What Matters in Cancer Survivorship Research? A Suite of Stakeholder-Relevant Outcomes

Urquhart, Robin; Murnaghan, Sarah; Kendell, Cynthia; Sussman, Jonathan; Porter, Geoffrey A.; Howell, Doris; Grunfeld, Eva

doi:10.3390/curroncol28040277

Cited by 6 publications

(8 citation statements)

References 30 publications

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“…The cancer types represented by survivors and family/friend caregivers were breast, colorectal, genitourinary, ovarian, melanoma, and hematologic, and more than half of these participants were between the ages of 40–64 (55.6%). More details on participant demographics can be found in [ 17 ]. Stakeholder-relevant interventions related to survivors’ psychosocial needs were classified into the following five intervention categories: information provision, peer support, navigation, knowledge translation interventions, and caregiver-specific supports.…”

Section: Resultsmentioning

confidence: 99%

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Stakeholder-Identified Interventions to Address Cancer Survivors’ Psychosocial Needs after Completing Treatment

et al. 2021

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The interventions used in cancer-survivorship care do not always address outcomes important to survivors. This study sought to understand stakeholders’ views on the key concerns of cancer survivors after treatment and the interventions needed to meet survivors’ and families’ psychosocial needs after completing cancer treatment. We conducted a descriptive qualitative study using semi-structured interviews with stakeholders (survivors, family/friend caregivers, oncology providers, primary care providers, and cancer system decision-/policy-makers) from across Canada. For the data analysis, we used techniques commonly employed in descriptive qualitative research, such as coding, grouping, detailing, and comparing the data. There were 44 study participants: 11 survivors, seven family/friend caregivers, 18 health care providers, and eight decision-/policy-makers. Stakeholder-relevant interventions to address survivors’ psychosocial needs were categorized into five groups, as follows: information provision, peer support, navigation, knowledge translation interventions, and caregiver-specific supports. These findings, particularly interventions that deliver timely and relevant information about the post-treatment period and knowledge translation interventions that strive to integrate effective tools and programs into survivorship care, have implications for future research and practice.

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Section: Resultsmentioning

confidence: 99%

“…The data for this paper are part of a larger dataset collected for a prior study [ 17 ]. Data were collected via one-on-one, semi-structured telephone interviews between the research associate and participant.…”

Section: Methodsmentioning

confidence: 99%

Stakeholder-Identified Interventions to Address Cancer Survivors’ Psychosocial Needs after Completing Treatment

et al. 2021

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“…17 Stakeholders in this study reported that the outcome of returning to life after cancer treatment/adjusting to a "new normal" was of priority importance. 17 Similarly, in their study, Kain et al identified returning to "normal" as a major theme of importance in a group of sarcoma survivors. 18 Ore and Foli published a concept analysis on reintegration post-cancer treatment.…”

Section: Introductionmentioning

confidence: 90%

“…Furthermore, other studies have found that outcomes important to patients and other stakeholders are overlooked or considered unimportant by researchers 15,16 . A descriptive qualitative study with health care providers, administrators, survivors, and caregivers from across Canada was conducted to identify stakeholder-relevant outcomes pertinent to follow-up care interventions 17 . Stakeholders in this study reported that the outcome of returning to life after cancer treatment/adjusting to a “new normal” was of priority importance 17 .…”

Section: Introductionmentioning

confidence: 96%

“…A descriptive qualitative study with health care providers, administrators, survivors, and caregivers from across Canada was conducted to identify stakeholder-relevant outcomes pertinent to follow-up care interventions 17 . Stakeholders in this study reported that the outcome of returning to life after cancer treatment/adjusting to a “new normal” was of priority importance 17 . Similarly, in their study, Kain et al identified returning to “normal” as a major theme of importance in a group of sarcoma survivors 18…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial interventions that facilitate adult cancer survivors’ reintegration into daily life after active cancer treatment: a scoping review protocol

