title: Bridging the transition from cancer patient to survivor: pilot study results of the Cancer Survivor Telephone Education and Personal Support (C-STEPS) program.
abstract: OBJECTIVE
  To develop a feasibility study of a theory-driven telephone counseling program to enhance psychosocial and physical well-being for cancer survivors after treatment.
  
  
  METHODS
  Participants (n=66) were recruited from two Colorado hospitals with self-administered questionnaires at baseline and two weeks post-intervention. The one group, intervention only design included up to six thematic telephone counseling sessions over three months. Topics included nutrition, physical activity, stress management, and medical follow-up. Primary outcomes were cancer-specific distress, self-reported fruit and vegetable consumption and physical activity.
  
  
  RESULTS
  Of 66 subjects, 46 completed at least one counseling module and the follow-up assessment (70% retention rate). Mean satisfaction was 9 out of 10, and all participants would recommend C-STEPS to other survivors. Cancer-specific distress (Impact of Event Scale - Intrusion subscale) decreased for entire study population (p<0.001) and stress management session participants (p<0.001). Fruit and vegetable consumption increased for nutrition and exercise session participants (p=0.02) and the entire sample (p=NS). Physical activity increased in the entire group (p=0.006) and for nutrition and exercise session participants (p=0.01).
  
  
  CONCLUSIONS
  C-STEPS is a feasible telephone counseling program that transcends geographic barriers, demonstrating the potential to decrease distress and promote coping and healthy lifestyles among cancer survivors.
authors: University of Colorado at Denver, Department of Cancer Prevention and Control, USA. Kathleen.garrett@ucdenver.edu
authors: Kathleen
authors: K
authors: Garrett
authors: Sonia
authors: S
authors: Okuyama
authors: Whitney
authors: W
authors: Jones
authors: Denise
authors: D
authors: Barnes
authors: Zung
authors: Z
authors: Tran
authors: Lynn
authors: L
authors: Spencer
authors: Karl
authors: K
authors: Lewis
authors: Paul
authors: P
authors: Maroni
authors: Margaret
authors: M
authors: Chesney
authors: Al
authors: A
authors: Marcus
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003120:Colorado; D003376:Counseling / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology / Q000628:therapy; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D011788:Quality of Life; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D013689:Telephone; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cancer Survivorship; Motivational interviewing; Telephone counseling; Transactional Model of Stress and Coping
references: J Clin Oncol. 2012 Apr 10;30(11):1154-9
references: 22412134
references: J Gerontol. 1989 May;44(3):P61-71
references: 2715587
references: Prev Med. 1998 Sep-Oct;27(5 Pt 2):S16-28
references: 9808821
references: Cancer. 2007 Jan 15;109(2 Suppl):414-24
references: 17173280
references: Health Expect. 2006 Jun;9(2):158-73
references: 16677195
references: J Clin Oncol. 2005 Dec 1;23(34):8884-93
references: 16314649
references: J Consult Clin Psychol. 1992 Aug;60(4):552-68
references: 1506503
references: Cancer. 2002 Mar 15;94(6):1854-66
references: 11920549
references: J Consult Clin Psychol. 2003 Oct;71(5):843-61
references: 14516234
references: Cancer Nurs. 1989 Aug;12(4):209-15
references: 2766264
references: Psychooncology. 2000 Jan-Feb;9(1):11-9
references: 10668055
references: J Biomed Inform. 2009 Apr;42(2):377-81
references: 18929686
references: Clin Cancer Res. 2008 Apr 1;14(7):2111-8
references: 18381952
references: J Cancer Surviv. 2008 Sep;2(3):215-23
references: 18712607
references: Public Health Rep. 1985 May-Jun;100(3):308-15
references: 3923539
references: Cancer Nurs. 2007 Nov-Dec;30(6):441-53
references: 18025916
references: Nurs Res. 2007 Jan-Feb;56(1):44-53
references: 17179873
references: Arch Gen Psychiatry. 1990 Aug;47(8):720-5
references: 2378543
references: Cancer. 1999 Nov 1;86(9):1768-74
references: 10547550
references: Cancer Nurs. 2003 Dec;26(6):439-47
references: 15022975
references: J Clin Oncol. 2008 May 1;26(13):2198-204
references: 18445845
references: J Am Diet Assoc. 1992 Aug;92(8):969-77
references: 1640041
references: Prev Med. 1998 Mar-Apr;27(2):250-61
references: 9579004
references: J Nerv Ment Dis. 1993 Jul;181(7):409-16
references: 8320542
references: J Breast Cancer. 2011 Jun;14(2):112-8
references: 21847405
references: Support Care Cancer. 2012 Jun;20(6):1193-201
references: 21625913
references: CA Cancer J Clin. 2012 Jul-Aug;62(4):220-41
references: 22700443
references: J Consult Clin Psychol. 2001 Jun;69(3):481-8
references: 11495177
references: J Health Commun. 2008 Apr-May;13(3):230-49
references: 18569356
references: Qual Life Res. 2011 Aug;20(6):833-44
references: 21170682
references: Arch Gen Psychiatry. 1993 Sep;50(9):681-9
references: 8357293
references: MMWR Surveill Summ. 2012 Jan 20;61(1):1-23
references: 22258477
references: Psychosom Med. 1979 May;41(3):209-18
references: 472086
references: Psychiatr Clin North Am. 1994 Mar;17(1):163-82
references: 8190663
references: Soc Sci Med. 1997 Oct;45(8):1207-21
references: 9381234
references: Psychooncology. 2010 Sep;19(9):923-32
references: 19941285
references: Appl Nurs Res. 2012 Feb;25(1):3-16
references: 20974079
references: Behav Res Ther. 1992 Mar;30(2):151-61
references: 1567344
references: J Health Commun. 2005;10 Suppl 1:65-82
references: 16377601
references: Oncol Nurs Forum. 2000 May;27(4):683-8
references: 10833696
references: Psychosom Med. 2003 Nov-Dec;65(6):1038-46
references: 14645783
references: J Consult Clin Psychol. 1987 Apr;55(2):201-7
references: 3571673
references: Psychol Med. 1996 Jul;26(4):735-44
references: 8817708
references: Nurs Res. 2008 May-Jun;57(3):199-213
references: 18496106
references: Psychooncology. 2006 Dec;15(12):1027-37
references: 16602072
references: Psychosomatics. 1991 Fall;32(4):407-12
references: 1961853
references: J Clin Oncol. 2006 Nov 10;24(32):5132-7
references: 17093275
references: Oncol Nurs Forum. 2007 Sep;34(5):1007-16
references: 17878129
references: Br J Psychiatry. 2002 Mar;180:205-9
references: 11872511
references: Patient Educ Couns. 2002 Apr;46(4):267-75
references: 11932126
references: J Pers Soc Psychol. 1990 Sep;59(3):582-92
references: 2231287
references: Prev Med. 2001 Sep;33(3):204-16
references: 11522161
references: Psychooncology. 2005 Nov;14(11):962-78
references: 15712339
references: Dimens Crit Care Nurs. 1997 Nov-Dec;16(6):292-300
references: 9397712
references: Eur J Cancer Care (Engl). 1998 Dec;7(4):225-31
references: 9919109