Skip to main content
Top
Published in: International Journal of Behavioral Medicine 2/2013

01-06-2013

Intervention Format and Delivery Preferences Among Young Adult Cancer Survivors

Authors: Carolyn Rabin, Norah Simpson, Kathleen Morrow, Bernardine Pinto

Published in: International Journal of Behavioral Medicine | Issue 2/2013

Login to get access

Abstract

Background

Young adult cancer survivors face a number of increased medical and psychosocial risks, including an increased risk of cardiovascular disease and emotional distress. Although behavioral strategies, such as exercise, may diminish some of these risks, few behavioral interventions have been developed for this population.

Purpose

As a first step toward developing interventions specifically for young survivors, we conducted a qualitative study of their intervention-related preferences. A key objective was to identify the preferred format for delivering interventions (e.g., face-to-face, online).

Method

In-depth, semi-structured individual interviews were conducted with 20 young adult cancer survivors between the ages of 18 and 39. This research was conducted in Rhode Island, USA.

Results

Participants identified advantages and disadvantages to a variety of intervention formats including: telephone-based, print-based, computer-based, and several types of face-to-face interventions. The dominant theme that emerged was that interventions developed for young adult cancer survivors should take into account their multiple competing needs and obligations (e.g., work, family). Two closely related subthemes were: (1) the importance of developing interventions that are convenient and (2) the need for interventions that provide social support. Interventions for this population may be most successful if they take into account these themes.

