ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Factors influencing engagement in survivorship care among young adult survivors of hematologic malignancies: a mixed methods report.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05620979 (Evaluating the Role of Financial Navigation in Alleviating Financial Distress Among Young Adult Survivors of Blood Cancer), which is not on this map. Not yet cited in PubMed.
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Evaluating the Role of Financial Navigation in Alleviating Financial Distress Among Young Adult Survivors of Blood Cancer
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12 authors.
Funding
Abstract
purposeLong-term survivors of childhood, adolescent, and young adult cancer are at risk for treatment-related late effects; therefore, survivorship care is essential. We explored the survivorship experience among young adult survivors of hematologic malignancies participating in a multi-institutional financial navigation trial.
methodsWe conducted a secondary analysis using a mixed-methods, qualitative-dominant approach. Analysis was restricted to participants who completed an end-of-study interview. Baseline quantitative survey data related to survivorship care and engagement were included. Interview transcripts were analyzed using directed content analysis and inductive reasoning. Themes related to survivorship care were reviewed and further examined as factors influencing survivorship care engagement.
resultsThe 45 participants' median age was 31.5 years (Q1 = 28, Q3 = 35), with more than half (57.2%) identifying as Asian, Hispanic, or other non-Hispanic non-White. Median time since their blood cancer diagnosis was 9 years (interquartile range 6-18). During baseline assessment, 45.2% of participants reported having a treatment summary and 50.0% were currently receiving survivorship care. Most (83.3%) felt they had received all recommended care within the previous year; however, 50.0% reported delaying or foregoing care due to cost. Nearly half referenced engagement in survivorship care during their interview. Factors serving as catalysts or barriers that influenced care engagement included late effects, mental health concerns, cost of care, and travel logistics for continued care at specialty centers.
conclusionYoung adults' survivorship engagement is influenced by varied factors long after diagnosis. These findings emphasize the importance of tailoring information delivery and interventions to meet the needs of this growing population.
trial registrationNCT05620979, registered/posted on 11/17/2022.
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