Elizabeth Kvale|Chao?Hui Huang|Karen Meneses|Wendy Demark?Wahnefried|Sejong Bae|Casey Azuero|Maria Pisu|Kerri S. Bevis|Christine S. Ritchie
Patient?centered support in the survivorship care transition: Outcomes from the Patient?Owned Survivorship Care Plan Intervention
University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama|University of Alabama at Birmingham|University of Alabama at Birmingham|University of California, San Francisco
background authors knowledge studies date evaluated effects survivorship care planning care transition process specialty cancer care selfmanagement primary care patient experience health outcomes p atient wned urvivorship ransition c ctivated e mpowe survivors postcare single coaching encounter based chronic care model uses motivational interviewing techniques engage survivors breast cancer current study examined effects postcare intervention patient outcomes care coordination methods total 79 survivors american joint commision cancer tnm system stage 0 iiib breast cancer randomized postcare 40 patients usual care 39 patients patient outcomes assessed using 36item short form health survey sf36 socialrole activities limitations selfefficacy managing chronic disease 6item scale patient activation measureshort form patient health questionnaire depression scale baseline 3month followup care coordination assessed using confirmed primary care physician visits reported discussion survivorship care plan 3month followup logistic linear regression analyses conducted examine effect postcare selected outcomes results participants intervention group versus receiving usual care demonstrated significantly higher selfreported health f statistic 371 363 p 017 lower social role limitations f 370 382 p 014 trend toward greater selfefficacy f 369 251 p 07 three qualityoflife domains reached clinically meaningful improvement 3month followup including physical role p 0009 bodily pain p 03 emotional role p 04 conclusions postcare intervention appeared positive impact patient outcomes demonstrated promise strategy improve survivors experience care coordination health outcomes cancer 2016122323242 2016 american cancer society