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Evaluating a Transition Workbook for Childhood Cancer Survivors: a Pilot Study

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Abstract

Many childhood cancer survivors (CCS) could benefit from improved knowledge about their cancer diagnosis, the treatments received, and associated risks during the period when they transition into adult aftercare. Interventions that support the transition from pediatric to adult care have showed high patient satisfaction. We developed an educational workbook, Life After the Janeway,” to support CCS transition into adult care. We evaluated its understandability, actionability, and overall acceptability, using an online survey based on the Agency for Healthcare Research and Quality’s Patient Education Materials Assessment Tool for Printable Material (PEMAT-P). Ten participants completed the survey. The overall PEMAT-P score was 94.06 (SD ± 7.40). Mean scores for understandability and actionability were 92.83 (SD ± 8.79) and 98.15 (SD ± 5.24) respectively. Interrater reliability found strong agreement across survey items. Participants support efforts to improve transition and felt positive about the intervention. The workbook was shown to be understandable and actionable to likely users. The next steps will focus on delivering the workbook to CCS going through their transition of care and exploring developing the workbook in an electronic format.

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References

  1. Freyer DR (2010) Transition of care for young adult survivors of childhood and adolescent cancer: rationale and approaches. J Clin Oncol 28(32):4810–4818

    Article  Google Scholar 

  2. Henderson TO, Friedman DL, Meadows AT (2010) Childhood cancer survivors: transition to adult-focused risk-based care. Pediatrics. 126(1):129–136

    Article  Google Scholar 

  3. Nathan PC, Hayes-Lattin B, Sisler JJ, Hudson MM (2011) Critical issues in transition and survivorship for adolescents and young adults with cancers. Cancer. 117(S10):2335–2341

    Article  Google Scholar 

  4. Eshelman-Kent D, Kinahan KE, Hobbie W, Landier W, Teal S, Friedman D, Nagarajan R, Freyer DR (2011) Cancer survivorship practices, services, and delivery: a report from the Children’s Oncology Group (COG) nursing discipline, adolescent/young adult, and late effects committees. J Cancer Surviv 5(4):345–357

    Article  Google Scholar 

  5. Blaauwbroek R, Groenier K, Kamps W, Meyboom-de Jong B, Postma A (2007) Late effects in adult survivors of childhood cancer: the need for life-long follow-up. Ann Oncol 18(11):1898–1902

    Article  CAS  Google Scholar 

  6. Lie HC, Mellblom AV, Brekke M, Finset A, Fosså SD, Kiserud CE, Ruud E, Loge JH (2017) Experiences with late effects-related care and preferences for long-term follow-up care among adult survivors of childhood lymphoma. Support Care Cancer 25(8):2445–2454

    Article  Google Scholar 

  7. Michel G, Greenfield D, Absolom K, Ross R, Davies H, Eiser C (2009) Follow-up care after childhood cancer: survivors’ expectations and preferences for care. Eur J Cancer 45(9):1616–1623

    Article  CAS  Google Scholar 

  8. Miller KA, Wojcik KY, Ramirez CN, Ritt-Olson A, Freyer DR, Hamilton AS, Milam JE (2017) Supporting long-term follow-up of young adult survivors of childhood cancer: correlates of healthcare self-efficacy. Pediatr Blood Cancer 64(2):358–363

    Article  Google Scholar 

  9. Kaufman M, Pinzon J (2007) Transition to adult care for youth with special health care needs. Paediatr Child Health 12(9):785–793

    Article  Google Scholar 

  10. Hudson MM, Tyc VL, Jayawardene DA, Gattuso J, Quargnenti A, Greenwald C, Crom DB, Mason C, Srivastava DK, Hinds P (1999) Feasibility of implementing health promotion interventions to improve health-related quality of life. Int J Cancer 83(S12):138–142

    Article  Google Scholar 

  11. Kock A-K, Kaya R, Müller C, Andersen B, Langer T, Ingenerf J (2015) Design, implementation, and evaluation of a mobile application for patient empowerment and management of long-term follow-up after childhood cancer. Klin Padiatr 227(03):166–170

    Article  Google Scholar 

  12. Bashore L, Bender J (2016) Evaluation of the utility of a transition workbook in preparing adolescent and young adult cancer survivors for transition to adult services: a pilot study. J Pediatr Oncol Nurs 33(2):111–118

    Article  Google Scholar 

  13. Kazak AE, Simms S, Barakat L, Hobbie W, Foley B, Golomb V et al (1999) Surviving Cancer Competently Intervention Program (SCCIP): a cognitive-behavioral and family therapy intervention for adolescent survivors of childhood cancer and their families. Fam Process 38(2):176–191

    Article  Google Scholar 

  14. Ryan DMP, Chafe R (2020) Transition and aftercare for survivors of pediatric cancer across a Canadian Province. Unpublished manuscript, St. Johns’s

    Google Scholar 

  15. World Health Organization (2006) Quality of care: a process for making strategic choices in health systems. World Health Organization, Geneva Available from: https://www.who.int/management/quality/assurance/QualityCare_B.Def.pdf

    Google Scholar 

  16. Shoemaker SJ, Wolf MS, Brach C The Patient Education Materials Assessment Tool (PEMAT) and user’s guide. (Prepared by Abt Associates, Inc. under Contract No. HHSA290200900012I, TO 4). Agency for Healthcare Research and Quality, Rockville November 2013. AHRQ Publication No. 14-0002-EF

  17. Shoemaker SJ, Wolf MS, Brach C (2014) Development of the Patient Education Materials Assessment Tool (PEMAT): a new measure of understandability and actionability for print and audiovisual patient information. Patient Educ Couns 96(3):395–403

    Article  Google Scholar 

  18. Schorr C, Hunter K, Zuzelo PR (2018) Understandability and actionability of the CDC’S Printable Sepsis Patient Education Material. Am J Crit Care 27(5):418–427

    Article  Google Scholar 

  19. Qualtrics XM (2005) Qualtrics survey software [software]. Seattle, Qualtrics

    Google Scholar 

  20. Health Research Ethics Authority (2018) Newfoundland and Labrador Health Research Ethics Authority. Health Research Ethics Authority, St. John’s [cited 2016 September 17]. Available from: https://www.hrea.ca

    Google Scholar 

  21. Evans JR, Mathur A (2005) The value of online surveys. Internet Res 15(2):195–219

    Article  Google Scholar 

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Availability of Data and Materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Funding

Funding for this project was provided by the Newfoundland and Labrador Centre for Applied Research (Canada).

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Contributions

D.R. modified the survey, assisted in the development of research design, and analysis. R.C. and P.M. assisted in the development of the research design and analysis. All authors read and approved the final manuscript.

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Correspondence to Devonne Ryan.

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The authors have no conflicts of interest or funding to disclose.

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Ryan, D., Moorehead, P. & Chafe, R. Evaluating a Transition Workbook for Childhood Cancer Survivors: a Pilot Study. J Canc Educ 37, 593–598 (2022). https://doi.org/10.1007/s13187-020-01850-x

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