An Implementation Evaluation of the Wellness Beyond Cancer Survivorship Class: Who is attending?

Georden Jones, Caroline Séguin Leclair, Danielle Petrione-Westwood, Monique Lefebvre, Robin Morash, Carrie Liska, Lynne Jolicoeur, Sophie Lebel

Abstract


Cancer survivors at The Ottawa Hospital were referred to a survivorship class following discharge. As not all survivors attended the class, this study aimed to identify socio-demographic and medical characteristics, and survivorship needs that predict attendance. A chart review was conducted on survivors who completed a needs assessment survey between 2012 and 2014 (n=144 endometrial; n=170 breast). Class attendees’ characteristics were compared to those of non-attendees using t-tests, chi-square analyses, and regression analysis. Univariate analyses showed that age, distance from hospital, emotional and physical needs, and chemotherapy and/or radiation therapy were associated with class attendance. Distance from hospital, and physical needs, were identified as multivariate predictors. Identifying attendees’ characteristics will help inform recruitment strategies and class content.

Full Text:

PDF

References


Armes, J., Crowe, M., Colbourne, L., Morgan, H., Murrells, T., Oakley, C., … Richardson, A. (2009). Patients’ supportive care needs beyond the end of cancer treatment: a prospective, longitudinal survey. Journal of Clinical Oncology, 27(36), 6172–6179. http://doi.org/10.1200/JCO.2009.22.5151

Canadian Cancer Society. (2015a). Breast cancer statistics. Retrieved April 19, 2016, from http://www.cancer.ca/en/cancer-information/cancer-type/breast/statistics/?region=ab

Canadian Cancer Society. (2015b). Uterine cancer statistics. Retrieved April 19, 2016, from http://www.cancer.ca/en/cancer-information/cancer-type/uterine/statistics/?region=on

Canadian Cancer Society. (2016). Side effects of radiation therapy. Retrieved April 22, 2016, from http://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/radiation-therapy/side-effects-of-radiation-therapy/?region=on

Cox, K., Wilson, E., Heath, L., Collier, J., Jones, L., & Johnston, I. (2006). Preferences for follow-up after treatment for lung cancer: assessing the nurse-led option. Cancer Nursing, 29(3), 176–187.

Fiszer, C., Dolbeault, S., Sultan, S., & Brédart, A. (2014). Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: a systematic review. Psycho-Oncology, 23(4), 361–374. http://doi.org/10.1002/pon.3432

Forbes, M., & Jolicoeur, L. (n.d.). Models of Care for Follow Up After Treatment for Cancer.

Canadian Association of Nurses in Oncology. retrieved from: http://www.cano-acio.ca/survivorship_module, consulted in April 2016

Griffin, A. M., Butow, P. N., Coates, A. S., Childs, A. M., Ellis, P. M., Dunn, S. M., & Tattersall, M. H. N. (1996). On the receiving end V: Patient perceptions of the side effects of cancer chemotherapy in 1993. Annals of Oncology, 7(2), 189–195.

Grunfeld, E., Levine, M. N., Julian, J. A., Coyle, D., Szechtman, B., Mirsky, D., … Whelan, T. (2006). Randomized Trial of Long-Term Follow-Up for Early-Stage Breast Cancer: A Comparison of Family Physician Versus Specialist Care. Journal of Clinical Oncology, 24(6), 848–855. http://doi.org/10.1200/JCO.2005.03.2235

Hodgkinson, K., Butow, P., Fuchs, A., Hunt, G. E., Stenlake, A., Hobbs, K. M., … Wain, G. (2007a). Long-term survival from gynecologic cancer: Psychosocial outcomes, supportive care needs and positive outcomes. Gynecologic Oncology, 104(2), 381–389. http://doi.org/10.1016/j.ygyno.2006.08.036

Hodgkinson, K., Butow, P., Fuchs, A., Hunt, G. E., Stenlake, A., Hobbs, K. M., … Wain, G. (2007b). Long-term survival from gynecologic cancer: Psychosocial outcomes, supportive care needs and positive outcomes. Gynecologic Oncology, 104(2), 381–389. http://doi.org/10.1016/j.ygyno.2006.08.036

