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- Title
Preparedness and Cancer-Related Symptom Management among Cancer Survivors in the First Year Post-Treatment.
- Authors
Leach, Corinne; Troeschel, Alyssa; Wiatrek, Dawn; Stanton, Annette; Diefenbach, Michael; Stein, Kevin; Sharpe, Katherine; Portier, Kenneth; Leach, Corinne R; Troeschel, Alyssa N; Stanton, Annette L; Stein, Kevin D
- Abstract
<bold>Background: </bold>Many cancer survivors feel unprepared for the physical and psychosocial challenges that accompany the post-treatment care transition (i.e., re-entry phase), including management of cancer-related symptoms. Few studies have investigated personal and contextual factors associated with the extent of preparedness for re-entry or how they are related to cancer-related symptom management.<bold>Purpose: </bold>Data from the American Cancer Society's Cancer Survivor Transition Study examined (1) characteristics of breast, prostate, and colorectal cancer survivors (n = 1188) within the first year of completing treatment who are most and least prepared for re-entry; and (2) how preparedness level and other characteristics are related to cancer-related symptom management.<bold>Methods: </bold>Stanton and colleagues' [1] conceptual model of survivorship guided the selection of interpersonal/environmental, individual, and disease/treatment-related characteristics as potential contributors to levels of preparedness and cancer-related symptom management using regression tree and multivariate linear regression analyses.<bold>Results: </bold>Survivors, on average, felt moderately prepared for the transition to post-treatment care. Lowest levels of preparedness were found among survivors with relatively high depressive symptoms, low perceived quality of oncology-provided survivorship care, and limited discussion about potential side effects with a health professional. Poorer symptom management was associated with younger age, having more comorbid conditions, and lower preparedness, social support, and spirituality.<bold>Conclusion: </bold>Survivors who feel unprepared for the transition to post-treatment care report poorer cancer-related symptom management. Identification of factors associated with low perceived preparedness and poor cancer-related symptom management will assist in risk stratification and development of tailored interventions to meet the needs of cancer survivors during re-entry.
- Subjects
CANCER patients; SYMPTOMS; SOCIAL support; WELL-being; CANCER treatment
- Publication
Annals of Behavioral Medicine, 2017, Vol 51, Issue 4, p587
- ISSN
0883-6612
- Publication type
journal article
- DOI
10.1007/s12160-017-9880-6