scholarly journals Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

2017 ◽  
Vol 29 ◽  
pp. 125-134 ◽  
Author(s):  
Anne Reb ◽  
Nora Ruel ◽  
Marwan Fakih ◽  
Lily Lai ◽  
Ravi Salgia ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Pilot Study ◽  
Cancer Treatment ◽  
Self Management ◽  
Care Planning ◽  
Survivorship Care ◽  
Lung Cancer Treatment ◽  
Survivorship Care Planning ◽  
Planning Intervention

Evaluation of patient characteristics that are associated with response to a survivorship care planning intervention.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 8-8
Author(s):  
Elizabeth Ann Kvale ◽  
Chao-Hui Huang ◽  
Sejong Bae ◽  
Wendy Demark-Wahnefried ◽  
Karen Meneses ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Symptom Burden ◽  
Patient Characteristics ◽  
Self Management ◽  
Care Planning ◽  
Survivorship Care ◽  
Comorbidity Burden ◽  
Reported Health ◽  
Survivorship Care Planning ◽  
Planning Intervention

8 Background: Appropriate targeting of survivorship care planning interventions to patient need is essential, but little evidence exists to support systematic triaging according to survivor needs. We demonstrated the positive impact of a self-management focused survivorship care planning (SCP) intervention on patient outcomes including wellbeing and depressive symptomology; herein we report how patient characteristics predict response to that intervention. Methods: Newly-diagnosed breast cancer survivors (Stage 0-IIIB) were randomized to receive the patient owned survivorship care planning intervention (n = 40) or usual care (n = 39). The intervention arm demonstrated improvements from baseline to 3-month follow-up in self-reported health and depressive symptom burden as measured with SF-36 Health Survey and Personal Health Questionnaire Depression Scale. We examined patient characteristics associated with response to the intervention. Results: Baseline characteristics including younger age, lower perceived finance adequacy, higher medical comorbidity, burden of depression, as well as anxious/preoccupation coping were significantly associated with greater self-reported health change (p < 0.05). Additionally, higher levels of cancer symptom severity, fatigue, lower social functioning and mental health status at baseline were significantly correlated with greater reductions in depressive symptoms (p < 0.05). Race, education, health literacy level, and cancer stage were not associated with improved outcomes. Conclusions: While SCP is an important step to improving care for cancer survivors, it is likely that some cancer survivors may need a robust intervention to support self-management of survivorship issues. Our preliminary findings suggest that younger patients with higher perceived financial, emotional, and cancer symptom burden may benefit from a focused SCP intervention to a greater extent than patients without these characteristics. A larger scale pragmatic study is needed to further confirm the associations, investigate the mechanism of effective interventions, and develop pragmatic strategies that target survivors who need robust SCP support.

scholarly journals Long-Term Survivorship Care After Cancer Treatment - Summary of a 2017 National Cancer Policy Forum Workshop

2018 ◽  
Vol 110 (12) ◽  
pp. 1300-1310 ◽  
Author(s):  
Ronald M Kline ◽  
Neeraj K Arora ◽  
Cathy J Bradley ◽  
Eden R Brauer ◽  
Darci L Graves ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Cancer Treatment ◽  
Care Planning ◽  
Survivorship Care ◽  
Care Plans ◽  
Adult Cancer Survivors ◽  
After Cancer ◽  
Survivorship Care Planning ◽  
Policy Forum

Abstract The National Cancer Policy Forum of the National Academies of Sciences, Engineering and Medicine sponsored a workshop on July 24 and 25, 2017 on Long-Term Survivorship after Cancer Treatment. The workshop brought together diverse stakeholders (patients, advocates, academicians, clinicians, research funders, and policymakers) to review progress and ongoing challenges since the Institute of Medicine (IOM)’s seminal report on the subject of adult cancer survivors published in 2006. This commentary profiles the content of the meeting sessions and concludes with recommendations that stem from the workshop discussions. Although there has been progress over the past decade, many of the recommendations from the 2006 report have not been fully implemented. Obstacles related to the routine delivery of standardized physical and psychosocial care services to cancer survivors are substantial, with important gaps in care for patients and caregivers. Innovative care models for cancer survivors have emerged, and changes in accreditation requirements such as the Commission on Cancer’s (CoC) requirement for survivorship care planning have put cancer survivorship on the radar. The Center for Medicare & Medicaid Innovation’s Oncology Care Model (OCM), which requires psychosocial services and the creation of survivorship care plans for its beneficiary participants, has placed increased emphasis on this service. The OCM, in conjunction with the CoC requirement, is encouraging electronic health record vendors to incorporate survivorship care planning functionality into updated versions of their products. As new models of care emerge, coordination and communication among survivors and their clinicians will be required to implement patient- and community-centered strategies.

scholarly journals Enhancing Survivorship Care Planning for Patients With Localized Prostate Cancer Using a Couple-Focused mHealth Symptom Self-Management Program: Protocol for a Feasibility Study (Preprint)