Conclusion

Data indicate that young adult cancer survivors have some unique needs (e.g., multiple competing demands of young adulthood) and preferences (e.g., comfort with remotely delivered interventions) that differentiate them from older cancer survivors. Thus, young survivors would be best served by interventions designed to specifically target this population.
Literature
1.
go back to reference Adolescent and Young Adult Oncology Progress Review Group. Closing the gap: research and care imperatives for adolescents and young adults with cancer. Bethesda, MD: US Department of Health and Human Services, Livestrong Young Adult Alliance; 2006. Report No.: 06-6067. Adolescent and Young Adult Oncology Progress Review Group. Closing the gap: research and care imperatives for adolescents and young adults with cancer. Bethesda, MD: US Department of Health and Human Services, Livestrong Young Adult Alliance; 2006. Report No.: 06-6067.
3.
go back to reference Huddart RA, Norman A, Shahidi M, Horwich A, Coward D, Nicholls J, et al. Cardiovascular disease as a long-term complication of treatment for testicular cancer. J Clin Oncol. 2003;21(8):1513–23.PubMedCrossRef Huddart RA, Norman A, Shahidi M, Horwich A, Coward D, Nicholls J, et al. Cardiovascular disease as a long-term complication of treatment for testicular cancer. J Clin Oncol. 2003;21(8):1513–23.PubMedCrossRef
4.
go back to reference Swerdlow AJ, Higgins CD, Smith P, Cunningham D, Hancock BW, Horwich A, et al. Myocardial infarction mortality risk after treatment for Hodgkin disease: a collaborative British cohort study. J Natl Cancer Inst. 2007;99(3):206–14.PubMedCrossRef Swerdlow AJ, Higgins CD, Smith P, Cunningham D, Hancock BW, Horwich A, et al. Myocardial infarction mortality risk after treatment for Hodgkin disease: a collaborative British cohort study. J Natl Cancer Inst. 2007;99(3):206–14.PubMedCrossRef
5.
go back to reference van den Belt-Dusebout AW, Nuver J, de Wit R, Gietema JA, ten Bokkel Huinink WW, Rodrigus PT, et al. Long-term risk of cardiovascular disease in 5-year survivors of testicular cancer. J Clin Oncol. 2006;24(3):467–75.PubMedCrossRef van den Belt-Dusebout AW, Nuver J, de Wit R, Gietema JA, ten Bokkel Huinink WW, Rodrigus PT, et al. Long-term risk of cardiovascular disease in 5-year survivors of testicular cancer. J Clin Oncol. 2006;24(3):467–75.PubMedCrossRef
6.
go back to reference Travis LB, Hill D, Dores GM, Gospodarowicz M, van Leeuwen FE, Holowaty E, et al. Cumulative absolute breast cancer risk for young women treated for Hodgkin lymphoma. J Natl Cancer Inst. 2005;97(19):1428–37.PubMedCrossRef Travis LB, Hill D, Dores GM, Gospodarowicz M, van Leeuwen FE, Holowaty E, et al. Cumulative absolute breast cancer risk for young women treated for Hodgkin lymphoma. J Natl Cancer Inst. 2005;97(19):1428–37.PubMedCrossRef
7.
go back to reference Travis LB, Fossa SD, Schonfeld SJ, McMaster ML, Lynch CF, Storm H, et al. Second cancers among 40,576 testicular cancer patients: focus on long-term survivors. J Natl Cancer Inst. 2005;97(18):1354–65.PubMedCrossRef Travis LB, Fossa SD, Schonfeld SJ, McMaster ML, Lynch CF, Storm H, et al. Second cancers among 40,576 testicular cancer patients: focus on long-term survivors. J Natl Cancer Inst. 2005;97(18):1354–65.PubMedCrossRef
9.
go back to reference Cantrell MA, Conte TM. Between being cured and being healed: the paradox of childhood cancer survivorship. Qual Health Res. 2009;19(3):312–22.PubMedCrossRef Cantrell MA, Conte TM. Between being cured and being healed: the paradox of childhood cancer survivorship. Qual Health Res. 2009;19(3):312–22.PubMedCrossRef
10.
go back to reference Hewitt M, Rowland JH. Mental health service use among adult cancer survivors: analyses of the National Health Interview Survey. J Clin Oncol. 2002;20(23):4581–90.PubMedCrossRef Hewitt M, Rowland JH. Mental health service use among adult cancer survivors: analyses of the National Health Interview Survey. J Clin Oncol. 2002;20(23):4581–90.PubMedCrossRef
11.
go back to reference Parker PA, Baile WF, de Moor C, Cohen L. Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-Oncology. 2003;12(2):183–93.PubMedCrossRef Parker PA, Baile WF, de Moor C, Cohen L. Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-Oncology. 2003;12(2):183–93.PubMedCrossRef
12.
go back to reference Avis NE, Crawford S, Manuel J. Psychosocial problems among younger women with breast cancer. Psycho-Oncology. 2004;13(5):295–308.PubMedCrossRef Avis NE, Crawford S, Manuel J. Psychosocial problems among younger women with breast cancer. Psycho-Oncology. 2004;13(5):295–308.PubMedCrossRef
13.
go back to reference Wenzel L, DeAlba I, Habbal R, Kluhsman BC, Fairclough D, Krebs LU, et al. Quality of life in long-term cervical cancer survivors. Gynecol Oncol. 2005;97(2):310–7.PubMedCrossRef Wenzel L, DeAlba I, Habbal R, Kluhsman BC, Fairclough D, Krebs LU, et al. Quality of life in long-term cervical cancer survivors. Gynecol Oncol. 2005;97(2):310–7.PubMedCrossRef
14.
