survivorship care plans and telehealth education for the improvement of access to cancer survivorship, the impact study

Conditions: Breast Carcinoma; Colorectal Carcinoma; Lung Carcinoma; Lymphoma; Prostate Carcinoma

Summary: this trial studies how well self-generated survivorship care plans and telehealth education works in improving knowledge and self-efficacy in cancer survivors living in rural areas. patients living in rural areas often face barriers to survivorship care and report unmet needs. a survivorship care plan created by the patient (self-generated) may help them to better transition from oncology to primary care and improve communication between care teams in order to meet these needs and create better health outcomes. telehealth is a way of delivering health care services from a distance, including patient education. combining a self-generated survivorship care plan with telehealth education may help to improve knowledge and self-efficacy in cancer survivors.

outline: patients complete a questionnaire at baseline (paper, online, or telephone-based) and have medical records reviewed and are assigned to 1 of 3 cohorts. cohorts a and b: patients are randomized to 1 of 2 arms. arm i: patients receive a self-generated scp (i.e., generated from baseline questionnaire responses). arm ii: patients receive a self-generated scp as in arm i. patients also receive a 30-minute telephone-based educational counseling session on survivorship care administered by trained lay health counselors. cohort c: patients are randomized to 1 of 3 arms. arm iii: patients receive generic information on survivorship care on study. arm iv: patients receive generic information on survivorship care and a self-generated scp as in arm i on study. arm v: patients receive generic information on survivorship care as well as a self-generated scp as in arm i and a telephone-based educational counseling session as in arm ii on study. primary care providers: primary care providers complete a questionnaire about perceptions of the scp and self-efficacy in providing survivorship care. oncology clinics: participants complete organizational readiness to change assessment (orca) questionnaire and participate in a qualitative interview about perceptions of implementation of survivorship care. after completion of study, patients are followed up at approximately 8 weeks.

Eligibility criteria:
inclusion criteria: * cancer survivors who have completed curative therapy within the past 5 years (may still currently be on long-term/targeted non-cytotoxic agent maintenance therapy, e.g., tamoxifen or aromatase inhibitors for breast cancer survivors; androgen deprivation therapy for prostate cancer survivors) * history of either adult-onset (age \>= 18) lymphoma, breast, colorectal, lung, or prostate cancer * able to perform all study requirements, including responding to questionnaires * willing to be randomized * capable of providing informed consent * consent to release oncology and primary care medical records * english or spanish speakers * primary care providers: pcps responsible for delivering primary care to impact study participants will be contacted about participating in the study after participant enrollment into the study. * oncology staff: oncology staff (oncologists, nurse practitioners, physician's assistants) will be recruited from sites involved in the impact study * clinic administrators: clinic administrators will be recruited from sites involved in the impact study exclusion criteria: * currently on palliative or hospice care, or considering transferring to such care within the next 3 months * lacks telephone access * lacks mailing address or ability to receive study materials electronically * currently being followed in a pediatric clinical setting (either for primary care or for cancer care) * history of having had \> 1 cancer type diagnosed and treated (exception is for skin cancers treated with surgical excision alone; also, individuals who only have had relapse of their initial cancer remain eligible so long as they have completed curative therapy and meet all other eligibility criteria)

Keywords: cancer survivors survivorship care plans primary care