{"doi":"10.2196/preprints.59949","title":"Development of an mHealth Alcohol Reduction Intervention for Adolescent and Young Adult Cancer Survivors (Preprint)","abstract":"<sec> <title>BACKGROUND</title> Adolescent and young adult survivors of cancer (AYAs, aged 15-39) frequently engage in hazardous alcohol use, which can have multiple mental and physical health effects. </sec> <sec> <title>OBJECTIVE</title> The aim of this study was to adapt and refine an existing motivational interviewing-based mHealth alcohol reduction intervention, called Tracking and Reducing Alcohol Consumption (TRAC), for post-treatment AYAs. </sec> <sec> <title>METHODS</title> This was a two-phase, mixed methods study consisting of key informant interviews with post-treatment AYAs aged 18-39, oncology and psycho-oncology providers, and community advocates (n=15) to inform the adaptation of TRAC. After qualitative analysis of interview findings led to the development of the new TRAC-AYA intervention, 4 AYAs completed an open trial of the 4-week intervention and provided feedback on content and protocols through a qualitative exit interview. Descriptive statistics were used to provide data on intervention feasibility and adherence. </sec> <sec> <title>RESULTS</title> Key informant interviews revealed a need for the intervention to address cancer-specific alcohol use triggers such as scan-related anxiety, financial toxicity, and reproductive health concerns. TRAC-AYA was well-received by open trial participants—enrollment and retention were above target rates (67% and 75%, respectively) and 100% of participants completed at least 3/4 intervention sessions. Participants reported high satisfaction with TRAC-AYA content and its impact on their drinking. </sec> <sec> <title>CONCLUSIONS</title> Post-treatment AYAs have unique triggers for alcohol use, which should be considered in the development of alcohol reduction interventions for this population. TRAC-AYA represents a potentially valuable tool in addressing high rates of hazardous alcohol use among this population and warrants further evaluation in larger randomized trials. </sec> <sec> <title>CLINICALTRIAL</title> ClinicalTrials.gov NCT05087875 </sec>","journal":null,"year":2024,"id":490800,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.955,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":698154,"name":"Tia Borger","orcid":"0000-0001-5076-4293","position":1,"is_corresponding":false},{"id":1230477,"name":"Vilma Bursac","orcid":"0009-0007-4214-3252","position":2,"is_corresponding":false},{"id":1336000,"name":"Caryn Sorge","orcid":"0000-0002-6590-4989","position":3,"is_corresponding":false},{"id":963048,"name":"Brent J. Shelton","orcid":"0000-0002-3002-5300","position":4,"is_corresponding":false},{"id":302778,"name":"John M. Salsman","orcid":"0000-0003-2317-4006","position":5,"is_corresponding":false},{"id":317116,"name":"Laurie E. McLouth","orcid":"0000-0002-4888-6520","position":6,"is_corresponding":false},{"id":1130812,"name":"Carolyn Lauckner","orcid":"0000-0001-5200-2946","position":7,"is_corresponding":false},{"id":1130813,"name":"Kimberly Haney","orcid":"0009-0003-7843-9005","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T02:08:37.162700Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}