Single Session Personal Narrative-Based Intervention Increases Health Care Self-Efficacy and Intent to Seek Survivorship Care in Young Adult Cancer Survivors
Year: 2025
Type: preprint
Study designs: Randomized Controlled Trial, Clinical Trial
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.
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4410940785