Nurses and other healthcare professionals must comprehend the meaning of breast cancer survivorship and its implications for cancer survivors. The meaning of cancer survivorship to African American and ethnic minority women must be explored. Culturally relevant cancer survivorship education and care should be provided for African American women and other cancer survivors of ethnic minorities as well as those involved in the women's social and healthcare world. Nurses and healthcare professionals must continue to advocate for health policies to improve the lived experiences of all cancer survivors.

In this study, 25.5% of our patients underwent surveillance colonoscopies at >3-year intervals on average. Significant categories of reasons for nonadherence included logistics, health perceptions, stress, and procedure problems.

Patients who remember their doctor's messages are more likely to have a positive outlook about colonoscopies and IBD, have a better quality of life, undergo surveillance colonoscopies at the correct interval, and perceive cancer risk more realistically.

SE, as measured by our validated scales, correlates with chart-adherence to surveillance colonoscopy. Our adherence model, which includes SE, predicts adherence with 74% certainty. An 8-item validated clinical questionnaire can be administered to assess whether patients in this population may require further intervention for adherence.

No abstract