Online, Group-Based Psychological Support for Adolescent and Young Adult Cancer Survivors: Results from the Recapture Life Randomized Trial

Sansom-Daly, UM; Wakefield, CE; Ellis, SJ; McGill, BC; Donoghoe, MW; Butow, P; Bryant, RA; Sawyer, SM; Patterson, P; Anazodo, A; Plaster, M; Thompson, K; Holland, L; Osborn, M; Maguire, F; O'Dwyer, C; De Abreu Lourenco, R; Cohn, RJ; The Recapture Life Working Party,

Online, Group-Based Psychological Support for Adolescent and Young Adult Cancer Survivors: Results from the Recapture Life Randomized Trial

Sansom-Daly, UM Wakefield, CE Ellis, SJ McGill, BC Donoghoe, MW Butow, P Bryant, RA Sawyer, SM Patterson, P Anazodo, A Plaster, M Thompson, K Holland, L Osborn, M Maguire, F O'Dwyer, C De Abreu Lourenco, R

Cohn, RJ The Recapture Life Working Party,

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Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Cancers, 2021, 13, (10)
Issue Date:: 2021-05-18

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Field	Value	Language
dc.contributor.author	Sansom-Daly, UM
dc.contributor.author	Wakefield, CE
dc.contributor.author	Ellis, SJ
dc.contributor.author	McGill, BC
dc.contributor.author	Donoghoe, MW
dc.contributor.author	Butow, P
dc.contributor.author	Bryant, RA
dc.contributor.author	Sawyer, SM
dc.contributor.author	Patterson, P
dc.contributor.author	Anazodo, A
dc.contributor.author	Plaster, M
dc.contributor.author	Thompson, K
dc.contributor.author	Holland, L
dc.contributor.author	Osborn, M
dc.contributor.author	Maguire, F
dc.contributor.author	O'Dwyer, C
dc.contributor.author	De Abreu Lourenco, R https://orcid.org/0000-0002-5978-8774
dc.contributor.author	Cohn, RJ
dc.contributor.author	The Recapture Life Working Party,
dc.date.accessioned	2021-08-10T03:49:34Z
dc.date.available	2021-05-03
dc.date.available	2021-08-10T03:49:34Z
dc.date.issued	2021-05-18
dc.identifier.citation	Cancers, 2021, 13, (10)
dc.identifier.issn	2072-6694
dc.identifier.issn	2072-6694
dc.identifier.uri	http://hdl.handle.net/10453/150085
dc.description.abstract	Telehealth interventions offer a practical platform to support adolescent and young adult (AYA) cancer survivors' mental health needs after treatment, yet efficacy data are lacking. We evaluated an online, group-based, videoconferencing-delivered cognitive-behavioral therapy (CBT) intervention ('Recapture Life') in a 3-arm randomized-controlled trial comparing Recapture Life with an online peer-support group, and a waitlist control, with the aim of testing its impact on quality of life, emotional distress and healthcare service use. Forty AYAs (M<sub>age</sub> = 20.6 years) within 24-months of completing treatment participated, together with 18 support persons. No groupwise impacts were measured immediately after the six-week intervention. However, Recapture Life participants reported using more CBT skills at the six-week follow-up (OR = 5.58, 95% CI = 2.00-15.56, <i>p</i> = 0.001) than peer-support controls. Recapture Life participants reported higher perceived negative impact of cancer, anxiety and depression at 12-month follow-up, compared to peer-support controls. Post-hoc analyses suggested that AYAs who were further from completing cancer treatment responded better to Recapture Life than those who had completed treatment more recently. While online telehealth interventions hold promise, recruitment to this trial was challenging. As the psychological challenges of cancer survivorship are likely to evolve with time, different support models may prove more or less helpful for different sub-groups of AYA survivors at different times.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI
dc.relation.ispartof	Cancers
dc.relation.isbasedon	10.3390/cancers13102460
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1112 Oncology and Carcinogenesis
dc.title	Online, Group-Based Psychological Support for Adolescent and Young Adult Cancer Survivors: Results from the Recapture Life Randomized Trial
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	Switzerland
utslib.for	1112 Oncology and Carcinogenesis
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	/University of Technology Sydney/Centre for Health Technologies (CHT)
utslib.copyright.status	open_access	*
dc.date.updated	2021-08-10T03:49:29Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	13
utslib.citation.issue	10

Abstract:

Telehealth interventions offer a practical platform to support adolescent and young adult (AYA) cancer survivors' mental health needs after treatment, yet efficacy data are lacking. We evaluated an online, group-based, videoconferencing-delivered cognitive-behavioral therapy (CBT) intervention ('Recapture Life') in a 3-arm randomized-controlled trial comparing Recapture Life with an online peer-support group, and a waitlist control, with the aim of testing its impact on quality of life, emotional distress and healthcare service use. Forty AYAs (M_age = 20.6 years) within 24-months of completing treatment participated, together with 18 support persons. No groupwise impacts were measured immediately after the six-week intervention. However, Recapture Life participants reported using more CBT skills at the six-week follow-up (OR = 5.58, 95% CI = 2.00-15.56, p = 0.001) than peer-support controls. Recapture Life participants reported higher perceived negative impact of cancer, anxiety and depression at 12-month follow-up, compared to peer-support controls. Post-hoc analyses suggested that AYAs who were further from completing cancer treatment responded better to Recapture Life than those who had completed treatment more recently. While online telehealth interventions hold promise, recruitment to this trial was challenging. As the psychological challenges of cancer survivorship are likely to evolve with time, different support models may prove more or less helpful for different sub-groups of AYA survivors at different times.

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http://hdl.handle.net/10453/150085