Grant Number:	5R01CA242849-02 Interpret this number
Primary Investigator:	Salsman, John
Organization:	Wake Forest University Health Sciences
Project Title:	Using Most to Empower: Optimizing an Emotion Regulation Intervention to Enhance Well-Being Among Young Adult Cancer Survivors
Fiscal Year:	2020

PROJECT SUMMARY Young adult cancer survivors (YAs) are an important underserved group at risk for significant psychological distress. There are approximately 70,000 new diagnoses of cancer annually in YAs (ages 18-39), and currently nearly 2 million people in the United States are living with or have survived being diagnosed with cancer as a YA. Five-year survival rates of YAs are high (>80%) and YAs have approximately 35 to 59 years of life expectancy remaining, underscoring the importance of post-treatment survivorship care. YAs face unique challenges given the physical, cognitive, and psychosocial developmental milestones disrupted as a result of cancer and are at greater risk of psychological distress compared to older adults (ages ≥40) with cancer. Accordingly, YAs can benefit from targeted, supportive care interventions to decrease distress and enhance well-being as they navigate post-treatment survivorship. Few psychosocial interventions have been developed for YAs or leverage eHealth modalities to provide supportive care and none have included a focus on enhancing psychological well-being through positive emotions. eHealth interventions represent promising options for patient engagement, especially with “digital natives” such as YAs. Given the ubiquitous nature of smartphones among YAs and their preference for remotely delivered interventions, the paucity of eHealth interventions among YAs is a missed opportunity. Moreover, although the deleterious effects of psychological distress are well-known, less attention has been focused on the benefits of psychological well-being. Psychological well-being is associated with better health outcomes, unique from the influence of distress, and includes domains inherently valued by young patients. Our team has developed a novel, multicomponent intervention to enhance psychological well-being that shows promise among patients with HIV, diabetes, and breast cancer. We have piloted the intervention for YAs in an eHealth delivery format (EMPOWER: Enhancing Management of Psychological Outcomes With Emotion Regulation) to demonstrate feasibility and acceptability. By leveraging an innovative methodological design, the Multiphase Optimization Strategy (MOST), the main objective of our proposed study is to optimize EMPOWER for YAs and prepare for a future randomized clinical trial (RCT). To accomplish this, we propose the following specific aims: (1) Using a MOST framework, examine which of five components contributes meaningfully to well-being among YA cancer survivors; and (2) Identify mediators and moderators of component efficacy for well-being outcomes. Upon completion of the testing, we will have a fully optimized, eHealth intervention to enhance psychological well-being among YA cancer survivors. This optimized intervention will be primed for a large, multi-site RCT and, as a scalable intervention, it will be ideally-suited for YA survivors who would otherwise not have access to supportive care interventions to help manage post-treatment distress and enhance well-being.




Indicators of developmental status among adolescents and young adults with cancer: Perceived adult status, social milestones, and health-related quality of life.
Authors: Fladeboe K.M. , Siembida E.J. , Ip E. , Rosenberg A.R. , Snyder M.A. , Salsman J.M. .
Source: Psycho-oncology, 2023 Sep; 32(9), p. 1363-1371.
EPub date: 2023-06-28 00:00:00.0.
PMID: 37381114
Related Citations

A Developmental Science Approach to Informing Age Subgroups in Adolescent and Young Adult Cancer Research.
Authors: Siembida E.J. , Fladeboe K.M. , Ip E. , Zebrack B. , Snyder M.A. , Salsman J.M. .
Source: The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine, 2023-06-08 00:00:00.0; , .
EPub date: 2023-06-08 00:00:00.0.
PMID: 37294255
Related Citations

A systematic review of health-related quality of life outcomes in psychosocial intervention trials for adolescent and young adult cancer survivors.
Authors: Murphy K.M. , Siembida E. , Lau N. , Berkman A. , Roth M. , Salsman J.M. .
Source: Critical Reviews In Oncology/hematology, 2023-06-02 00:00:00.0; 188, p. 104045.
EPub date: 2023-06-02 00:00:00.0.
PMID: 37269881
Related Citations

An eHealth, Positive Emotion Skills Intervention for Enhancing Psychological Well-Being in Young Adult Cancer Survivors: Results from a Multi-Site, Pilot Feasibility Trial.
Authors: Salsman J.M. , McLouth L.E. , Tooze J.A. , Little-Greene D. , Cohn M. , Kehoe M.S. , Moskowitz J.T. .
Source: International Journal Of Behavioral Medicine, 2023-03-08 00:00:00.0; , .
EPub date: 2023-03-08 00:00:00.0.
PMID: 36890329
Related Citations

Properties of the Shift and Persist Questionnaire in adolescent and young adult cancer patients and survivors: Validity, consistency, and interpretability.
Authors: Murphy K.M. , Chen E. , Ip E.H. , Rosenberg A.R. , Snyder M.A. , Salsman J.M. .
Source: Quality Of Life Research : An International Journal Of Quality Of Life Aspects Of Treatment, Care And Rehabilitation, 2023 Jan; 32(1), p. 273-283.
EPub date: 2022-08-13 00:00:00.0.
PMID: 35962916
Related Citations

Development and initial testing of TOGETHER-YA: an eHealth-delivered and group-based psychosocial intervention for young adult cancer survivors.
Authors: Oswald L.B. , Lyleroehr M. , Gudenkauf L.M. , Armstrong G.E. , Tometich D.B. , Sanford S.D. , Loecher N. , Geiss C. , Rodriguez Y. , Scheel K.L. , et al. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2022-10-14 00:00:00.0; , .
EPub date: 2022-10-14 00:00:00.0.
PMID: 36229547
Related Citations

Guidance to Support the Implementation of Specialized Adolescent and Young Adult Cancer Care: A Qualitative Analysis of Cancer Programs.
Authors: Haines E. , Asad S. , Lux L. , Gan H. , Noskoff K. , Kumar B. , Roggenkamp B. , Salsman J.M. , Birken S. .
Source: Jco Oncology Practice, 2022 Sep; 18(9), p. e1513-e1521.
EPub date: 2022-06-24 00:00:00.0.
PMID: 35749679
Related Citations