Feasibility of a Self-Management + Peer Mentoring Intervention for Adolescent and Young Adult Childhood Cancer Survivors

Acceptance will be evaluated by young adult survivors' and peer mentors' report on perceived alliance with each other using the Working Alliance Inventory - Short Form Revised (Hatcher & Gillaspy, 2006), a validated measure of the quality and strength of the relationship. Items are rated on a 5-point scale. The measure yields 3 subscales summary scores that can range from 5 to 20, with higher scores indicating more positive relationships. Sum scores on each sub-scale with be calculated: Bond, Goal, and Task.

Time frame: Time 2, about 2 months since baseline

Population: Peer mentors and young adult survivors in RCT Intervention group who completed the tested intervention (i.e., n=22). Please note, while total number of mentors on study was n=10, total reports by mentors for this measure was n=22 (some mentors were assigned to mentor more than one young adult survivor assigned to RCT intervention group.)

The Adherence Barriers Questionnaire is a 6-item scale that measures perceived barriers to using the online program using a 5-point scale, (minimum 1 and maximum 5) with higher scores indicating greater perceived barriers. An overall mean of all items will be calculated.

Time frame: Time 2, about 2 months since baseline.

Population: Data available and reported only for participants who were assigned to this group and completed the tested intervention, i.e., n=22. Total of three participants assigned to this group, withdrew from the study, without completing the tested intervention.

Mean percent completed per task: (a) On-line self-management educational modules and (b) Weekly calls with peer mentor.

Time frame: Time 2, about 2 months since baseline.

Population: Data available and reported only for participants who were assigned to this group and completed the tested intervention, i.e., n=22. Total of three participants assigned to this group, withdrew from the study, without completing the tested intervention.

The Impact Questionnaire is a 13-item scale that measures perceived effectiveness of the online program using a 5-point scale, (minimum 1, and maximum 5) with higher scores indicating greater perceived effectiveness. An overall mean of all items will be calculated.

Time frame: Time 2, about 2 months since baseline.

Population: Data available and reported only for participants who were assigned to this group and completed the tested intervention, i.e., n=22. Total of three participants assigned to this group, withdrew from the study, without completing the tested intervention.

Determined by number of eligible patients consented and completing baseline. Hypothesis: \>50% of eligible will consent and complete the baseline.

Time frame: Baseline

Population: All potentially eligible participants identified by the New Jersey State Cancer Registry (NJSCR) and approached at the local Long-Term Information Treatment Evaluation (LITE) program by study staff.

Retention in study (Young Adult Survivors). Determined by the percent of consented patients who are retained in the study and complete Time 3 follow-up. Hypothesis: \>80%.

Time frame: Time 3 at about 5 months since Baseline.

Population: Young Adult Survivors who enrolled on study, i.e., consented and completed baseline.

Five items assess satisfaction with each aspect of the intervention: a. Overall program satisfaction; b. Content of online modules; c. Discussions with peer mentor; d. Frequency of calls with peer mentor; and e. Duration of program. First 3 items (a, b and c) were evaluated using a 5-point scale, (Minimum 1, Maximum 5) with higher scores indicating greater satisfaction. Item c evaluated on a scale from 1 not frequent enough to 3 too frequent. Item d uses a 1 way too short to 5 way too long scale. The sample mean will be examined.

Time frame: Time 2, about 2 months since baseline.

Population: Data available and reported only for participants who were assigned to this group and completed the tested intervention, i.e., n=22. Total of three participants assigned to this group, withdrew from the study, without completing the tested intervention.

The Utility Questionnaire is an 11-item scale that measures perceived ease of use and convenience of the online program using a 5-point scale, (minimum 1, maximum 5) with higher scores indicating greater perceived utility. An overall mean of all items will be calculated.

Time frame: Time 2, about 2 months since baseline.

Population: Data available and reported only for participants who were assigned to this group and completed the tested intervention, i.e., n=22. Total of three participants assigned to this group, withdrew from the study, without completing the tested intervention.

