title: Oncology providers' evaluation of the use of an automatically generated cancer survivorship care plan: longitudinal results from the ROGY Care trial.
abstract: OBJECTIVE
  Previous studies have merely investigated oncology providers' a priori attitudes toward SCPs. The purpose of the current study was to longitudinally evaluate oncology providers' expectations and actual experiences with the use of an automatically generated Survivorship Care Plan (SCP) in daily clinical practice.
  
  
  METHODS
  Between April 2011 and October 2012, the participating oncology providers (i.e., gynecologists, gynecologic oncologists, oncology nurses) provided usual care or SCP care to 222 endometrial and 85 ovarian cancer patients included in the Registrationsystem Oncological GYnecology (ROGY) Care trial. All (n = 43) oncology providers in both arms were requested to complete a questionnaire before and after patient inclusion regarding their expectations and evaluation of SCP care.
  
  
  RESULTS
  Before patient inclusion, 38 (88%; 21 SCP, 17 usual care), and after patient inclusion, 35 (83%; 20 SCP, 15 usual care) oncology providers returned the questionnaire. After patient inclusion, oncology providers were generally satisfied with the SCP (M = 7.1, SD = 1.3, with 1 = not at all-10 = very much) and motivated to keep using the SCP (M = 7.9, SD = 1.5). Most providers (64%) encountered barriers. Twenty-five percent felt they used more time for consultations (M = 7.3 min, SD = 4.6). However, self-reported consultation time did not differ between before (M = 21.8 min, SD = 11.6) and after patient inclusion (M = 18.7, SD = 10.6; p = 0.22) or between SCP care (M = 18.5, SD = 10.3) and usual care (M = 22.0, SD = 12.2; p = 0.21).
  
  
  CONCLUSIONS
  Oncology providers using the SCP were generally satisfied and motivated to keep using the SCP. However, the findings of the current study suggest that even when the SCP can be generated automatically, oncology providers still have difficulties with finding the time to discuss the SCP with their patients.
  
  
  CONCLUSIONS
  If SCP care is indeed effective, overcoming the perceived barriers is needed before large-scale implementation in order for cancer survivors to fully benefit from the potential advantages of SCPs.
authors.affiliation: CoRPS-Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, Warandelaan 2, PO Box 90153, LE Tilburg, 5000, The Netherlands, k.a.h.nicolaije@uvt.nl.
authors.forename: Kim A H
authors.initials: KA
authors.lastname: Nicolaije
authors.forename: Nicole P M
authors.initials: NP
authors.lastname: Ezendam
authors.forename: M Caroline
authors.initials: MC
authors.lastname: Vos
authors.forename: Johanna M A
authors.initials: JM
authors.lastname: Pijnenborg
authors.forename: Lonneke V
authors.initials: LV
authors.lastname: van de Poll-Franse
authors.forename: Roy F P M
authors.initials: RF
authors.lastname: Kruitwagen
mesh_terms: D000328:Adult; D001331:Automation; D005260:Female; D006282:Health Personnel; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000401:mortality / Q000628:therapy*; D010347:Patient Care Planning; D011795:Surveys and Questionnaires; D017741:Survivors