Murnaghan

Scruton

Urquhart

2022

JBI Evidence Synthesis

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Objective: This scoping review will map the extent and type of evidence related to psychosocial supports and interventions that facilitate adult cancer survivors’ reintegration into daily life and activities after active cancer treatment. Introduction: Cancer and its treatment have substantial late and long-term adverse impacts on survivors despite enhanced prospects for survival. Cancer survivors have unmet psychosocial care needs, and recent studies show a lack of focus in survivorship research on outcomes important to survivors. Reintegration is an emerging concept, identified as important to cancer survivors, that focuses on returning to a “new normal” after cancer treatment. This study will explore the available evidence on psychosocial interventions that are targeted toward this outcome. Inclusion criteria: The population of interest is adult survivors (18 years and older at diagnosis) of any cancer type. Concepts of interest include psychosocial interventions targeting the outcome and reintegration into daily life after cancer treatment. Interventions addressing clinical depression or anxiety and interventions treating physical needs that are largely medically focused will be excluded. Methods: A scoping review of the literature will be conducted in MEDLINE, CINAHL, and Embase. Gray literature will be searched using ProQuest Dissertations and Theses. Studies will be screened at the title/abstract and full-text levels, and data will be extracted by 2 independent reviewers. Disagreements that cannot be resolved will be settled by a third reviewer. Findings will be summarized narratively and in tabular format. Scoping review registration: Open Science Framework (https://osf.io/r6bmx)

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The association of cancer-related fatigue on the social, vocational and healthcare-related dimensions of cancer survivorship

Jones,

Howell,

Longo

et al. 2023

J Cancer Surviv

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Background Cancer-related fatigue (CRF) is well documented in cancer survivors, but little is known about the personal and societal impact of CRF. This study aimed to examine the impact of CRF in relation to social and vocational functioning and health care utilization in a large sample of post-treatment cancer survivors. Methods We conducted a cross-sectional descriptive study of early stage breast and colorectal cancer survivors (n = 454) who were within 5 years from treatment completion. Social difficulties (SDI-21), work status, absenteeism and presenteeism (WHO-HPQ) and healthcare utilization (HSUQ) were compared in those with (CFR +) and without (CRF −) clinically significant fatigue (FACT-F ≤ 34). Results A total of 32% met the cut-off criteria for CRF (≤ 34). Participants with CRF + had significantly higher scores on the SDI-21 across all domains and 55% of CRF + vs. 11% in CRF − was above the SDI cut-off (> 10) for significant social difficulties. Participants with CRF + were 2.74 times more likely to be unemployed or on leave (95% CI 1.62, 4.61, p < 0.001). In the subgroup of participants who were currently working (n = 249), those with CRF + reported working on average 27.4 fewer hours in the previous 4 weeks compared to CRF − (p = 0.05), and absolute presenteeism was on average 13% lower in the CRF + group (95% CI 8.0, 18.2, p < 0.001). Finally, individuals with CRF + reported significantly more physician (p < 0.001), other health care professional (p = 0.03) and psychosocial visits (p = 0.002) in the past month. Conclusions and implications for cancer survivors CRF is associated with substantial disruption in social and work role functioning in the early transitional phase of cancer survivorship. Better management of persistent CRF and funding for the implementation of existing guidelines and recommended evidence-based interventions are urgently needed.

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What Matters in Cancer Survivorship Research? A Suite of Stakeholder-Relevant Outcomes

Cited by 6 publications

References 30 publications

Stakeholder-Identified Interventions to Address Cancer Survivors’ Psychosocial Needs after Completing Treatment

Stakeholder-Identified Interventions to Address Cancer Survivors’ Psychosocial Needs after Completing Treatment

Psychosocial interventions that facilitate adult cancer survivors’ reintegration into daily life after active cancer treatment: a scoping review protocol

The association of cancer-related fatigue on the social, vocational and healthcare-related dimensions of cancer survivorship

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