go back to reference Greenfield DM, Walters SJ, Coleman RE, Hancock BW, Eastell R, Davies HA, et al. Prevalence and consequences of androgen deficiency in young male cancer survivors in a controlled cross-sectional study. J Clin Endocrinol Metab. 2007;92(9):3476–82.PubMedCrossRef Greenfield DM, Walters SJ, Coleman RE, Hancock BW, Eastell R, Davies HA, et al. Prevalence and consequences of androgen deficiency in young male cancer survivors in a controlled cross-sectional study. J Clin Endocrinol Metab. 2007;92(9):3476–82.PubMedCrossRef
15.
go back to reference Thewes B, Butow P, Girgis A, Pendlebury S. The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older survivors. Psycho-Oncology. 2004;13(3):177–89.PubMedCrossRef Thewes B, Butow P, Girgis A, Pendlebury S. The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older survivors. Psycho-Oncology. 2004;13(3):177–89.PubMedCrossRef
16.
go back to reference Wilson PW, D’Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002;162(16):1867–72.PubMedCrossRef Wilson PW, D’Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002;162(16):1867–72.PubMedCrossRef
17.
go back to reference Panagiotakos DB, Rallidis LS, Pitsavos C, Stefanadis C, Kremastinos D. Cigarette smoking and myocardial infarction in young men and women: a case-control study. Int J Cardiol. 2007;116(3):371–5.PubMedCrossRef Panagiotakos DB, Rallidis LS, Pitsavos C, Stefanadis C, Kremastinos D. Cigarette smoking and myocardial infarction in young men and women: a case-control study. Int J Cardiol. 2007;116(3):371–5.PubMedCrossRef
18.
go back to reference Rehm J, Baliunas D, Borges GL, Graham K, Irving H, Kehoe T, et al. The relation between different dimensions of alcohol consumption and burden of disease: an overview. Addiction. 2010;105(5):817–43.PubMedCrossRef Rehm J, Baliunas D, Borges GL, Graham K, Irving H, Kehoe T, et al. The relation between different dimensions of alcohol consumption and burden of disease: an overview. Addiction. 2010;105(5):817–43.PubMedCrossRef
19.
go back to reference Thune I, Brenn T, Lund E, Gaard M. Physical activity and the risk of breast cancer. N Engl J Med. 1997;336(18):1269–75.PubMedCrossRef Thune I, Brenn T, Lund E, Gaard M. Physical activity and the risk of breast cancer. N Engl J Med. 1997;336(18):1269–75.PubMedCrossRef
20.
go back to reference United States Department of Health and Human Services. The health consequences of smoking: a report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004. United States Department of Health and Human Services. The health consequences of smoking: a report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.
21.
go back to reference Courneya KS. Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc. 2003;35(11):1846–52.PubMedCrossRef Courneya KS. Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc. 2003;35(11):1846–52.PubMedCrossRef
22.
go back to reference Galvao DA, Newton RU. Review of exercise intervention studies in cancer patients. J Clin Oncol. 2005;23(4):899–909.PubMedCrossRef Galvao DA, Newton RU. Review of exercise intervention studies in cancer patients. J Clin Oncol. 2005;23(4):899–909.PubMedCrossRef
23.
go back to reference Knols R, Aaronson NK, Uebelhart D, Fransen J, Aufdemkampe G. Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled clinical trials. J Clin Oncol. 2005;23(16):3830–42.PubMedCrossRef Knols R, Aaronson NK, Uebelhart D, Fransen J, Aufdemkampe G. Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled clinical trials. J Clin Oncol. 2005;23(16):3830–42.PubMedCrossRef
24.
go back to reference Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005;40(6):702–11.PubMedCrossRef Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005;40(6):702–11.PubMedCrossRef
25.
go back to reference Rabin C, Simpson N, Morrow K, Pinto B. Behavioral and psychosocial program needs of young adult cancer survivors. Qual Health Res. 2011;21(6):796–806.PubMedCrossRef Rabin C, Simpson N, Morrow K, Pinto B. Behavioral and psychosocial program needs of young adult cancer survivors. Qual Health Res. 2011;21(6):796–806.PubMedCrossRef
26.
go back to reference Kuhn KG, Boesen E, Ross L, Johansen C. Evaluation and outcome of behavioural changes in the rehabilitation of cancer patients: a review. Eur J Cancer. 2005;41(2):216–24.PubMedCrossRef Kuhn KG, Boesen E, Ross L, Johansen C. Evaluation and outcome of behavioural changes in the rehabilitation of cancer patients: a review. Eur J Cancer. 2005;41(2):216–24.PubMedCrossRef
27.
go back to reference Pinto BM, Maruyama NC. Exercise in the rehabilitation of breast cancer survivors. Psycho-Oncology. 1999;8(3):191–206.PubMedCrossRef Pinto BM, Maruyama NC. Exercise in the rehabilitation of breast cancer survivors. Psycho-Oncology. 1999;8(3):191–206.PubMedCrossRef
28.
