s Hospital to AYAs on or off treatment for cancer or a brain tumor. Group members are assigned to a High School Group (grades 9–12) or an AYA Group (spring of grade 12 or older). Aim 1 is to determine the feasibility and acceptability of the intervention for all patients who participate in groups in their clinical care. Feasibility will be assessed based on a priori metrics (enrollment, attendance, attrition) for all group members. Group and telehealth acceptability will be assessed by a 16-item internally developed measure that was adapted from the Client Satisfaction Questionnaire. Aim 2 is to conduct patient stakeholder semi-structured interviews post-intervention with 20 AYAs to gather feedback and inform intervention refinement. Participants who opt-in for study procedures will also complete exploratory measures of social connectedness/isolation, depression, and benefit finding, pre- and post-intervention (Aim 3). Discussion Findings from this pilot study will inform intervention refinement, intervention implementation, and sample sizes for future powered trials. This study will provide preliminary empirical evidence to support the development of effective group interventions for AYAs with cancer that increase opportunities for social interaction and access to peer support, with the potential to contribute to improved psychosocial care of AYAs with cancer.
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spelling doaj-art-8a664cd9f7ae49298dbce7d2b53d89652025-02-02T12:09:15ZengBMCPilot and Feasibility Studies2055-57842025-01-0111111010.1186/s40814-024-01590-5Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocolSherilynn F. Chan0Joanna Patten1Nancy Lau2Department of Psychiatry and Behavioral Sciences, University of WashingtonDivision of Psychiatry and Behavioral Medicine, Seattle Children’s HospitalDepartment of Psychiatry and Behavioral Sciences, University of WashingtonAbstract Background Providing opportunities for social interaction and access to psychosocial interventions are 2 of the 15 Standards for Psychosocial Care for Children with Cancer and Their Families. Peer relationships are especially important among adolescents and young adults (AYAs), and cancer disrupts this aspect of social development. Many AYAs with cancer report a desire to engage in peer support groups; however, this remains a critical unmet need. Telehealth is a cost-effective and increasingly common modality for delivering health care that reduces access barriers and may be an especially good fit for AYAs with cancer. Little work has evaluated the feasibility and acceptability of peer support groups for AYAs with cancer. The purpose of this study is to evaluate the feasibility and acceptability of a telehealth peer support group intervention for AYAs with cancer. Methods Telehealth group interventions are offered twice yearly as standard of care at Seattle Children’s Hospital to AYAs on or off treatment for cancer or a brain tumor. Group members are assigned to a High School Group (grades 9–12) or an AYA Group (spring of grade 12 or older). Aim 1 is to determine the feasibility and acceptability of the intervention for all patients who participate in groups in their clinical care. Feasibility will be assessed based on a priori metrics (enrollment, attendance, attrition) for all group members. Group and telehealth acceptability will be assessed by a 16-item internally developed measure that was adapted from the Client Satisfaction Questionnaire. Aim 2 is to conduct patient stakeholder semi-structured interviews post-intervention with 20 AYAs to gather feedback and inform intervention refinement. Participants who opt-in for study procedures will also complete exploratory measures of social connectedness/isolation, depression, and benefit finding, pre- and post-intervention (Aim 3). Discussion Findings from this pilot study will inform intervention refinement, intervention implementation, and sample sizes for future powered trials. This study will provide preliminary empirical evidence to support the development of effective group interventions for AYAs with cancer that increase opportunities for social interaction and access to peer support, with the potential to contribute to improved psychosocial care of AYAs with cancer.https://doi.org/10.1186/s40814-024-01590-5Adolescents and young adultsCancerTelehealthSocial support
spellingShingle Sherilynn F. Chan
Joanna Patten
Nancy Lau
Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol
Pilot and Feasibility Studies
Adolescents and young adults
Cancer
Telehealth
Social support
title Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol
title_full Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol
title_fullStr Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol
title_full_unstemmed Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol
title_short Telehealth group intervention for adolescents and young adults with cancer: a feasibility pilot study protocol
title_sort telehealth group intervention for adolescents and young adults with cancer a feasibility pilot study protocol
topic Adolescents and young adults
Cancer
Telehealth
Social support
url https://doi.org/10.1186/s40814-024-01590-5
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