Abstract
BackgroundAdolescent and young adult cancer survivors (AYAs) experience clinically significant distress and have limited access to supportive care services. Interventions to enhance psychological well-being have improved positive affect and reduced depression in clinical and healthy populations but have not been routinely tested in AYAs.ObjectiveThe aim of this protocol is to (1) test the feasibility and acceptability of a Web-based positive emotion skills intervention for posttreatment AYAs called Enhancing Management of Psychological Outcomes With Emotion Regulation (EMPOWER) and (2) examine proof of concept for reducing psychological distress and enhancing psychological well-being.MethodsThe intervention development and testing are taking place in 3 phases. In phase 1, we adapted the content of an existing, Web-based positive emotion intervention so that it would be suitable for AYAs. EMPOWER targets 8 skills (noticing positive events, capitalizing, gratitude, mindfulness, positive reappraisal, goal setting, personal strengths, and acts of kindness) and is delivered remotely as a 5-week, Web-based intervention. Phase 2 consisted of a pilot test of EMPOWER in a single-arm trial to evaluate feasibility, acceptability, retention, and adherence and to collect data on psychosocial outcomes for proof of concept. In phase 3, we are refining study procedures and conducting a second pilot test.ResultsThe project was part of a career development award. Pilot work began in June 2015, and data collection was completed in March 2019. The analysis is ongoing, and results will be submitted for publication by May 2020.ConclusionsIf this intervention proves feasible and acceptable, EMPOWER will be primed for a subsequent large, multisite randomized controlled trial. As a scalable intervention, it will be ideally suited for AYA survivors who would otherwise not have access to supportive care interventions to help manage posttreatment distress and enhance well-being.Trial RegistrationClinicalTrials.gov NCT02832154, https://clinicaltrials.gov/ct2/show/NCT02832154.International Registered Report Identifier (IRRID)DERR1-10.2196/17078
Highlights
BackgroundAdolescent and young adult cancer survivors (AYAs) are an important underserved group at risk for significant psychological distress
The analysis is ongoing, and results will be submitted for publication by May 2020. If this intervention proves feasible and acceptable, EMPOWER will be primed for a subsequent large, multisite randomized controlled trial. It will be ideally suited for adolescent and young adult cancer survivor eHealth (AYA) survivors who would otherwise not have access to supportive care interventions to help manage posttreatment distress and enhance well-being
We describe the development and pilot testing of a Web-based positive emotion skills intervention for posttreatment AYAs, Enhancing Management of Psychological Outcomes With Emotion Regulation (EMPOWER)
Summary
BackgroundAdolescent and young adult cancer survivors (AYAs) are an important underserved group at risk for significant psychological distress. Cancer is a distressing event but a more normative experience in an aging population. Adolescent and young adult cancer survivors (AYAs) experience clinically significant distress and have limited access to supportive care services. Interventions to enhance psychological well-being have improved positive affect and reduced depression in clinical and healthy populations but have not been routinely tested in AYAs. Objective: The aim of this protocol is to (1) test the feasibility and acceptability of a Web-based positive emotion skills intervention for posttreatment AYAs called Enhancing Management of Psychological Outcomes With Emotion Regulation (EMPOWER) and (2) examine proof of concept for reducing psychological distress and enhancing psychological well-being. Phase 2 consisted of a pilot test of EMPOWER in a single-arm trial to evaluate feasibility, acceptability, retention, and adherence and to collect data on psychosocial outcomes for proof of concept.
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