Cardiovascular Disease, Young Adult Cancer Survivors
Conditions
Brief summary
Health information technology (HIT) has the potential to improve the quality, efficiency, consistency, and availability of cancer survivor care. PREVENT is a novel HIT tool designed by our team for adolescents (12-19 years). PREVENT aggregates and displays the American Heart Association's (AHA) Life Simple 7 cardiovascular health (CVH) risk factors and provides tailored, evidence-based, behavior change recommendations inclusive of community resources that are delivered to overweight/obese adolescents at the point-of-care to improve CVH. The investigators seek to expand this tool for patients beyond 19 years of age to increase this tool's reach to the entire adolescent and young adult (AYA) age range and then evaluate its effectiveness among AYA cancer survivors.
Interventions
BEHAVIORALWait-List Control
-Will receive routine clinical care. After completion of follow-up measures, control participants will receive a behavior change prescription via the PREVENT tool
BEHAVIORALPREVENT tool
-PREVENT is a novel Health Information Technology tool designed to promote physical activity and healthy food intake among overweight/obese patients at the point of care. PREVENT automates the delivery of personalized, evidence-based behavior change recommendations and provides an interactive map of community resources to help providers link patients to resources in their community.
Sponsors
American Cancer Society, Inc.
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
Patient eligibility criteria * Aged 20-39 years * Prior diagnosis of pediatric cancer (diagnosed \<21 years of age). * Not receiving active therapy for their cancer * Receiving care from the Pediatric Hematology/Oncology staff and physicians at St. Louis Children's Hospital, the St. Louis Children's Specialty Care Center, Siteman Cancer Center's Lifelong Outcomes Clinic at Siteman South County * At risk for poor CVH (BMI ≥ 25 kg/m\^2) * Ability to understand and willingness to sign an IRB approved written informed consent document (or that of legally authorized representative, if applicable). Provider eligibility criteria. -All providers and clinic staff (physicians, nurses, clinic staff, clinic research associates) in the Pediatric Hematology/Oncology program at St. Louis Children's Hospital and the CSCC or in the Siteman Cancer Center's Lifelong Outcomes Clinic at Siteman South County are eligible to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in minutes of physical activity | At baseline and 3-months | Physical activity will be measured using a triaxial accelerometer (Actigraph GT3X+, Actigraph of Ft. Walton Beach, FL). The participant will be instructed to wear the accelerometer on an elasticized belt, on the left mid-axillary line. The Actigraph is one of the most common accelerometers used for scientific purposes. Participants will be encouraged to wear the accelerometer 24-hours per day for at least 7-days, including 2 weekend days. |
| Change in food intake behaviors | At baseline and 3-months | Patient-reported food intake behaviors (fruit and vegetable intake, whole grains, sugar-sweetened beverages and snacking behaviors) are collected using a brief Health Behavior & Attitudes Survey. |
| Change in body mass index (BMI) | At baseline and 3-months | Collected from patient's medical record. |
| Change on patient's attitudes toward behavior change | At baseline and 3-months | A survey (6-question) administered to patients will assess attitudes toward and readiness for behavior change. Questions are asked using a 5-point Likert scale (range: 0-30) with a higher score indicating more positive attitudes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient's fasting blood glucose | At baseline and 3-months | Collected from patient's medical record |
| Change in patients' satisfaction of PREVENT tool: survey | Within 48 hours of clinic visit and at 3-months | — |
| Fidelity of PREVENT tool implementation | 0-3 months | -Fidelity will be measured using direct observation of patient-provider interactions while using the PREVENT tool. A direct observation checklist will be used by the observer to determine the number of interactions with the PREVENT tool that were implemented as intended. |
| Provider's motivation for sustained use of PREVENT tool | 3-months | -A survey (12-questions) will assess provider's intent to change their behavior and continue using PREVENT were adapted from Legare's CPD Reaction Questionnaire. Questions are asked using a 7-point Likert scale (range: 12-84) with a higher score indicating greater motivation for sustained use. |
| Provider's satisfaction of PREVENT tool: survey | 3-months | A survey (15-questions) will assess provider's satisfaction with five aspects of health information technology: content, accuracy, format, ease of use and timeliness. Questions are asked on a 5-point Likert scale (range: 15-75) with a higher score indicating greater satisfaction |
| Change on patient's average systolic and diastolic blood pressure | At baseline and 3-months | Collected from patient's medical record |
| Change in patient's cholesterol | At baseline and 3-months | Collected from patient's medical record |
Countries
United States
Outcome results
None listed