谁报名参加在线癌症幸存者计划?INSPIRE对造血细胞移植幸存者的随机对照试验的影响

Jean C. Yi , Brie Sullivan , Wendy M. Leisenring , Navneet S. Majhail , Heather Jim , Alison Loren , Joseph Uberti , Victoria Whalen , Mary E.D. Flowers , Stephanie J. Lee , Katie Maynard , Karen L. Syrjala
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引用次数: 6

摘要

互联网可以成为向造血细胞移植(HCT)癌症幸存者提供生存护理的宝贵工具。我们描述了INSPIRE的影响范围,这是一项基于互联网和社交媒体的随机对照试验,旨在解决HCT幸存者的医疗保健和心理社会需求。所有来自美国6个移植中心的血液恶性肿瘤或骨髓增生HCT后2-10年的幸存者通过邮件和随访电话联系。符合条件的参与者可以访问互联网,使用电子邮件地址,并且在过去两年内没有活动性疾病。我们使用逻辑回归来确定符合条件的幸存者或多或少可能入组的特征。在2578名符合条件的HCT幸存者中,1065名(41%)参加了这项研究。入组者的平均年龄为56.3±12.6岁(19 ~ 89岁),52%为男性,94%为白人。不太可能入组的幸存者包括年龄在40岁的男性和接受了自体移植的患者(均为P <措施)。与白人幸存者相比,非裔美国人报名参加的可能性更低(P <.001),而美国原住民/阿拉斯加原住民更有可能加入研究(P = .03)。INSPIRE项目的影响范围很广,包括传统上很少获得资源的幸存者,如美国原住民/阿拉斯加原住民和农村居民。对于男性、年轻人、非裔美国人和自体HCT幸存者,仍然需要策略来提高在线研究幸存者资源的登记,因为它们的使用可能会改善结果。
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Who Enrolls in an Online Cancer Survivorship Program? Reach of the INSPIRE Randomized Controlled Trial for Hematopoietic Cell Transplantation Survivors

The internet can be a valuable tool in delivering survivorship care to hematopoietic cell transplantation (HCT) cancer survivors. We describe the reach of INSPIRE, an Internet and social media-based randomized controlled trial, to address healthcare and psychosocial needs of HCT survivors. All survivors 2-10 years after HCT for hematologic malignancy or myelodysplasia from 6 transplantation centers in the US were approached by mail and follow-up calls. Eligible participants had access to the Internet, an email address, and did not have active disease in the past 2 years. We used logistic regression to determine characteristics of eligible survivors who were more or less likely to enroll. Of 2578 eligible HCT survivors, 1065 (41%) enrolled in the study. The mean age of enrollees was 56.3 ± 12.6 years (range, 19 to 89 years), 52% were male, and 94% were white. Survivors less likely to enroll included those who were male, age <40 years, and who received an autologous transplant (all P < .001). Compared with white survivors, African Americans were less likely to enroll (P < .001), whereas Native Americans/Alaska Natives were more likely to join the study (P = .03). The reach of the INSPIRE program was broad, including to survivors who traditionally have less access to resources, such as Native Americans/Alaskan Natives and rural residents. Strategies are still needed to improve the enrollment of online studies of survivorship resources for males, young adults, African American, and autologous HCT survivors because their use may improve outcomes.

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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
1061
审稿时长
3-6 weeks
期刊介绍: Biology of Blood and Marrow Transplantation publishes original research reports, reviews, editorials, commentaries, letters to the editor, and hypotheses and is the official publication of the American Society for Transplantation and Cellular Therapy. The journal focuses on current technology and knowledge in the interdisciplinary field of hematopoetic stem cell transplantation.
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