TY - JOUR
T1 - Supporting cardiomyopathy screening behavior in adult survivors of childhood cancer
T2 - an eHealth motivational interviewing-framed pilot intervention
AU - Waters, Erika A.
AU - Maki, Julia
AU - Ackermann, Nicole
AU - Carcone, April Idalski
AU - Ruiz, Sienna
AU - Ehrhardt, Matthew J.
AU - Johnson, Allison
AU - Griffith, Stanford A.
AU - Hudson, Melissa M.
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
PY - 2024
Y1 - 2024
N2 - Purpose: The Healthy Hearts pilot study evaluated the effect of an eHealth motivational interviewing-framed intervention on cardiomyopathy screening-related knowledge, health beliefs, intrinsic motivation, and behavioral action steps among adult survivors of childhood cancer. Methods: We consented N = 73 survivors to participate in a single-arm pilot study. Participants completed an online baseline survey (n = 68) assessing knowledge, health beliefs, and intrinsic motivation related to cancer therapy-induced cardiomyopathy and screening echocardiograms. Then, they engaged in two sessions with a fully automated web-based health intervention platform based on motivational interviewing techniques to build motivation. Participants completed an online post-intervention survey (n = 61) re-assessing knowledge, health beliefs, and intrinsic motivation and a 1-month follow-up survey (n = 59) assessing actions taken toward obtaining an echocardiogram and intervention satisfaction. Results: Participant age averaged 40.5 years (SD = 7.2). Most self-identified as women (n = 42) and non-Hispanic white (n = 62). Paired t-tests revealed statistically significant pre-post changes in several health beliefs and elements of intrinsic motivation. Specifically, we observed decreases in perceived barriers (p <.001) and increases in knowledge (p <.001), perceived benefits (p <.001), self-efficacy (p <.001), perceived importance (p =.001), confidence (p =.02), and intentions (p <.001). By 1-month follow-up, 38.6% of participants had engaged in behavioral action steps (e.g., set echocardiogram appointment). Intervention satisfaction was moderately high (M = 3.9, SD = 0.9, median = 4, min = 2, max = 5). Conclusions: Results provide preliminary indications of efficacy of the eHealth motivational interviewing-framed intervention on uptake of screening echocardiograms among adult survivors of childhood cancer. Implications for Cancer Survivors: An eHealth motivational interviewing-framed intervention could increase childhood cancer survivors’ ability to receive high-quality support for engaging in cardiomyopathy screening.
AB - Purpose: The Healthy Hearts pilot study evaluated the effect of an eHealth motivational interviewing-framed intervention on cardiomyopathy screening-related knowledge, health beliefs, intrinsic motivation, and behavioral action steps among adult survivors of childhood cancer. Methods: We consented N = 73 survivors to participate in a single-arm pilot study. Participants completed an online baseline survey (n = 68) assessing knowledge, health beliefs, and intrinsic motivation related to cancer therapy-induced cardiomyopathy and screening echocardiograms. Then, they engaged in two sessions with a fully automated web-based health intervention platform based on motivational interviewing techniques to build motivation. Participants completed an online post-intervention survey (n = 61) re-assessing knowledge, health beliefs, and intrinsic motivation and a 1-month follow-up survey (n = 59) assessing actions taken toward obtaining an echocardiogram and intervention satisfaction. Results: Participant age averaged 40.5 years (SD = 7.2). Most self-identified as women (n = 42) and non-Hispanic white (n = 62). Paired t-tests revealed statistically significant pre-post changes in several health beliefs and elements of intrinsic motivation. Specifically, we observed decreases in perceived barriers (p <.001) and increases in knowledge (p <.001), perceived benefits (p <.001), self-efficacy (p <.001), perceived importance (p =.001), confidence (p =.02), and intentions (p <.001). By 1-month follow-up, 38.6% of participants had engaged in behavioral action steps (e.g., set echocardiogram appointment). Intervention satisfaction was moderately high (M = 3.9, SD = 0.9, median = 4, min = 2, max = 5). Conclusions: Results provide preliminary indications of efficacy of the eHealth motivational interviewing-framed intervention on uptake of screening echocardiograms among adult survivors of childhood cancer. Implications for Cancer Survivors: An eHealth motivational interviewing-framed intervention could increase childhood cancer survivors’ ability to receive high-quality support for engaging in cardiomyopathy screening.
KW - Cancer survivorship
KW - Cardio-oncology
KW - Cardiomyopathy
KW - Digital health
KW - Late effects
KW - Motivational interviewing
KW - Survivors of childhood cancer
UR - http://www.scopus.com/inward/record.url?scp=85212839488&partnerID=8YFLogxK
U2 - 10.1007/s11764-024-01724-x
DO - 10.1007/s11764-024-01724-x
M3 - Article
C2 - 39710820
AN - SCOPUS:85212839488
SN - 1932-2259
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
ER -