Keesing, S., McNamara, B., & Rosenwax, L. (2014). Cancer survivors’ experiences of using survivorship care plans: a systematic review of qualitative studies. Journal of Cancer Survivorship, 1–9. http://doi.org/10.1007/s11764-014-0407-x

Kelly, L., Caldwell, K., & Henshaw, L. (2006). Involving users in service planning: A focus group approach. European Journal of Oncology Nursing, 10(4), 283–293. http://doi.org/10.1016/j.ejon.2005.12.008

Lebel, S., Rosberger, Z., Edgar, L., & Devins, G. M. (2007). Comparison of four common stressors across the breast cancer trajectory. Journal of Psychosomatic Research, 63, 225–232. http://doi.org/10.1016/j.jpsychores.2007.02.002

Mallinger, J. B., Griggs, J. J., & Shields, C. G. (2005). Patient-centered care and breast cancer survivors’ satisfaction with information. Patient Education and Counseling, 57(3), 342–349. http://doi.org/10.1016/j.pec.2004.09.009

Nicolaije, K. A. H., Husson, O., Ezendam, N. P. M., Vos, M. C., Kruitwagen, R. F. P. M., Lybeert, M. L. M., & van de Poll-Franse, L. V. (2012). Endometrial cancer survivors are unsatisfied with received information about diagnosis, treatment and follow-up: A study from the population-based PROFILES registry. Patient Education and Counseling, 88(3), 427–435. http://doi.org/10.1016/j.pec.2012.05.002

Papadakos, J., Bussière-Côté, S., Abdelmutti, N., Catton, P., Friedman, A. J., Massey, C., … Ferguson, S. E. (2012a). Informational needs of gynecologic cancer survivors. Gynecologic Oncology, 124(3), 452–457. http://doi.org/10.1016/j.ygyno.2011.10.030

Papadakos, J., Bussière-Côté, S., Abdelmutti, N., Catton, P., Friedman, A. J., Massey, C., … Ferguson, S. E. (2012b). Informational needs of gynecologic cancer survivors. Gynecologic Oncology, 124(3), 452–457. http://doi.org/10.1016/j.ygyno.2011.10.030

Risendal, B., Dwyer, A., Seidel, R., Lorig, K., Katzenmeyer, C., Coombs, L., … Ory, M. (2014). Adaptation of the Chronic Disease Self-Management Program for Cancer Survivors: Feasibility, Acceptability, and Lessons for Implementation. Journal of Cancer Education, 29(4), 762–771. http://doi.org/10.1007/s13187-014-0652-8

Rushton, M., Morash, R., Larocque, G., Liska, C., Stoica, S., Degrasse, C., Segal, R. (2015). Wellness Beyond Cancer Program: Building an effective survivorship program. Current Oncology, 22(6), 419-434. http://dx.doi.org/10.3747/co.22.2786

Rosenbaum, E., Gautier, H., Fobair, P., Neri, E., Festa, B., Hawn, M., … Spiegel, D. (2004). Cancer supportive care, improving the quality of life for cancer patients. A program evaluation report. Supportive Care in Cancer, 12(5), 293–301. http://doi.org/10.1007/s00520-004-0599-0

Salani, R. (2013). Survivorship planning in gynecologic cancer patients. Gynecologic Oncology, 130(2), 389–387. http://doi.org/doi:10.1016/j.ygyno.2013.05.022

Stalker, M. Z., Johnson, P. S., & Cimma, C. (1990). Supportive activities requested by survivors of cancer. Journal of Psychosocial Oncology, 7(4), 21–31. http://doi.org/10.1300/J077v07n04_02

Steinhagen-Thiessen, E., & Borchelt, M. (1999). Morbidity, medication, and functional limitations in very old age. The Berlin aging study: Aging from, 70, 131-166.

Tariman, J. D., Doorenbos, A., Schepp, K. G., Singhal, S., & Berry, D. L. (2014). Information Needs Priorities in Patients Diagnosed With Cancer: A Systematic Review. Journal of the Advanced Practitioner in Oncology, 5(2), 115–122.

Zebrack, B. (2009). Information and service needs for young adult cancer survivors. Supportive Care in Cancer, 17(4), 349–357. http://doi.org/10.1007/s00520-008-0469-2


Refbacks

  • There are currently no refbacks.


Bookmark and Share