2017 ◽  
Author(s):  
Lixin Song ◽  
Kaitlyn L Dunlap ◽  
Xianming Tan ◽  
Ronald C Chen ◽  
Matthew E Nielsen ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
The United States ◽  
Localized Prostate Cancer ◽  
Self Management ◽  
Survivorship Care Plan ◽  
Care Planning ◽  
Survivorship Care ◽  
Care Plans ◽  
Secondary Outcomes ◽  
Survivorship Care Planning

BACKGROUND This project explores a new model of care that enhances survivorship care planning and promotes health for men with localized prostate cancer transitioning to posttreatment self-management. Survivorship care planning is important for patients with prostate cancer because of its high incidence rate in the United States, the frequent occurrence of treatment-related side effects, and reduced quality of life (QOL) for both men and their partners. A key component of comprehensive survivorship care planning is survivorship care plans (SCPs), documents that summarize cancer diagnosis, treatment, and plans for follow-up care. However, research concerning the effectiveness of SCPs on patient outcomes or health service use has thus far been inconclusive. SCPs that are tailored to individual patients’ needs for information and care may improve effectiveness. OBJECTIVE This study aims to examine the feasibility of an enhanced survivorship care plan (ESCP) that integrates a symptom self-management mHealth program called Prostate Cancer Education and Resources for Couples (PERC) into the existing standardized SCP. The specific aims are to (1) examine the feasibility of delivering ESCPs and (2) to estimate the magnitude of benefit of ESCPs. METHODS We will use a two-group randomized controlled pretest-posttest design and collect data at baseline (T1) and 4 months later (T2) among 50 patients completing initial treatment for localized prostate cancer and their partners. First, we will assess the feasibility of ESCP by recruitment, enrollment, and retention rates; program satisfaction with the ESCP; and perceived ease of use of the ESCP. To achieve the secondary aim, we will compare the ESCP users with the standardized SCP users and assess their primary outcomes of QOL (overall, physical, emotional, and social QOL); secondary outcomes (reduction in negative appraisals and improvement in self-efficacy, social support, and health behaviors to manage symptoms); and number of visits to posttreatment care services between T1 and T2. We will assess the primary and secondary outcomes using measurements with sound psychometrical properties. We will use a qualitative and quantitative mixed methods approach to achieve the research aims. RESULTS This project is ongoing and will be completed by the end of 2018. CONCLUSIONS The results from this study will help design a definitive randomized trial to test the efficacy of the ESCPs, a potentially scalable program, to enhance supportive care for prostate cancer patients and their families.

Implementing the Survivorship Care Plan

2021 ◽  
pp. 760-766
Author(s):  
Erin E. Hahn ◽  
Patricia A. Ganz
Keyword(s):  
Cancer Treatment ◽  
Cancer Patients ◽  
Cancer Survivorship ◽  
Care Plan ◽  
Care Planning ◽  
Survivorship Care ◽  
Treatment Summaries ◽  
Care Plans ◽  
American Society ◽  
Survivorship Care Planning

There are many challenges associated with ensuring quality care for cancer survivors. Cancer patients often require treatment by multiple specialists (surgeons, radiation oncologists, medical oncologists) due to the use of multimodal therapies. After treatment has ended, cancer patients may be at risk for serious long-term and late effects of their disease and treatment. Unfortunately, the oncology care system often fails to provide education and guidance to patients at the end of active cancer treatment, in contrast to the more standardized communication at the time of diagnosis and initial treatment planning. Delivering high-quality, coordinated care during the posttreatment phase is critical to ensure the best possible patient outcomes. One of the proposed first steps in accomplishing this is the widespread implementation of cancer treatment summaries and survivorship care planning, a key recommendation of the 2006 Institute of Medicine report, From Cancer Patient to Cancer Survivor: Lost in Transition. This has been embraced by a number of leading organizations, including the American Society of Clinical Oncology (ASCO) and the Commission on Cancer. Survivorship care has also become an international priority, with organizations such as the U.K. National Cancer Survivorship Initiative and Organization of European Cancer Institutes championing the importance of survivorship care. This chapter provides an overview of the development and use of treatment summaries and survivorship care planning and briefly reviews research on care plans and the health policy impact of survivorship care plans as they relate to quality improvement activities that are underway.

scholarly journals Comparing Two Imaging Methods for Follow-Up of Lung Cancer Treatment: A Randomized Pilot Study

2019 ◽  
Vol 107 (2) ◽  
pp. 430-435 ◽  
Author(s):  
Franco Gambazzi ◽  
Lukas D. Frey ◽  
Matthias Bruehlmeier ◽  
Wolf-Dieter Janthur ◽  
Sereina M. Graber ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Pilot Study ◽  
Cancer Treatment ◽  
Imaging Methods ◽  
Lung Cancer Treatment
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