It is not possible to draw definitive conclusions as to the impact the different types of self-management programme had on cancer survivors. The sustainability of the interventions reviewed was poor, suggesting that cancer survivors require interventions that can be applied into their daily activities.

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Introduction: Cancer survivors experience persistent symptoms such as pain, fatigue, anxiety and depression post-treatment, resulting in social isolation and decreased activity participation. A 6-week, occupation-focused, self-management programme, OptiMal, was delivered to cancer survivors. A mixed methods approach was employed to explore the impact of the programme. For the purpose of addressing the focus of this paper, only qualitative data were extrapolated. Methods: A qualitative description design was undertaken with survivors to explore their perceptions of the impact of OptiMal on cancer survivorship and opinions of the programme. Qualitative data were collected through focus groups and semi-structured interviews post-intervention and at 3 months follow-up. Data were analysed using thematic analysis. Results: Four OptiMal programmes were delivered with 26 individuals of mixed cancer diagnoses over an 18-month period. Following thematic analysis, two themes emerged: 1. Supporting the transition to survivorship; 2. Programme design and delivery. The content and design of OptiMal was reported to meet cancer survivors' needs. However, many survivors stated that they would have benefited from it earlier post-treatment. Conclusion: An occupation-based group programme, OptiMal, appears to assist cancer survivors to transition from treatment to survivorship. However, many survivors stated that they would have benefited from the programme earlier post-treatment.