Dissemination and Translation: A Frontier for Cancer Survivorship Research

Hawkins, Nikki A.; Peaker, Brandy; Buchanan, Natasha; Risendal, Betsy

doi:10.1158/1055-9965.epi-11-0652

Cited by 22 publications

(18 citation statements)

References 33 publications

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“…While we don’t yet have a robust evidence base to underlie best practices for promoting health and wellness among cancer survivors, and have not achieved all that was envisioned in the Lost in Transition report (Institute of Medicine, 2005), we must move forward with broader dissemination of post-treatment survivorship care (Pollack, Hawkins, Peaker, Buchanan, & Risendal, 2011). Survivors themselves make this clear.…”

Section: Discussionmentioning

confidence: 99%

Population-Level Trends in Posttreatment Cancer Survivors’ Concerns and Associated Receipt of Care: Results from the 2006 and 2010 LIVESTRONG Surveys

Beckjord

Reynolds

Londen

et al. 2014

Journal of Psychosocial Oncology

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There is a need to better understand the post-treatment concerns of the nearly 14 million cancer survivors alive in the United States today and their receipt of care. Methods Using data from 2910 post-treatment cancer survivors from the 2006 or 2010 LIVESTRONG Surveys, we examined physical, emotional, and practical concerns, receipt of care, and trends in these outcomes at the population level. Results 89% of respondents reported at least one physical concern (67% received associated post-treatment care); 90% reported at least one emotional concern (47% received care); and 45% reported at least one practical concern (36% received care). Female survivors, younger survivors, those who received more intensive treatment, and survivors without health insurance often reported a higher burden of post-treatment concerns though were less likely to have received post-treatment care. Conclusions These results reinforce the importance of post-treatment survivorship and underscore the need for continued progress in meeting the needs of this population. Efforts to increase the availability of survivorship care are extremely important to improve the chances of people affected by cancer living as well as possible in the post-treatment period.

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Section: Discussionmentioning

confidence: 99%

Population-Level Trends in Posttreatment Cancer Survivors’ Concerns and Associated Receipt of Care: Results from the 2006 and 2010 LIVESTRONG Surveys

Beckjord

Reynolds

Londen

et al. 2014

Journal of Psychosocial Oncology

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“…The investigators of the planned RCTs made a decision to consider the translation and adoption of their intervention by including at least one follow-up time point after the completion of the exercise intervention. The intention to consider the translation of interventions beyond the research setting is a key feature of the Knowledge to Action (K2A) framework [38–40]. Although RCTs, by virtue of funding and scientific rationale, often end when the active intervention ends, investigators could consider a partnership with community stakeholders to add a “bedside to community” sustainability phase to their studies.…”

Section: Discussionmentioning

confidence: 99%

Searching for maintenance in exercise interventions for cancer survivors

et al. 2014

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Purpose Translating evidence-based exercise interventions into practice is important for expanding the capacity to support cancer survivors. Using the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework and scoping study methodology, we addressed the research question, “What is known about the maintenance of exercise interventions for cancer survivors that would inform translation from research to practice and community settings?” Maintenance was investigated at the individual and setting level. Methods Literature searches were performed in the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Sport Discus databases for articles published from January 2009 to June 2012. Abstracts were judged using a priori criteria for the survivor population, exercise intervention, and maintenance on the individual or setting level. We included completed and planned randomized controlled trials (RCTs) and other study designs. Publications meeting the criteria were reviewed and coded. Results Of the 211 abstracts meeting patient and exercise criteria, 24 (19 RCTs) met the maintenance criteria. Nine of the 12 completed RCTs demonstrated maintenance of intervention outcomes after 3 to 14 months of follow-up. The planned RCTs described interventions lasting 2 to 4.5 months and maintenance intervals lasting 3 to 12 months following the active intervention. Maintenance at the setting level was reported in one publication. Conclusions On the individual level, intervention outcomes were maintained in most studies, in a variety of settings and survivor subpopulations. Maintenance on the setting level was scarcely addressed. This scoping study suggests several strategies that could be taken by agencies, clinicians, and researchers to develop more effective and sustainable exercise programs for cancer survivors. Implications for Cancer Survivors Many benefits of exercise training are maintained for months after cancer survivors complete controlled research studies but relatively little is known about how to translate research to sustainable community-based exercise programs. A better understanding of how programs can be sustained in practice beyond short-term research or grant funding is needed to support a growing number of survivors.

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“…The earliest steps to dissemination of psychological and behavioral EBTs have not been made . For example, only 11 of the 155 postings on the National Cancer Institute's Research‐tested Intervention Programs website reference psychosocial interventions.…”

Section: Introductionmentioning

confidence: 99%

Evidence‐based psychosocial treatment in the community: considerations for dissemination and implementation

Andersen

Dorfman

2015

Psycho-Oncology

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Background In psycho-oncology care, steps toward dissemination and implementation of evidence-based treatments (EBTs) have not been made. For this to change, factors associated with real-world dissemination and implementation must be identified. In the community, providers, their organizations, and patients are key stakeholders. Method A focused review of literatures in continuing education, dissemination, and implementation of mental health services is provided. Results Early-career providers are most ready to implement as they have greater openness and more positive attitudes toward EBTs. Current continuing education practices to teach EBTs have limited effectiveness. Instruction using interactive strategies tailored to therapists’ clinical needs and the provision of post-education consultation is needed. There is tension between EBT delivery with fidelity and the necessity for adaptation. EBT service provision is the key outcome of implementation, and documenting such is important to patients, providers, and organizations. Conclusion A multilevel conceptual framework, Setting, Therapist, Education, imPlementation, and Sustainability, is offered and provides directions for dissemination and sustainable implementation. Guidelines from the Commission on Cancer of the American College of Surgeons and the American Society of Clinical Oncology underscore the timeliness of the proposed framework to move EBTs from the research settings where they were developed to the practice settings where they are needed.

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Dissemination and Translation: A Frontier for Cancer Survivorship Research

Cited by 22 publications

References 33 publications

Population-Level Trends in Posttreatment Cancer Survivors’ Concerns and Associated Receipt of Care: Results from the 2006 and 2010 LIVESTRONG Surveys

Population-Level Trends in Posttreatment Cancer Survivors’ Concerns and Associated Receipt of Care: Results from the 2006 and 2010 LIVESTRONG Surveys

Searching for maintenance in exercise interventions for cancer survivors

Evidence‐based psychosocial treatment in the community: considerations for dissemination and implementation

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