Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study
The Commission on Cancer’s standard 3.3 represents a paradigm shift in the care of cancer survivors, recommending that survivors receive a treatment summary and survivorship care plan (SCPs). A focus on older breast cancer survivors is needed, as they are the majority of the breast cancer population...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-03-01
|
| Series: | Cancer Control |
| Online Access: | https://doi.org/10.1177/1073274820917208 |
| _version_ | 1797772230874103808 |
|---|---|
| author | Jessica L. Krok-Schoen PhD Michelle J. Naughton PhD, MPH Anne M. Noonan MB BCh BAO Janell Pisegna MOT, OTR/L Jennifer DeSalvo MD Maryam B. Lustberg MD |
| author_facet | Jessica L. Krok-Schoen PhD Michelle J. Naughton PhD, MPH Anne M. Noonan MB BCh BAO Janell Pisegna MOT, OTR/L Jennifer DeSalvo MD Maryam B. Lustberg MD |
| author_sort | Jessica L. Krok-Schoen PhD |
| collection | DOAJ |
| description | The Commission on Cancer’s standard 3.3 represents a paradigm shift in the care of cancer survivors, recommending that survivors receive a treatment summary and survivorship care plan (SCPs). A focus on older breast cancer survivors is needed, as they are the majority of the breast cancer population and their experiences and perspectives of SCPs is limited in the literature. This pilot study utilized a mixed methods approach (focus groups and self-report questionnaire data) to gather information on older (≥65 years) breast cancer survivors’ perspectives of their SCPs, cancer survivorship, and communication with their health-care providers. The questionnaire was completed individually by the participants prior to the focus group and contained items on basic demographics and their health status following cancer treatment. The focus groups indicated that only a minority of women actually developed a SCP. Those who developed a SCP in collaboration with their providers valued the personal care and attention received. However, some participants reported poor communication with their providers and within their health-care team, resulting in frustration and confusion. Participants’ suggestions for ideal SCPs included better education and personalization, particularly in appropriate nutrition and exercise, and managing side effects and comorbidities. Lastly, the women believed that additional long-term care resources, such as health coaches, were important in improving their survivorship. These findings provide insight into enhancing the content, communication, and application of SCPs to improve the survivorship experience of older breast cancer survivors. |
| first_indexed | 2024-03-12T21:48:06Z |
| format | Article |
| id | doaj.art-44eec9b00bfd4836986806bf438f3852 |
| institution | Directory Open Access Journal |
| issn | 1073-2748 |
| language | English |
| last_indexed | 2024-03-12T21:48:06Z |
| publishDate | 2020-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cancer Control |
| spelling | doaj.art-44eec9b00bfd4836986806bf438f38522023-07-26T07:05:51ZengSAGE PublishingCancer Control1073-27482020-03-012710.1177/1073274820917208Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot StudyJessica L. Krok-Schoen PhD0Michelle J. Naughton PhD, MPH1Anne M. Noonan MB BCh BAO2Janell Pisegna MOT, OTR/L3Jennifer DeSalvo MD4Maryam B. Lustberg MD5 Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA Division of Medical Dietetics and Health Sciences, School of Health and Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, OH, USA College of Medicine, The Ohio State University, Columbus, OH, USA College of Medicine, The Ohio State University, Columbus, OH, USAThe Commission on Cancer’s standard 3.3 represents a paradigm shift in the care of cancer survivors, recommending that survivors receive a treatment summary and survivorship care plan (SCPs). A focus on older breast cancer survivors is needed, as they are the majority of the breast cancer population and their experiences and perspectives of SCPs is limited in the literature. This pilot study utilized a mixed methods approach (focus groups and self-report questionnaire data) to gather information on older (≥65 years) breast cancer survivors’ perspectives of their SCPs, cancer survivorship, and communication with their health-care providers. The questionnaire was completed individually by the participants prior to the focus group and contained items on basic demographics and their health status following cancer treatment. The focus groups indicated that only a minority of women actually developed a SCP. Those who developed a SCP in collaboration with their providers valued the personal care and attention received. However, some participants reported poor communication with their providers and within their health-care team, resulting in frustration and confusion. Participants’ suggestions for ideal SCPs included better education and personalization, particularly in appropriate nutrition and exercise, and managing side effects and comorbidities. Lastly, the women believed that additional long-term care resources, such as health coaches, were important in improving their survivorship. These findings provide insight into enhancing the content, communication, and application of SCPs to improve the survivorship experience of older breast cancer survivors.https://doi.org/10.1177/1073274820917208 |
| spellingShingle | Jessica L. Krok-Schoen PhD Michelle J. Naughton PhD, MPH Anne M. Noonan MB BCh BAO Janell Pisegna MOT, OTR/L Jennifer DeSalvo MD Maryam B. Lustberg MD Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study Cancer Control |
| title | Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study |
| title_full | Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study |
| title_fullStr | Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study |
| title_full_unstemmed | Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study |
| title_short | Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study |
| title_sort | perspectives of survivorship care plans among older breast cancer survivors a pilot study |
| url | https://doi.org/10.1177/1073274820917208 |
| work_keys_str_mv | AT jessicalkrokschoenphd perspectivesofsurvivorshipcareplansamongolderbreastcancersurvivorsapilotstudy AT michellejnaughtonphdmph perspectivesofsurvivorshipcareplansamongolderbreastcancersurvivorsapilotstudy AT annemnoonanmbbchbao perspectivesofsurvivorshipcareplansamongolderbreastcancersurvivorsapilotstudy AT janellpisegnamototrl perspectivesofsurvivorshipcareplansamongolderbreastcancersurvivorsapilotstudy AT jenniferdesalvomd perspectivesofsurvivorshipcareplansamongolderbreastcancersurvivorsapilotstudy AT maryamblustbergmd perspectivesofsurvivorshipcareplansamongolderbreastcancersurvivorsapilotstudy |