go back to reference Blaauwbroek R, Bouma MJ, Tuinier W, Groenier KH, de Greef MH, Meyboom-de Jong B, et al. The effect of exercise counseling with feedback from a pedometer on fatigue in adult survivors of childhood cancer: a pilot study. Support Care Cancer 2008. Blaauwbroek R, Bouma MJ, Tuinier W, Groenier KH, de Greef MH, Meyboom-de Jong B, et al. The effect of exercise counseling with feedback from a pedometer on fatigue in adult survivors of childhood cancer: a pilot study. Support Care Cancer 2008.
29.
go back to reference Emmons KM, Puleo E, Park E, Gritz ER, Butterfield RM, Weeks JC, et al. Peer-delivered smoking counseling for childhood cancer survivors increases rate of cessation: the partnership for health study. J Clin Oncol. 2005;23(27):6516–23.PubMedCrossRef Emmons KM, Puleo E, Park E, Gritz ER, Butterfield RM, Weeks JC, et al. Peer-delivered smoking counseling for childhood cancer survivors increases rate of cessation: the partnership for health study. J Clin Oncol. 2005;23(27):6516–23.PubMedCrossRef
30.
go back to reference Schneider S, Moyer A, Knapp-Oliver S, Sohl S, Cannella D, Targhetta V. Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis. Journal of behavioral medicine. 2010;33(1):1–14.PubMedCrossRef Schneider S, Moyer A, Knapp-Oliver S, Sohl S, Cannella D, Targhetta V. Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis. Journal of behavioral medicine. 2010;33(1):1–14.PubMedCrossRef
31.
go back to reference Rabin C, Simpson N, Morrow K, Pinto B. Behavioral and psychosocial program needs of young adult cancer survivors. Qualitative health research. 2011;21(6):796–806.PubMedCrossRef Rabin C, Simpson N, Morrow K, Pinto B. Behavioral and psychosocial program needs of young adult cancer survivors. Qualitative health research. 2011;21(6):796–806.PubMedCrossRef
32.
go back to reference Courneya KS, Sellar CM, Stevinson C, McNeely ML, Friedenreich CM, Peddle CJ, et al. Moderator effects in a randomized controlled trial of exercise training in lymphoma patients. Cancer Epidemiol Biomarkers Prev. 2009;18(10):2600–7.PubMedCrossRef Courneya KS, Sellar CM, Stevinson C, McNeely ML, Friedenreich CM, Peddle CJ, et al. Moderator effects in a randomized controlled trial of exercise training in lymphoma patients. Cancer Epidemiol Biomarkers Prev. 2009;18(10):2600–7.PubMedCrossRef
33.
go back to reference Daley AJ, Crank H, Mutrie N, Saxton JM, Coleman R. Determinants of adherence to exercise in women treated for breast cancer. Eur J Oncol Nurs. 2007;11(5):392–9.PubMedCrossRef Daley AJ, Crank H, Mutrie N, Saxton JM, Coleman R. Determinants of adherence to exercise in women treated for breast cancer. Eur J Oncol Nurs. 2007;11(5):392–9.PubMedCrossRef
34.
go back to reference Pope C, Ziebland S, Mays N. Qualitative research in health care: analysing qualitative data. British Medical Journal. 2000;320(7227):114–6.PubMedCrossRef Pope C, Ziebland S, Mays N. Qualitative research in health care: analysing qualitative data. British Medical Journal. 2000;320(7227):114–6.PubMedCrossRef
35.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
36.
go back to reference Lenhart A, Purcell K, Smith A, Zickuhr K. Social media & mobile Internet use among teens and young adults. Washington, D.C: Pew Research Center; 2010. Lenhart A, Purcell K, Smith A, Zickuhr K. Social media & mobile Internet use among teens and young adults. Washington, D.C: Pew Research Center; 2010.
37.
go back to reference Jones LW, Courneya KS. Exercise counseling and programming preferences of cancer survivors. Cancer Pract. 2002;10(4):208–15.PubMedCrossRef Jones LW, Courneya KS. Exercise counseling and programming preferences of cancer survivors. Cancer Pract. 2002;10(4):208–15.PubMedCrossRef
38.
go back to reference Rabin C, Politi M. Need for health behavior interventions for young adult cancer survivors. Am J Health Behav. 2010;34(1):70–6.PubMedCrossRef Rabin C, Politi M. Need for health behavior interventions for young adult cancer survivors. Am J Health Behav. 2010;34(1):70–6.PubMedCrossRef
39.
go back to reference Santacroce SJ, Lee YL. Uncertainty, posttraumatic stress, and health behavior in young adult childhood cancer survivors. Nurs Res. 2006;55(4):259–66.PubMedCrossRef Santacroce SJ, Lee YL. Uncertainty, posttraumatic stress, and health behavior in young adult childhood cancer survivors. Nurs Res. 2006;55(4):259–66.PubMedCrossRef
40.
go back to reference Wu X, Groves FD, McLaughlin CC, Jemal A, Martin J, Chen VW. Cancer incidence patterns among adolescents and young adults in the United States. Cancer Causes Control. 2005;16(3):309–20.PubMedCrossRef Wu X, Groves FD, McLaughlin CC, Jemal A, Martin J, Chen VW. Cancer incidence patterns among adolescents and young adults in the United States. Cancer Causes Control. 2005;16(3):309–20.PubMedCrossRef
Metadata
Title
Intervention Format and Delivery Preferences Among Young Adult Cancer Survivors
Authors
Carolyn Rabin
Norah Simpson
Kathleen Morrow
Bernardine Pinto
Publication date
01-06-2013
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2013
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-012-9227-4

Other articles of this Issue 2/2013

International Journal of Behavioral Medicine 2/2013 Go to the issue