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Evaluation of a Breast and Colon Cancer Survivorship Program

Kennon H. McCollum
Felecia G. Wood
Kimberly Auriemma
CJON 2014, 18(2), 231-236 DOI: 10.1188/14.CJON.231-236

This article describes a cancer survivorship program that addressed quality of life (QOL) changes related to chemotherapy. The program focused on adult breast and colon cancer survivors at a community oncology practice in the southeastern United States, and consisted of an educational visit designed to identify and address QOL changes that occurred as a result of chemotherapy. The QOL of Cancer Survivors (QOL-CS) survey administered before and after the visit analyzed QOL metrics, which were combined with program evaluation data to assess physical, psychosocial, social, and spiritual well-being changes that may have occurred as a result of program participation. Differences in QOL-CS scores did not represent statistically significant changes in QOL for program participants. However, program evaluation responses identified perceived changes in QOL as a result of participating in cancer treatment and a subsequent cancer survivorship program, which demonstrated clinical significance for program participants. Physical, psychosocial, social, and spiritual well-being measures were affected by program participation. Improvement in distress related to the initial cancer diagnosis and family distress were the most significant reported changes, and male gender and advanced age were associated with improved psychosocial well-being.


Bennett, J. A., Cameron, L. D., Brown, P. M., Whitehead, L. C., Porter, D., Ottaway-Parkes, T., & Robinson, E. (2010). Time since diagnosis as a predictor of symptoms, depression, cognition, social concerns, perceived benefits, and overall health in cancer survivors. <i>Oncology Nursing Forum, 37</i>, 331-338. doi:10.1188/10.ONF.331-338

Ferrell, B. R., Dow, K. H., & Grant, M. (1995). Measurement of the quality of life in cancer survivors. <i>Quality Of Life Research, 4</i>, 523-531. doi:10.1007/BF00634747

Hewitt, M., Greenfield, S., & Stovall, E. (Eds.). (2005). <i>From cancer patient to cancer survivor: Lost in transition.</i> Washington, DC: National Academies Press.

Horlick-Jones, T. (2011). Understanding fear of cancer recurrence in terms of damage to "everyday health competence." <i>Sociology of Health and Illness, 33</i>, 884-898. doi:10.1111/j.1467-9566.2010.01325.x

Irwin, M., Klemp, J. R., Glennon, C., & Frazier, L. M. (2011). Oncology nurses' perspectives on the state of cancer survivorship care: Current practice and barriers to implementation [Online exclusive]. <i>Oncology Nursing Forum, 38</i>, E11-E19. doi:10.1188/11.ONF.E11-E19

Kantsiper, M., McDonald, E. L., Geller, G., Shockney, L., Snyder, C., & Wolff, A. C. (2009). Transitioning to breast cancer survivorship: Perspectives of patients, cancer specialists, and primary care providers. <i>Journal of General Internal Medicine, 24</i>(Suppl. 2), S459-S466. doi:10.1007/s11606-009-1000-2

Magic of Life Foundation. (2008). <i>Alive and thriving.</i> Atlanta, GA: Lenz.

McCollum, K. (2012). Identifying barriers to cancer survivorship programs. <i>Oncology Nurse Advisor, 3</i>(1), 21.

Mishel, M. H. (1988). Uncertainty in illness. <i>Image: Journal of Nursing Scholarship, 20</i>, 225-232. doi:10.1111/j.1547-5069.1988.tb00082.x

Mullan, F. (1985). Seasons of survival: Reflections of a physician with cancer. <i>New England Journal of Medicine, 313</i>, 270-273.

National Cancer Institute Office of Cancer Survivorship. (2012). About cancer survivorship research: History. Retrieved from <a target="_blank" href='http://cancercontrol.cancer.gov/ocs/history.html'>http://cancercontrol.c...

Patterson, M. (2010). Cancer survivorship: Developing clinical practice guidelines. <i>Journal of the Advanced Practitioner in Oncology, 1</i>, 273-278.

Samarel, N., Fawcett, J., & Tulman, L. (1993). The effects of coaching in breast cancer support groups: A pilot study. <i>Oncology Nursing Forum, 20</i>, 795-798.

Shulman, L. N., Jacobs, L. A., Greenfield, S., Jones, B., McCabe, M. S., Syrjala, K., … Ganz, P. A. (2009). Cancer care and cancer survivorship care in the United States: Will we be able to care for these patients in the future? <i>Journal of Oncology Practice, 5</i>, 119-123. doi:10.1200/JOP.0932001

Thewes, B., Butow, P., Zachariae, R., Christensen, S., Simard, S., & Gotay, C. (2011). Fear of cancer recurrence: A systematic literature review of self-report measures. <i>Psycho-Oncology, 21</i>, 571-587. doi:10.1002/pon.2070