L Aubree Shay1, Susanne Schmidt2, Shayda I Dioun3, Allison Grimes2,4, Leanne Embry2. 1. UTHealth School of Public Health in San Antonio, 7411 John Smith Dr., San Antonio, TX, 78229, USA. Laura.aubree.shay@Uth.tmc.edu. 2. University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229, USA. 3. UTHealth School of Public Health, 1200 Pressler Street, Houston, TX, 77030, USA. 4. Greehey Children's Cancer Research Institute, 8403 Floyd Curl Dr, San Antonio, TX, 78229, USA.
Abstract
PURPOSE: Our study aims to determine whether receipt of a written survivorship care plan (SCP) is associated with five self-reported health behaviors known to be correlated with positive long-term outcomes for cancer survivors: (1) attending a recent medical appointment, (2) exercise in the past month, (3) non-smoking status, (4) mammography in the past 2 years, and (5) up-to-date colorectal cancer screening. METHODS: In this secondary data analysis, we used data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship module for 1855 off-treatment cancer survivors. Multivariable logistic regression accounting for complex survey design was used to examine the association between SCP receipt and each of the five preventive health behaviors. RESULTS: Overall, 37% (669/1855) of survivors reported receiving a written survivorship care plan. In the logistic regression models adjusted for sociodemographic and disease-related factors, SCP receipt was associated with having a recent medical appointment (OR (95% CI) 2.81 (1.27-6.22)), exercise in the past month (1.78 (1.20-2.63)), non-smoking status (2.27 (1.26-4.12)), and up-to-date mammography (2.25 (1.30-3.88)). Receipt of a survivorship care plan was not associated with colorectal cancer screening (1.2 (0.73-2.03)). CONCLUSIONS: This study provides preliminary evidence that SCPs may be helpful in promoting health behaviors among cancer survivors, including attending a regular medical appointment, mammography screening, exercise, and abstinence from smoking. Additionally, the low rates of SCP provision highlight an important missed opportunity and area for intervention. IMPLICATIONS FOR CANCER SURVIVORS: Providing survivors with SCPs may help to increase important health behaviors.
PURPOSE: Our study aims to determine whether receipt of a written survivorship care plan (SCP) is associated with five self-reported health behaviors known to be correlated with positive long-term outcomes for cancer survivors: (1) attending a recent medical appointment, (2) exercise in the past month, (3) non-smoking status, (4) mammography in the past 2 years, and (5) up-to-date colorectal cancer screening. METHODS: In this secondary data analysis, we used data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship module for 1855 off-treatment cancer survivors. Multivariable logistic regression accounting for complex survey design was used to examine the association between SCP receipt and each of the five preventive health behaviors. RESULTS: Overall, 37% (669/1855) of survivors reported receiving a written survivorship care plan. In the logistic regression models adjusted for sociodemographic and disease-related factors, SCP receipt was associated with having a recent medical appointment (OR (95% CI) 2.81 (1.27-6.22)), exercise in the past month (1.78 (1.20-2.63)), non-smoking status (2.27 (1.26-4.12)), and up-to-date mammography (2.25 (1.30-3.88)). Receipt of a survivorship care plan was not associated with colorectal cancer screening (1.2 (0.73-2.03)). CONCLUSIONS: This study provides preliminary evidence that SCPs may be helpful in promoting health behaviors among cancer survivors, including attending a regular medical appointment, mammography screening, exercise, and abstinence from smoking. Additionally, the low rates of SCP provision highlight an important missed opportunity and area for intervention. IMPLICATIONS FOR CANCER SURVIVORS: Providing survivors with SCPs may help to increase important health behaviors.
Entities:
Keywords:
Cancer screening; Exercise; Health behaviors; Smoking; Survivorship care plan
Authors: Elizabeth A Chrischilles; Bradley D McDowell; Linda Rubenstein; Mary Charlton; Jane Pendergast; Grelda Yazmin Juarez; Neeraj K Arora Journal: J Cancer Surviv Date: 2014-10-30 Impact factor: 4.442
Authors: Paul B Jacobsen; Antonio P DeRosa; Tara O Henderson; Deborah K Mayer; Chaya S Moskowitz; Electra D Paskett; Julia H Rowland Journal: J Clin Oncol Date: 2018-05-18 Impact factor: 44.544
Authors: Dorothy Dulko; Claire M Pace; Kim L Dittus; Brian L Sprague; Lori A Pollack; Nikki A Hawkins; Berta M Geller Journal: Oncol Nurs Forum Date: 2013-11 Impact factor: 2.172
Authors: Cheryl T Lee; Nihal E Mohamed; Sailaja Pisipati; Qainat N Shah; Piyush K Agarwal; Tracy M Downs; Michael Droller; Scott M Gilbert; Heather H Goltz; Simon J Hall; Mohamed Hendawi; Jean Hoffman-Censits; Michael O'Donnell; Matthew Kaag; Lawrence I Karsh; Wassim Kassouf; Diane Z Quale; Arthur Sagalowsky; Gary D Steinberg; David M Latini Journal: BMC Health Serv Res Date: 2020-07-24 Impact factor: 2.655
Authors: Meng-Han Tsai; Justin X Moore; Lorriane A Odhiambo; Sydney E Andrzejak; Martha S Tingen Journal: J Cancer Surviv Date: 2022-10-10 Impact factor: 4.062
Authors: Jessica L Krok-Schoen; Michelle J Naughton; Anne M Noonan; Janell Pisegna; Jennifer DeSalvo; Maryam B Lustberg Journal: Cancer Control Date: 2020 Jan-Dec Impact factor: 3.302