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Abstract PO-108: Predictors of retention rates in the Active Living After Cancer program at MD Anderson Cancer Center: A comparison of classes during and before COVID-19

Background: As an overlooked aspect of cancer, survivorship often begs the question of “what's next?” once treatment is complete. Physical activity following treatment has been shown to improve quality of life and decrease rates of recurrence. The MD Anderson Active Living After Cancer Program (ALAC) has recruited over 900 cancer survivors and caregivers since its establishment in 2013. This study seeks to examine how retention rates have changed since the transition to virtual classes due to the COVID-19 pandemic, and whether variables associated with retention differ between in person and virtual classes. Methods: A retrospective study of baseline surveys completed by participants (N=860) through Redcap was conducted, excluding those currently enrolled in ongoing ALAC classes. A chi-square test was performed to determine whether completion rates were significantly different between in person and virtual classes. A bivariate regression model was used to determine whether participant demographics varied between virtual and in person classes, based on insurance status and education level. A logistic regression was performed to investigate whether these factors were predictors of retention in either class. Results: Retention rates significantly differed between virtual (87.91%) and in person classes (77.20%);participants of virtual classes were two times as likely to complete the program compared to their in-person counterparts (P=0.00). Compared to in person classes, uninsured participants comprised a larger proportion of virtual classes, while privately and publicly insured participants comprised a smaller proportion (P=0.014). In both classes, participants who never received a high school diploma or GED constituted the most common education level. Having insurance and completion of some higher education were only weakly associated with retention. Conclusion: Given the success of ALAC since its creation, we are interested in expanding enrollment beyond MD Anderson Cancer Center. This study provides understanding of the benefits and limitations of virtual classes since the rise of COVID-19. Overall, greater retention rates demonstrate the utility of virtual classes. Maintaining a virtual aspect of future ALAC classes, such as a hybrid program, may help improve survivor outreach by identifying potentially overlooked groups.