Cancer Survivorship Trials

Researchers are doing this study to examine ways to improve the health of long-term survivors of bone marrow or blood stem cell transplant. Researchers want to know if a survivorship-focused internet program can improve mood, stress, and preventive health care, and provide useful health resources for transplant survivors. 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. Patients in this study will either receive immediate access to the survivorship internet program that includes links to existing resources, or will receive links to existing resources and delayed access to the full internet program. All participants will eventually receive access to the survivorship internet program.

• Received a transplant at a consortium center for a hematologic malignancy
• Currently 2-10 years after first HCT

• Does not have internet and email access; note that survivors otherwise eligible, but excluded from full study participation because of this exclusion, will be asked to fill out a mailed copy of the baseline assessment for use in secondary aims analyses; they will be sent an information form and a copy of the tailored 'My Health Action Plan' health care guideline for transplant survivors also provided to randomized participants
• English insufficient to complete baseline patient-reported outcomes (PRO) assessments
• Has received treatment for a recurrent or 2nd cancer that required > surgical excision in the past 2 years; (these participants will be ineligible for randomization, but will have intervention site access if they complete baseline PRO assessment)
• Scores 20 or above on the patient health questionnaire (PHQ)-8 depression measure (indicating severe depression); these participants will be contacted by a study psychologist to evaluate and provide resources to address their needs (2% of enrollees in our previous study); they will be ineligible for randomization, but will have intervention site access if they complete baseline PRO assessment
• Residing in an institution or other living situation where health care decisions are not made by the participant (e.g., hospitalized, prisoners, living in a rehabilitation facility)
• Does not complete baseline PRO assessment items required to determine stratification or whether the survivor meets inclusion and exclusion criteria