THE EDUCATIONAL EQUALITY INSTITUTE
US 501(C)(3) EIN 33-2331817 · NORWAY ORG 928 776 719

HEALTH EQUITY PROGRAMME · LAUNCHING 2026

One Connection

1:1 peer support for people going through cancer. Matched by diagnosis and lived experience.

Cancer treatment has a schedule. The loneliness that follows it does not. One Connection pairs a person going through cancer with someone who has been through it: the same diagnosis, the same treatment, on video, in their own language, at no cost. This page describes the programme, the evidence it is built on, and exactly where it stands.

Format
1:1 video calls. Not a forum, not a chatbot.
Matching
Cancer type, treatment, and lived experience. A person reads every application.
First cohort
Bone marrow and stem cell transplant survivors
Status
Launching 2026. Pilot designed; clinical partners being confirmed.
Cost
Free for every participant and clinical partner, always

Support peaks at diagnosis. Then it falls away.

Everyone shows up at the beginning. Longitudinal research documents what patients already know: support thins out at the exact point where the medical system does. The hardest months are usually the quietest.

FIG. 01 · PERCEIVED SOCIAL SUPPORT AFTER A CANCER DIAGNOSISPATTERN, FROM LONGITUDINAL STUDIES
STEEPEST DECLINEDIAGNOSISTREATMENT ENDS9-18 MONTHSYEAR 2
Sources: CREW LONGITUDINAL STUDY (COLORECTAL, N=871); ACS CAN SURVIVOR SURVEY 2023 (N=1,155); DECKX ET AL. 2014. CURVE SHOWS THE DOCUMENTED PATTERN; THE MEASURED FINDINGS FOLLOW BELOW.

52%

report greater isolation after a cancer diagnosis, rising to 57% during active treatment.

ACS CAN 2023 · N=1,155

9-18

months after diagnosis: the window where social networks contract most sharply, as follow-up care tapers.

CREW STUDY · N=871

29%

of patients experience a meaningful decline in social support within two years of diagnosis.

CREW STUDY · N=871

Without a single confidant, 92% of patients report loneliness. With just one: 60%.

ACS CAN 2023 · DECKX ET AL. 2014, REVIEW OF 15 STUDIES

One person changes the number. That is the premise this programme is built on.

WHAT THE RESEARCH SHOWS

67%

higher risk of death from any cause among cancer survivors reporting severe loneliness.

ZHAO ET AL. 2024 · JNCCN · N=3,447 · AHR 1.67 (95% CI 1.25-2.23) · P=.004

The direction is confirmed at scale: a 2025 meta-analysis of 1.6 million patients found loneliness raises both all-cause and cancer-specific mortality.

BMJ ONCOLOGY 2025 · META-ANALYSIS · N=1.6M

Among transplant survivors with chronic graft-versus-host disease, self-reported depression was associated with 62% higher mortality.

EL-JAWAHRI ET AL. 2018 · BBMT · N=482 · HR 1.62 · P=.020

Loneliness is not a footnote to cancer. It is a risk factor. And unlike most risk factors, it can be changed.

An empty armchair beside a window at night, lit by a single warm lamp

THE QUIETEST HOURS ARE THE HARDEST ONES TO DO ALONE.

Peer support works. The research is specific about how.

Six systematic reviews and more than eleven randomised trials. The effects are real, and they depend entirely on how the support is built.

0.48-0.69

Quality of life, standardised effect size (SMD) from structured 1:1 peer supportMETA-ANALYSES · HU, ZHANG & LI 2022 · TAN ET AL. 2022

-0.24 to -0.45

Anxiety reduction across randomised trialsMETA-ANALYSES OF STRUCTURED PEER SUPPORT RCTS

-0.23

Depression reduction; well-being effect d=0.41 in the strongest 1:1 trialMETA-ANALYSES · GIESE-DAVIS ET AL. 2016 RCT

What the trials say works

  • Trained and supervised peers, not goodwill alone
  • Video or face-to-face delivery, not text threads
  • Structured protocols with scheduled check-ins
  • Matching on cancer type and treatment history
  • Four to six months of sustained contact
SYNTHESIS ACROSS SIX SYSTEMATIC REVIEWS AND 11+ RANDOMISED TRIALS

What fails, in the same trials

  • Unstructured online forums: null or negative outcomes, despite high satisfaction
  • Unmoderated internet groups slowed psychological recovery against controls
  • Telephone-only contact for recurrent cancer: no effect
HOYBYE ET AL. 2010 · N=921 · SALZER ET AL. 2010 · GOTAY ET AL. 2007

One Connection is designed from this list. Every finding above maps to a decision in how the programme works.

How the programme works.

