Adolescent and Young Adult Survivor Transition

Study Overview
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Brief Summary
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The purpose of this study is to help adolescents and young adult cancer survivors address their psycho-social needs during the transitional period. The transitional period begins at completion of cancer treatment and continues throughout that first year. Patients often report this period can be difficult and distressing in many areas of life. This study will use a simple tool to measure, on a regular basis, the level of distress a young adult may be feeling. Based on this assessment additional mental health support and intervention can be recommended to help cancer survivors cope and enhance their feelings of well-being.

Detailed Description
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Study Objective: To establish a successful distress based intervention program for adolescent and young adult survivors in the transition period. Study Design and Methods: The type of design for this study is a feasibility pilot study with repeated measure, within group quantitative design. There is no randomization for this study. The patient will be assessed; at baseline, upon completion of therapy, and at regular three month intervals for the first year, for a total of five assessments. After receiving a referral a member of the AYAST team will contact the patient and set up the initial visit.

Official Title
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Adolescent and Young Adult Survivor Transition (AYAST)

Conditions
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Adolescent and Young Adult Cancer

Intervention / Treatment
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* Behavioral: Distress Screening Thermometer
* Behavioral: NCCN Guidelines: Distress management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Completed cancer treatment within the past three months of all cancer types and stages Signed, written consent Exclusion Criteria: Have not completed cancer treatment within the past three months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Survivor Distress<br>This intervention will use the NCCN Distress Screening Thermometer to score each participant on their level of distress. Depending on the score the intervention will be tailored to the participant based on the Overview of Evaluation and Treatment Schema DIS-4 per the NCCN Distress Guidelines V1.0, 2016. | Behavioral: Distress Screening Thermometer<br>* Screening took with an overall distress ranging from 0-10 and additional stress items in the areas of practical problems, family problems, emotional problems, spiritual or religious concerns, and physical problems<br>Behavioral: NCCN Guidelines: Distress management<br>* Based on the NCCN Guidelines Version 1.0.2016 which recommend brief screening, evaluation, and treatment of distress<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decrease in distress score according to National Comprehensive Cancer Network (NCCN) Guidelines V 1.0.2016 | The study coordinators are using the NCCN Distress Screening Thermometer (DST) to screen patients. This includes a using the combined score of the NCCN DST and the associated problem list containing 39 items The NCCN Distress Thermometer consists a single-item self- report measure of psychological distress, which consists of an 11-point scale with the endpoints labeled No distress (0) and Extreme distress (10) | Up to 15 months after initial visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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distress, survivorship, transition period