Abstract
Childhood cancer survivors (CCS) face elevated risks for long-term health complications, making continued follow-up care essential. Yet many remain disengaged from survivorship services. This randomized controlled pilot study tested a brief, phone-based narrative intervention aimed at increasing health care self-efficacy (HCSE), posttraumatic growth (PTG), and intent to seek care among adolescent and young adult CCS not currently in follow-up. Thirty-three participants were randomized to either the intervention or a control group. Intervention participants completed a single one-hour phone call in which they reflected on their cancer experience, identified strengths and growth, and considered how these could support re-engagement with care. All participants received a survivorship brochure; intervention participants also received a personalized summary. The intervention was feasible and well-received, with high participation and full survey completion. Compared to controls, intervention participants showed significant increases in HCSE and intent to seek follow-up care (p < .05). PTG increased in both groups with no between-group differences. No differences were observed in appointment-making behavior at four weeks. A single narrative-based session may be sufficient to boost motivation and self-efficacy, but additional strategies may be needed to translate these gains into action. This low-cost, scalable approach merits further exploration in larger, more diverse samples.
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Single Session Personal Narrative-Based Intervention Increases Health Care Self-Efficacy and Intent to Seek Survivorship Care in Young Adult Cancer Survivors | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 2 June 2025 V1 Latest version Share on Single Session Personal Narrative-Based Intervention Increases Health Care Self-Efficacy and Intent to Seek Survivorship Care in Young Adult Cancer Survivors Authors : Anamara Ritt-Olson 0000-0001-7848-500X [email protected] , Rhona Slaughter 0000-0002-9352-3753 , Ann Hamilton 0000-0001-5898-2308 , and Joel Milam 0000-0001-9489-8015 Authors Info & Affiliations https://doi.org/10.22541/au.174884239.95925893/v1 229 views 177 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Childhood cancer survivors (CCS) face elevated risks for long-term health complications, making continued follow-up care essential. Yet many remain disengaged from survivorship services. This randomized controlled pilot study tested a brief, phone-based narrative intervention aimed at increasing health care self-efficacy (HCSE), posttraumatic growth (PTG), and intent to seek care among adolescent and young adult CCS not currently in follow-up. Thirty-three participants were randomized to either the intervention or a control group. Intervention participants completed a single one-hour phone call in which they reflected on their cancer experience, identified strengths and growth, and considered how these could support re-engagement with care. All participants received a survivorship brochure; intervention participants also received a personalized summary. The intervention was feasible and well-received, with high participation and full survey completion. Compared to controls, intervention participants showed significant increases in HCSE and intent to seek follow-up care (p < .05). PTG increased in both groups with no between-group differences. No differences were observed in appointment-making behavior at four weeks. A single narrative-based session may be sufficient to boost motivation and self-efficacy, but additional strategies may be needed to translate these gains into action. This low-cost, scalable approach merits further exploration in larger, more diverse samples. Supplementary Material File (brief narrative intervention_0525.docx) Download 47.13 KB Information & Authors Information Version history V1 Version 1 02 June 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords late effects of cancer treatment long term survival pediatric oncology Authors Affiliations Anamara Ritt-Olson 0000-0001-7848-500X [email protected] University of California Irvine Public Health View all articles by this author Rhona Slaughter 0000-0002-9352-3753 University of Southern California Department of Population and Public Health Sciences View all articles by this author Ann Hamilton 0000-0001-5898-2308 University of Southern California Department of Population and Public Health Sciences View all articles by this author Joel Milam 0000-0001-9489-8015 University of California Irvine Public Health View all articles by this author Metrics & Citations Metrics Article Usage 229 views 177 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Anamara Ritt-Olson, Rhona Slaughter, Ann Hamilton, et al. Single Session Personal Narrative-Based Intervention Increases Health Care Self-Efficacy and Intent to Seek Survivorship Care in Young Adult Cancer Survivors. Authorea . 02 June 2025. DOI: https://doi.org/10.22541/au.174884239.95925893/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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