Feasibility, acceptability, and safety of the Recapture Life videoconferencing intervention for adolescent and young adult cancer survivors
AuthorSansom-Daly, UM; Wakefield, CE; Bryant, RA; Patterson, P; Anazodo, A; Butow, P; Sawyer, SM; McGill, BC; Evans, HE; Cohn, RJ; ...
Source TitlePsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
Document TypeJournal Article
CitationsSansom-Daly, U. M., Wakefield, C. E., Bryant, R. A., Patterson, P., Anazodo, A., Butow, P., Sawyer, S. M., McGill, B. C., Evans, H. E., Cohn, R. J., Thompson, K., Holland, L., Barton, B., Matigian, B., Gray, L., Osborn, M., Plaster, M. & Phillips, M. (2019). Feasibility, acceptability, and safety of the Recapture Life videoconferencing intervention for adolescent and young adult cancer survivors. PSYCHO-ONCOLOGY, 28 (2), pp.284-292. https://doi.org/10.1002/pon.4938.
Access StatusOpen Access
OBJECTIVE: Online psychological therapies provide a way to connect adolescent and young adult (AYA) cancer survivors to evidence-based support. We aimed to establish the feasibility, acceptability, and safety of Recapture life, a six-session group-based online cognitive-behavioural intervention, led by a facilitator, for AYAs in the early post-treatment period. METHODS: A randomised-controlled trial compared Recapture Life to an online peer-support group control and a waitlist control. Participants could nominate a support person. Acceptability was assessed using study opt-in and retention rates, participant-reported benefits/burdens of participation, and group facilitator burden. We also assessed the feasibility (eg, frequency/impact of technological difficulties) and psychological safety (ie, occurrence of clinically concerning distress) of the program. RESULTS: Sixty-one participants took part (45 AYAs, 51.1% female; 19 support people). The opt-in rate was 30%, the enrolment rate was 87%, and 75% of participants took part in ≥5/6 sessions. AYAs reported high benefit and low burden of participation. Overall, 95 online group sessions were conducted; few required rescheduling by group facilitators (3%), but many took place outside of office hours (~90 hours). It took 40 days on average to create online groups, but established weekly sessions commenced quickly (M = 4.0 minutes). Technological difficulties were common but had a low impact on intervention delivery. Although 54% of AYAs returned a clinically concerning distress screen at some point, none reflected acute mental health risks. CONCLUSIONS: The data largely indicate that Recapture Life is an acceptable, feasible, and safe model of evidence-based psychological support for AYAs during early survivorship, which nevertheless experienced common challenges in online/AYA intervention delivery.
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