Effect of a Nurse‐Navigated Game‐Based Program on Transition Readiness and Psychosocial Outcomes in Adolescents With Osteosarcoma: A Cluster‐Nonrandomized Controlled Study
Nonrandomized controlled study demonstrates improved transition readiness and reduced cancer worry in adolescents with osteosarcoma, highlighting the value of nurse-led gamified care.
Key Points
To examine the effects of a nurse-navigated game-based intervention on transition readiness and psychosocial outcomes in adolescents with osteosarcoma.
A cluster-nonrandomized controlled study enrolled 59 adolescents with osteosarcoma allocated to either a nurse-navigated game-based intervention plus usual care (n=32) or usual care alone (n=27).
Outcomes including transition readiness (STAR Questionnaire), cancer worry, transition expectation, and patient activation were evaluated at baseline (T0), immediately post-intervention (T1), and at 12-week follow-up (T2) using generalized estimating equations.
Transition readiness improved significantly more in the intervention group than in the control group at T1 (β = 8.83, p < 0.001) and remained significantly higher at T2 (β = 7.97, p = 0.001).
The intervention significantly decreased cancer worry (p = 0.009) and increased patient activation (p = 0.001), but did not significantly affect transition expectation (p = 0.056).