Impact of Survivorship Care Planning of Oncology Care at the End of Treatment for Breast Cancer: A Randomized Controlled Trial

Shannon Williamson-Butler (1), Samantha Creamer (2), Julie Flahive (3), Beth Keating (4), Candace Crocker (5), Kathryn Edmiston (6), Tina Harralson (7), Edwin Boudreaux (8), Erin O'Hea (9)
(1) Department of Psychiatry, Rhode Island Hospital Bradley Hasbro Children's Research Center, Providence, USA, United States,
(2) Department of Psychiatry, University of Massachusetts Medical School, Worcester, USA, United States,
(3) Department of Population and Quantitative Health Science, University of Massachusetts, Worcester, USA, United States,
(4) Department of Hematology/Oncology, University of Massachusetts Medical School, Worcester, USA,, United States,
(5) Department of Psychiatry, University of Massachusetts Medical School, Worcester, USA, United States,
(6) Department of Hematology/Oncology, University of Massachusetts Medical School, Worcester, USA, United States,
(7) Tridiuum, Philadelphia, Pennsylvania, USA, United States,
(8) Department of Psychiatry, University of Massachusetts Medical School, Worcester, USA, United States,
(9) Stonehill College, North Easton, Massachusetts, USA, United States

Abstract

Background: In 2006, the Institute of Medicine (IOM) issued a report recommending that all cancer survivors receive a customized survivorship care plan (SCP) to increase survivors’ understanding of diagnoses, long-term treatment effects, and ideas for improving overall health. Therefore, the purpose of this study was to compare a tailored SCP program (POST) to treatment as usual (TAU) on patient ratings of quality and content of discussion with providers at the end of their breast cancer treatment.
Methods: Two hundred participants were randomized to receive either the POST treatment (n=100) or TAU (n=100) at their last treatment visit. Women were presented with a checklist of 29 survivorship topics and indicated whether their healthcare provider discussed it at their last visit. They were also asked to rate overall quality of discussion (QOD) with their providers and across several QOD subscales.
Results: Analyses indicated that on average, POST women endorsed 20 out of the 29 topics compared to 14 topics endorsed by TAU. Additionally, POST women reported a better QOD overall and across all subscales.
Conclusion: POST women remembered discussing more survivorship topics and reported better discussions with their providers. As a practical implication, cancer survivors should receive an individualized SCP to ensure that patients feel well informed of their road to survivorship.

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Authors

Shannon Williamson-Butler
shannonwilliamson100@gmail.com (Primary Contact)
Samantha Creamer
Julie Flahive
Beth Keating
Candace Crocker
Kathryn Edmiston
Tina Harralson
Edwin Boudreaux
Erin O'Hea
1.
Williamson-Butler S, Creamer S, Flahive J, Keating B, Crocker C, Edmiston K, Harralson T, Boudreaux E, O’Hea E. Impact of Survivorship Care Planning of Oncology Care at the End of Treatment for Breast Cancer: A Randomized Controlled Trial. Arch Breast Cancer [Internet]. 2022 Jan. 23 [cited 2024 Apr. 23];9(1):109-18. Available from: https://www.archbreastcancer.com/index.php/abc/article/view/480

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