Depression Clinical Trial
Official title:
INSPIRE for Survivorship After Transplant: A Multicenter Randomized Controlled Trial of an Internet and Social-Media Program for Long-Term Hematopoietic Cell Transplantation Survivors
This randomized clinical trial studies an internet and social-media program for improving quality of life in long-term survivors who underwent stem cell transplant. In this study, researchers want to compare a survivorship internet program to the standard treatment of currently available internet sites for transplant survivors to learn which works better for people who have received bone marrow or blood stem cell transplants. A survivorship-focused internet program may improve mood, stress, and preventive health care, and provide useful health resources for transplant survivors. It is not yet known whether currently available internet sites are more effective than a survivorship-focused internet program in improving quality of life in cancer survivors.
PRIMARY OBJECTIVES:
I. Determine whether 2-10 year hematopoietic cell transplant (HCT) survivors with elevated
depression or cancer-related distress who are randomized to receive access to a tailored
internet-based program report reduced depression and distress when compared with control
group survivors who receive access to an internet site with links to transplant and
cancer-specific online resources and delayed access to the internet site (active control).
II. Determine whether survivors with low survivorship preventive care adherence (PCA) who are
randomized to receive access to the tailored internet-based program, including a survivorship
preventive care plan, report increased PCA when compared with the active control group
survivors.
SECONDARY OBJECTIVES:
I. Secondary outcomes will include process measures of internet study reach and utilization,
as well as physical function, physical activity level, and knowledge of survivorship needs.
Further analyses will identify risk factors for disparities in survivorship preventive care
adherence in HCT survivors.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I: Participants receive full access to the INSPIRE internet site comprising an
individually tailored program with a greeting home page with links to each target area, a 'My
Health Action Plan' health care guideline for transplant survivors, self-care tips and tool
pages for each complication and major issues for HCT survivors, a section for each
complication (mood, energy, heart health, strengthening bones, second cancers), resource
pages, opportunities to send secure messages with questions or comments on any topic,
opportunities to request additional assistance or information, mobile texting options, and
social media links (Twitter/Facebook/Pinterest) maintained and monitored by the Social Media
Specialist.
ARM II: Participants receive annotated website links to existing transplant and cancer
survivor sites, followed by delayed access to the INSPIRE internet program after 1 year.
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