title: An action plan for translating cancer survivorship research into care.
abstract: To meet the complex needs of a growing number of cancer survivors, it is essential to accelerate the translation of survivorship research into evidence-based interventions and, as appropriate, recommendations for care that may be implemented in a wide variety of settings. Current progress in translating research into care is stymied, with results of many studies un- or underutilized. To better understand this problem and identify strategies to encourage the translation of survivorship research findings into practice, four agencies (American Cancer Society, Centers for Disease Control and Prevention, LIVE STRONG: Foundation, National Cancer Institute) hosted a meeting in June, 2012, titled: "Biennial Cancer Survivorship Research Conference: Translating Science to Care." Meeting participants concluded that accelerating science into care will require a coordinated, collaborative effort by individuals from diverse settings, including researchers and clinicians, survivors and families, public health professionals, and policy makers. This commentary describes an approach stemming from that meeting to facilitate translating research into care by changing the process of conducting research-improving communication, collaboration, evaluation, and feedback through true and ongoing partnerships. We apply the T0-T4 translational process model to survivorship research and provide illustrations of its use. The resultant framework is intended to orient stakeholders to the role of their work in the translational process and facilitate the transdisciplinary collaboration needed to translate basic discoveries into best practices regarding clinical care, self-care/management, and community programs for cancer survivors. Finally, we discuss barriers to implementing translational survivorship science identified at the meeting, along with future directions to accelerate this process.
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP). catherine.alfano@nih.gov.
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Alfano
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Tenbroeck
authors.initials: T
authors.lastname: Smith
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Janet S
authors.initials: JS
authors.lastname: de Moor
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Russell E
authors.initials: RE
authors.lastname: Glasgow
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Muin J
authors.initials: MJ
authors.lastname: Khoury
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Nikki A
authors.initials: NA
authors.lastname: Hawkins
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Stein
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Ruth
authors.initials: R
authors.lastname: Rechis
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Carla
authors.initials: C
authors.lastname: Parry
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Corinne R
authors.initials: CR
authors.lastname: Leach
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Lynne
authors.initials: L
authors.lastname: Padgett
authors.affiliation: Behavioral Research Program (CMA, CP, LP), Applied Research Program (JSdM), Implementation Science Team (REG), Epidemiology and Genomics Research Program (MJK), and Office of Cancer Survivorship (JHR), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; Behavioral Research Center, American Cancer Society, Atlanta, GA (TS, KDS, CRL); Office of Public Health Genomics (MJK) and Division of Cancer Prevention and Control (NAH), Centers for Disease Control and Prevention, Atlanta, GA; LIVESTRONG Foundation, Austin, TX (RR); Present addresses: Department of Family Medicine, University of Colorado, Denver, CO (REG); Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, CA (CP).
authors.forename: Julia H
authors.initials: JH
authors.lastname: Rowland
mesh_terms: D003299:Cooperative Behavior; D006301:Health Services Needs and Demand; D006801:Humans; D033183:Interdisciplinary Communication; D009369:Neoplasms / Q000534:rehabilitation*; D011787:Quality of Health Care / Q000592:standards / Q000639:trends; D015996:Survival Rate; D017741:Survivors; D057170:Translational Research, Biomedical / Q000639:trends; D014481:United States