The Patient-Reported Outcomes Measurement Information System (PROMIS) Emotional Support-Short Form is a 4-item measure of perceived emotional support. A mean score will be calculated (range 1-5), with higher scores indicative of having better perceived emotional support.

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

The Readiness for Transition Questionnaire - Survivor Version (RTQ) assesses the degree to which survivors are responsible for 10 healthcare behaviors, including knowing their survivorship care plan, scheduling annual visits, scheduling specialist appointments, taking and filling medications (if prescribed), explaining medical history to others, knowing insurance coverage, attending appointments, communicating with providers, and calling providers, on a 4-point scale, with higher scores indicating higher levels of responsibility. The RTQ yields a total mean score for responsibility. It also has one item evaluating overall readiness to assume complete responsibility for healthcare with response options of Not at all ready, somewhat ready, mostly ready, or completely ready. The sample mean for the Total Responsibility score and overall readiness item will be calculated (range 1-4)

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

This scale consists of seven items measuring confidence in managing health insurance using a 5-point scale, with higher scores indicating higher confidence. A mean score is calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

The Patient-Reported Outcomes Measurement Information System (PROMIS) Informational Support-Short Form is a 4-item measure of perceived availability of helpful information or advice. A mean score will be calculated (range 1-5), with higher scores indicating higher perceived informational support.

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

The knowledge subscale from the Transition Readiness Inventory (TRI) measures knowledge of survivorship care using a 5-point scale, with higher scores indicating greater knowledge. A mean score will be calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline)

This scale measures confidence in communicating with family about healthcare concerns using a 5-point scale, with higher scores indicating greater confidence. A mean score is calculated (range from 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

This single item measures confidence in communicating with a physician about health concerns using a 10-point scale, with higher scores indicating greater confidence. Range is from 1-10.

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

The Patient-Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy for Managing Chronic Conditions - Managing Emotions-Short Form is an 8-item measure of confidence in managing emotions. A mean score will be calculated (range 1-5). Higher scores indicate higher confidence in managing emotions.

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline)

This scale consists of three items measuring confidence in managing late effects using a 5-point scale, with higher scores indicating higher confidence. A mean score is calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

This scale consists of three items measuring confidence in survivorship care planning using a 5-point scale, with higher scores indicating higher confidence. A mean score is calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

The Beliefs/Expectations sub-scale from the Transition Readiness Inventory (TRI) measures self-management beliefs for survivorship care using a 5-point scale, with higher scores indicating more positive beliefs. A mean score will be calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline)

The Goals subscale from the Transition Readiness Inventory (TRI) measures self-management goals for survivorship care using a 5-point scale, with higher scores indicating greater goals. A mean score will be calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline)

The Skills/Self-Efficacy sub-scale from the Transition Readiness Inventory (TRI) measures self-management skills and self-efficacy for survivorship care using a 5-point scale, with higher scores indicating greater skills/efficacy. A mean score will be calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline)

This scale consists of four items measuring attitudes toward survivorship care using a 5-point scale, with higher scores indicating more positive attitudes. A mean score is calculated (range 1-5).

Time frame: Baseline, Time 2 (about 2 months since baseline), Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

As an exploratory outcome, participants will report on receipt of the following healthcare (if applicable): Survivorship Care Plan, annual survivorship visit, echocardiogram within last 5 years, mammogram ever (females only), skin cancer screening ever, primary care visit in last 2 years, dental visit in the last year, annual flu vaccine up-to-date, and human papillomavirus (HPV) vaccine ever. Each item will be treated individually. The number of survivors reporting receipt of each healthcare service will be counted. Yes indicates receipt within time frame indicated for the outcome; No indicates either not received or not due per self-report.

Time frame: Baseline, Time 3 (about 5 months since baseline), Time 4 (about 12 months since baseline).

Population: Mammogram measure was only administered to females so the sample size for those analyses represent the number of females in each arm.