Patricia A Parker1,2, Smita C Banerjee1,2, Matthew J Matasar3,4, Carma L Bylund1,5, Madeline Rogers1, Kara Franco1, Elizabeth Schofield1, Yuelin Li1,2, Tomer T Levin1,2, Paul B Jacobsen6, Alan B Astrow7,8, Howard Leventhal9, Steven Horwitz3,4, David Kissane1,2,10. 1. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York. 2. Department of Psychiatry, Weill Cornell Medical College, New York. 3. Department of Medicine, Weill Cornell Medical College, New York. 4. Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York. 5. STEM Translational Communication Center, University of Florida, Gainesville. 6. Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland. 7. Department of Medicine, New York Methodist Hospital, New York. 8. Hematology and Oncology, Weill Cornell Medical College, New York. 9. Department of Psychology, Rutgers University, New Brunswick, New Jersey. 10. Department of Psychiatry, Monash University, Clayton, Victoria, Australia.
Abstract
BACKGROUND: Survivors of cancer often describe a sense of abandonment after treatment along with heightened uncertainty and limited knowledge of what lies ahead. This study examined the efficacy of a survivorship care plan (SCP) intervention to help physicians to address survivorship issues through communication skills training plus a new consultation focused on the use of an SCP for patients with Hodgkin lymphoma and diffuse large B-cell lymphoma. METHODS: This 4-site cluster randomized trial examined the efficacy of a survivorship planning consultation (SPC) in patients who achieved complete remission after the completion of first-line therapy (for the SPC, physicians receivedcommunication skills training and, using an SCP, applied those skills in a survivorship-focused office visit) versus a control arm in which physicians were trained in and subsequently provided a time-controlled, manualized wellness rehabilitation consultation (WRC) focused only on discussion of healthy nutrition and exercise as rehabilitation after chemotherapy. The primary outcomes for patients were changes in knowledge about lymphoma and adherence to physicians' recommendations for vaccinations and cancer screenings. RESULTS:Forty-two physicians and 198 patients participated across the 4 sites. Patients whose physicians were in the SPC arm had greater knowledge about their lymphoma (P = .01) and showed greater adherence to physician recommendations for influenza vaccinations (P = .02) and colonoscopy (P = .02) than patients whose physicians were in the WRC arm. CONCLUSIONS: A dedicated consultation using an SCP and supported by communication skills training may enhance patients' knowledge and adherence to some health promotion recommendations.
RCT Entities:
BACKGROUND: Survivors of cancer often describe a sense of abandonment after treatment along with heightened uncertainty and limited knowledge of what lies ahead. This study examined the efficacy of a survivorship care plan (SCP) intervention to help physicians to address survivorship issues through communication skills training plus a new consultation focused on the use of an SCP for patients with Hodgkin lymphoma and diffuse large B-cell lymphoma. METHODS: This 4-site cluster randomized trial examined the efficacy of a survivorship planning consultation (SPC) in patients who achieved complete remission after the completion of first-line therapy (for the SPC, physicians received communication skills training and, using an SCP, applied those skills in a survivorship-focused office visit) versus a control arm in which physicians were trained in and subsequently provided a time-controlled, manualized wellness rehabilitation consultation (WRC) focused only on discussion of healthy nutrition and exercise as rehabilitation after chemotherapy. The primary outcomes for patients were changes in knowledge about lymphoma and adherence to physicians' recommendations for vaccinations and cancer screenings. RESULTS: Forty-two physicians and 198 patients participated across the 4 sites. Patients whose physicians were in the SPC arm had greater knowledge about their lymphoma (P = .01) and showed greater adherence to physician recommendations for influenza vaccinations (P = .02) and colonoscopy (P = .02) than patients whose physicians were in the WRC arm. CONCLUSIONS: A dedicated consultation using an SCP and supported by communication skills training may enhance patients' knowledge and adherence to some health promotion recommendations.
Authors: Smita C Banerjee; Matthew J Matasar; Carma L Bylund; Steven Horwitz; Kara McLarney; Tomer Levin; Paul B Jacobsen; Patricia Parker; Alan Astrow; David W Kissane Journal: Transl Behav Med Date: 2015-06-02 Impact factor: 3.046
Authors: Craig H Moskowitz; Heiko Schöder; Julie Teruya-Feldstein; Camelia Sima; Alexia Iasonos; Carol S Portlock; David Straus; Ariela Noy; Maria L Palomba; Owen A O'Connor; Steven Horwitz; Sarah A Weaver; Jessica L Meikle; Daniel A Filippa; James F Caravelli; Paul A Hamlin; Andrew D Zelenetz Journal: J Clin Oncol Date: 2010-03-08 Impact factor: 44.544
Authors: Carma L Bylund; Richard Brown; Jennifer A Gueguen; Catherine Diamond; Jennifer Bianculli; David W Kissane Journal: Psychooncology Date: 2010-06 Impact factor: 3.894
Authors: Kieron Dunleavy; Stefania Pittaluga; Lauren S Maeda; Ranjana Advani; Clara C Chen; Julie Hessler; Seth M Steinberg; Cliona Grant; George Wright; Gaurav Varma; Louis M Staudt; Elaine S Jaffe; Wyndham H Wilson Journal: N Engl J Med Date: 2013-04-11 Impact factor: 91.245
Authors: Jackelyn B Payne; Kaylin V Dance; Monique Farone; Anh Phan; Cathy D Ho; Meghan Gutierrez; Lillian Chen; Christopher R Flowers Journal: Cancer Date: 2019-07-29 Impact factor: 6.860
Authors: Patricia A Parker; Smita C Banerjee; Matthew J Matasar; Carma L Bylund; Elizabeth Schofield; Yuelin Li; Paul B Jacobsen; Alan B Astrow; Howard Leventhal; Steven Horwitz; David Kissane Journal: Psychooncology Date: 2020-03-11 Impact factor: 3.894
Authors: Flora Kuehne; Linda Sanftenberg; Tobias Dreischulte; Jochen Gensichen Journal: Int J Environ Res Public Health Date: 2020-12-07 Impact factor: 3.390
Authors: Beverley L Høeg; Pernille E Bidstrup; Randi V Karlsen; Anne Sofie Friberg; Vanna Albieri; Susanne O Dalton; Lena Saltbæk; Klaus Kaae Andersen; Trine Allerslev Horsboel; Christoffer Johansen Journal: Cochrane Database Syst Rev Date: 2019-11-21