e-journal
A Formative Study of Colon Cancer Surveillance Care:Implications for Survivor-Centered Interventions
Colon cancer is one of the most commonly diagnosedcancers in the United States, and an ncreasing number of survivors has underscored the need for improved colon cancer surveillance care uality. Post-treatment surveillance includes follow-up care visits and tests as well as psychosocial
support and lifestyle counseling. This formative study explored the individual, interpersonal, and organizational-level factors related to adherence to surveillance care guidelines to identify modifiable factors for potential educational intervention strategies. A convenience sample of 22 survivors (12 women and 10 men) from two cancer centers were recruited to articipate in focus groups or key informant telephone interviews to explore their experiences with care after completing treatment and complete a brief survey. Content analysis was used to identify themes. Results confirmed that survivors navigated a complex surveillance care schedule and described a strong trust in their health care providers that guided their follow-up care xperiences. Participants defined the terms “survivorship” and “follow-up” in a variety of different ways. Individual-level themes critical to survivors’experiences included having a positive attitude, relying on one’s faith, and coping with fears. Interpersonal-level themes centered around interactions and communication with family and health care providers in follow-up care. While organizational-level factors were highlighted infrequently,participants rated office reminder systems and communication among their multiple providers as valuable. ducational interventions capitalizing on survivors’ connections with their physicians and focusing on preparing survivors for what to expect in the next phase of their cancer experience, could be beneficial at the end of treatment to activate survivors for the transition to the post-treatment period.
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