Supporting cardiomyopathy screening behavior in adult survivors of childhood cancer: an eHealth motivational interviewing-framed pilot intervention

Erika A. Waters, Julia Maki, Nicole Ackermann, April Idalski Carcone, Sienna Ruiz, Matthew J. Ehrhardt, Allison Johnson, Stanford A. Griffith, Melissa M. Hudson

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
JournalJournal of Cancer Survivorship
DOIs
StateAccepted/In press - 2024

Keywords

  • Cancer survivorship
  • Cardio-oncology
  • Cardiomyopathy
  • Digital health
  • Late effects
  • Motivational interviewing
  • Survivors of childhood cancer

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