TY - JOUR
T1 - Preparedness and Cancer-Related Symptom Management among Cancer Survivors in the First Year Post-Treatment
AU - Leach, Corinne R.
AU - Troeschel, Alyssa N.
AU - Wiatrek, Dawn
AU - Stanton, Annette L.
AU - Diefenbach, Michael
AU - Stein, Kevin D.
AU - Sharpe, Katherine
AU - Portier, Kenneth
N1 - Funding Information:
Funded by the Intramural Research Department and the Cancer Control Department at the American Cancer Society.
Publisher Copyright:
© 2017, The Society of Behavioral Medicine.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Background: Many cancer survivors feel unprepared for the physical and psychosocial challenges that accompany the post-treatment care transition (i.e., re-entry phase), including management of cancer-related symptoms. Few studies have investigated personal and contextual factors associated with the extent of preparedness for re-entry or how they are related to cancer-related symptom management. Purpose: Data from the American Cancer Society’s Cancer Survivor Transition Study examined (1) characteristics of breast, prostate, and colorectal cancer survivors (n = 1188) within the first year of completing treatment who are most and least prepared for re-entry; and (2) how preparedness level and other characteristics are related to cancer-related symptom management. Methods: Stanton and colleagues’ [1] conceptual model of survivorship guided the selection of interpersonal/environmental, individual, and disease/treatment-related characteristics as potential contributors to levels of preparedness and cancer-related symptom management using regression tree and multivariate linear regression analyses. Results: Survivors, on average, felt moderately prepared for the transition to post-treatment care. Lowest levels of preparedness were found among survivors with relatively high depressive symptoms, low perceived quality of oncology-provided survivorship care, and limited discussion about potential side effects with a health professional. Poorer symptom management was associated with younger age, having more comorbid conditions, and lower preparedness, social support, and spirituality. Conclusion: Survivors who feel unprepared for the transition to post-treatment care report poorer cancer-related symptom management. Identification of factors associated with low perceived preparedness and poor cancer-related symptom management will assist in risk stratification and development of tailored interventions to meet the needs of cancer survivors during re-entry.
AB - Background: Many cancer survivors feel unprepared for the physical and psychosocial challenges that accompany the post-treatment care transition (i.e., re-entry phase), including management of cancer-related symptoms. Few studies have investigated personal and contextual factors associated with the extent of preparedness for re-entry or how they are related to cancer-related symptom management. Purpose: Data from the American Cancer Society’s Cancer Survivor Transition Study examined (1) characteristics of breast, prostate, and colorectal cancer survivors (n = 1188) within the first year of completing treatment who are most and least prepared for re-entry; and (2) how preparedness level and other characteristics are related to cancer-related symptom management. Methods: Stanton and colleagues’ [1] conceptual model of survivorship guided the selection of interpersonal/environmental, individual, and disease/treatment-related characteristics as potential contributors to levels of preparedness and cancer-related symptom management using regression tree and multivariate linear regression analyses. Results: Survivors, on average, felt moderately prepared for the transition to post-treatment care. Lowest levels of preparedness were found among survivors with relatively high depressive symptoms, low perceived quality of oncology-provided survivorship care, and limited discussion about potential side effects with a health professional. Poorer symptom management was associated with younger age, having more comorbid conditions, and lower preparedness, social support, and spirituality. Conclusion: Survivors who feel unprepared for the transition to post-treatment care report poorer cancer-related symptom management. Identification of factors associated with low perceived preparedness and poor cancer-related symptom management will assist in risk stratification and development of tailored interventions to meet the needs of cancer survivors during re-entry.
KW - Cancer survivor
KW - Patient-reported outcomes
KW - Preparedness
KW - Symptom management
UR - http://www.scopus.com/inward/record.url?scp=85013436280&partnerID=8YFLogxK
U2 - 10.1007/s12160-017-9880-6
DO - 10.1007/s12160-017-9880-6
M3 - Article
C2 - 28224276
AN - SCOPUS:85013436280
SN - 0883-6612
VL - 51
SP - 587
EP - 598
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 4
ER -