Assessment of the status of A National Action Plan for Cancer Survivorship in the USA

Smith, Judith Lee; Rodriguez, Juan L.; Hawkins, Nikki A.; Smith, Tenbroeck; Rechis, Ruth; Miller, Andy; Willis, Anne; Miller, Helen; Hall, Ingrid J.; Fairley, Temeika L.; Stone-Wiggins, Brenda

doi:10.1007/s11764-013-0276-8

Cited by 15 publications

(10 citation statements)

References 27 publications

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“…Some additional areas, however, such as developing clinical guidelines and assuring a quality workforce, require additional attention and reflect strategies more appropriate for organizations that provide clinical service delivery. 18 The assessment also found that an increased emphasis on evaluation and translation of research to practice were warranted—a particular strength of public health organizations. 18 There is a unique opportunity to integrate the SEM and NAPCS to provide an integrated model for public health action for cancer survivorship that is strategic, comprehensive, actionable, and measurable.…”

Section: Domains For Public Health Action: the National Action Plan Fmentioning

confidence: 99%

Public Health Action Model for Cancer Survivorship

Moore

Buchanan

Fairley

et al. 2015

American Journal of Preventive Medicine

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Long-term objectives associated with cancer survivors have been suggested by Healthy People 2020, including increasing the proportion of survivors living beyond 5 years after diagnosis and improving survivors’ mental and physical health-related quality of life. Prior to reaching these objectives, several intermediate steps must be taken to improve the physical, social, emotional, and financial well-being of cancer survivors. Public health has a role in developing strategic, actionable, and measurable approaches to facilitate change at multiple levels to improve the lives of survivors and their families. The social ecological model has been used by the public health community as the foundation of multilevel intervention design and implementation, encouraging researchers and practitioners to explore methods that promote internal and external changes at the individual, interpersonal, organizational, community, and policy levels. The survivorship community, including public health professionals, providers, policymakers, survivors, advocates, and caregivers, must work collaboratively to identify, develop, and implement interventions that benefit cancer survivors. The National Action Plan for Cancer Survivorship highlights public health domains and associated strategies that can be the impetus for collaboration between and among the levels in the social ecological model and are integral to improving survivor outcomes. This paper describes the Public Health Action Model for Cancer Survivorship, an integrative framework that combines the National Action Plan for Cancer Survivorship with the social ecological model to demonstrate how interaction among the various levels may promote better outcomes for survivors.

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Section: Domains For Public Health Action: the National Action Plan Fmentioning

confidence: 99%

Public Health Action Model for Cancer Survivorship

Moore

Buchanan

Fairley

et al. 2015

American Journal of Preventive Medicine

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“…In a time when the long-term health and well-being of cancer survivors has been deemed a public health issue, 27 and stakeholders are being called on to intervene using approaches with broader reach, 28 this study offers valuable insights into further increasing awareness of dietary guidelines among CRC survivors. Perhaps the guideline in greatest need of increased awareness is that on limiting or avoiding alcohol; a sizable minority had never heard of this recommendation and many were unaware of alcohol’s potential harms to health.…”

Section: Discussionmentioning

confidence: 99%

Awareness of Dietary and Alcohol Guidelines Among Colorectal Cancer Survivors

Hawkins

Berkowitz

Rodriguez

2015

American Journal of Preventive Medicine

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IntroductionAlthough dietary habits can affect colorectal cancer (CRC) survivors’ health, it is unclear how familiar survivors are with dietary guidelines, what they believe about healthy eating and alcohol consumption, and what hinders healthy dietary habits after cancer. This study assessed CRC survivors’ familiarity with dietary guidelines, their eating and drinking habits, and perceived facilitators and barriers to healthy eating after cancer, including social support and self-efficacy for maintaining a healthy diet and limiting alcohol.MethodsA total of 593 individuals (50% female; mean age, 74 years) diagnosed with CRC approximately 6 years prior to study entry in early 2010 were identified through California Cancer Registry records and participated in a cross-sectional mailed survey assessing health behavior after cancer (46% adjusted response rate). Analyses were conducted in 2014–2015.ResultsSurvivors were most familiar with—and most likely to follow—recommendations to choose low-fat foods; 15% had never heard of recommendations to limit alcohol. Survivors were more aware of recommendations involving messages to limit/avoid versus approach/choose certain foods. The most common barrier to a healthy diet involved the effort required (26%). Survivors received more family/friend support and provider recommendations for healthy eating than limiting alcohol.ConclusionsResults provide an overview of awareness of and adherence to dietary recommendations among CRC survivors, highlighting the need for increasing awareness of recommendations that are especially relevant for survivors. Suggestions are made for modifying diet-related messages to facilitate comprehension and recall among CRC survivors, and increasing awareness among groups with the lowest awareness levels.

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“…For many diagnosed with cancer, survivorship means living with cancer as a chronic condition, while for others, although there may be no evidence of the cancer, there are bothersome longterm and persistent effects. The goal in cancer survivorship care is to provide the tools for survivors to live as healthy a life as possible, one devoid of additional chronic illness, and one in which late effects are minimized (Smith et al, 2013).…”

Section: Survivorship Guidelinesmentioning

confidence: 99%

Fitness and Quality of Life Outcomes of Cancer Survivor Participants in a Community Exercise Program

Musanti

Chao

Collins

2019

JADPRO

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Exercise is recommended for cancer survivors, as it mitigates treatment side effects and improves overall wellness. Therefore, survivors attend community-based exercise programs and report positive results, but published evaluations of outcomes of these programs are scarce in the literature. The objective of this study is to validate the anecdotal reports of the physical fitness and quality of life benefits of the LIVESTRONG at the YMCA program. A retrospective analysis of deidentified data consisting of 17 program cohorts of the LIVESTRONG at the YMCA program (n = 88) was conducted. Statistically significant improvements were seen when compared to baseline in the physical fitness measures of the 6-minute walk, the chest and leg presses, the sit-and-reach test, and the oneleg stand test, as well as in the domains of the 29-item Patient-Reported Outcomes Measurement Information System (PROMIS-29) Profile, a health-related quality of life questionnaire. These domains are physical function, anxiety, depression, fatigue, social role satisfaction, and pain. The anecdotal impression that participation in the LIVESTRONG at the YMCA program improves physical fitness and subjective quality of life perceptions was supported by statistical analysis of the subjective and objective pre-and postprogram measurements for this data set. Exercise in this cancer-specific community exercise program is likely to improve physical fitness and quality of life outcomes. C ancer will be diagnosed in approximately 39.6% of men and women during their lifetime, according to data collected by the Surveillance, Epidemiology, and End Results Program (SEER), of the National Cancer Institute (NCI, 2015). Early detection and improved treatments continue to positively impact cancer survivorship, such that 66.5% of patients diagnosed can now expect to be alive in 5 years (Howlader et al., 2016). These numbers combined indicate that by 2025 there will be 18.9 million cancer survivors in the United States, and of these, 75% will be greater than 50 years of age (American Cancer Society, 2016).

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Assessment of the status of A National Action Plan for Cancer Survivorship in the USA

Cited by 15 publications

References 27 publications

Public Health Action Model for Cancer Survivorship

Public Health Action Model for Cancer Survivorship

Awareness of Dietary and Alcohol Guidelines Among Colorectal Cancer Survivors

Fitness and Quality of Life Outcomes of Cancer Survivor Participants in a Community Exercise Program

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