The model is deliberately simple. The rigour is underneath it.

01 A person, on video

1:1 video calls with someone who has been through cancer. Someone who had the same diagnosis, sat through the same treatment, and came out the other side.

02 Matched, not assigned

Paired by cancer type, treatment, and lived experience. The platform proposes the match; a person reads every application before anyone is introduced.

03 In their own language

Real-time translation on the call. The person who understands the diagnosis does not have to speak the same language.

04 A structured path

Three phases with clear milestones, from a first introduction call to an independent connection. Structure is what separates what works from what fails in the trial record.

05 Clear boundaries

Peer support is not therapy and not clinical care, and this programme never pretends otherwise. Mentors are trained, supervised, and know exactly when and where to refer.

06 Free, always

No paywalls and no premium tier, for participants or for clinical partners. TEEI is a nonprofit; the programme is the work, not the upsell.

Two chairs angled toward each other by a window at night, one lit by a warm lamp

TWO PEOPLE, MATCHED BY WHAT THEY HAVE LIVED.

The technology already runs.

One Connection is not waiting on software. The systems it needs run in production today for TEEI's education programmes, serving people in 187+ countries. The work under way is adapting them to the clinical context: safeguarding, escalation paths, and the pilot protocol.

SISTER PROGRAMMES ON THE SAME PLATFORM FAMILY: TEEI LANGUAGE · TEEI MENTORSHIP · SKILLS ACADEMY
Live 1:1 video sessionsIN PRODUCTION
Real-time translation on callsIN PRODUCTION
Matching across 100+ dimensionsIN PRODUCTION
Scheduling, session logging, outcome trackingIN PRODUCTION
Clinical adaptation: safeguarding and escalationIN PROGRESS
An empty hospital corridor at night with one doorway of warm light at the far end

WHERE THE HUNDRED DAYS BEGIN.

Transplant survivors come first.

Bone marrow and stem cell transplant survivors carry the heaviest isolation of any cancer group, and have the least support built for them. Their isolation is not a feeling first. It is a medical instruction.

FIG. 02 · ENFORCED ISOLATION AFTER TRANSPLANTHSCT RECOVERY TIMELINE

Weeks 2-6

Hospital isolation in a HEPA-filtered room, visitors restricted.

Days 0-100

The hundred days: rigorous self-isolation after discharge.

Months 6-24

Ongoing immunocompromised restrictions on social contact.

Chronic GVHD

For those on lifelong immunosuppression, the restrictions have no end date.

Sources: STANDARD HSCT RECOVERY PROTOCOLS; LEE & HALLIDAY 2025; COOKE ET AL. 2009.

70%

of transplant patients have no formal peer support of any kind.

ESTIMATE · SYSTEMATIC REVIEW 2022 · HEMATOLOGIC CANCERS

8 studies

with 574 patients in total: the entire peer-support research base for blood cancers. Breast cancer alone has hundreds of support organisations.

SYSTEMATIC REVIEW 2022 · PEER SUPPORT IN HEMATOLOGIC MALIGNANCY

This cohort was not picked from a spreadsheet. One Connection is being designed from lived experience of the transplant ward: the isolation room, the hundred days, the restrictions that do not end on schedule.

STARTING NARROW, EXPANDING TO ALL CANCER TYPES AS THE PILOT PROVES THE MODEL.

BEFORE LAUNCH

Designed to clinical standards.

Peer support programmes usually launch on goodwill and hope for the best. This one launches as a registered feasibility study, measured with validated instruments, so the evidence it produces can be trusted, published, and built on.

Where this stands: the protocol is drafted. A principal investigator and clinical partners are being confirmed. The study has not begun.

STUDY SYNOPSISDRAFT PROTOCOL V1.0
Design
Single-arm feasibility study, pre-post measurement, embedded qualitative component
Population
50 transplant survivors and 20 trained peer mentors
Intervention
6 months of structured 1:1 video peer support
Measures
UCLA-3 loneliness, PHQ-9, GAD-7, FACT-BMT quality of life, PROMIS social isolation
Reporting
CONSORT extension for pilot and feasibility trials
Registration
ClinicalTrials.gov, before the first participant enrols
First light of dawn over a quiet city, seen from a window

MORNING COMES. IT IS EASIER WITH SOMEONE WHO KNOWS.

Someone who understands. That is the entire programme.

One Connection opens in 2026, with transplant survivors first. If it is for you or someone you love, we will tell you the day it opens. If you work in transplant care, research, or funding, the protocol and the platform are ready to discuss.

2026

Launch

N=50

Feasibility pilot, transplant survivors

$0

Cost to participants, ever

1:1

One person, matched by diagnosis