title: Healthy Living after Cancer: a dissemination and implementation study evaluating a telephone-delivered healthy lifestyle program for cancer survivors.
abstract: BACKGROUND
  Given evidence shows physical activity, a healthful diet and weight management can improve cancer outcomes and reduce chronic disease risk, the major cancer organisations and health authorities have endorsed related guidelines for cancer survivors. Despite these, and a growing evidence base on effective lifestyle interventions, there is limited uptake into survivorship care.
  
  
  METHODS
  Healthy Living after Cancer (HLaC) is a national dissemination and implementation study that will evaluate the integration of an evidence-based lifestyle intervention for cancer survivors into an existing telephone cancer information and support service delivered by Australian state-based Cancer Councils. Eligible participants (adults having completed cancer treatment with curative intent) will receive 12 health coaching calls over 6 months from Cancer Council nurses/allied health professionals targeting national guidelines for physical activity, healthy eating and weight control. Using the RE-AIM evaluation framework, primary outcomes are service-level indicators of program reach, adoption, implementation/costs and maintenance, with secondary (effectiveness) outcomes of patient-reported anthropometric, behavioural and psychosocial variables collected at pre- and post-program completion. The total participant accrual target across four participating Cancer Councils is 900 over 3 years.
  
  
  CONCLUSIONS
  The national scope of the project and broad inclusion of cancer survivors, alongside evaluation of service-level indicators, associated costs and patient-reported outcomes, will provide the necessary practice-based evidence needed to inform future allocation of resources to support healthy living among cancer survivors.
  
  
  BACKGROUND
  Australian and New Zealand Clinical Trials Registry (ANZCTR)--ACTRN12615000882527 (registered on 24/08/2015).
authors.affiliation: The University of Queensland, School of Public Health, Brisbane, Australia. e.eakin@sph.uq.edu.au.
authors.forename: Elizabeth G
authors.initials: EG
authors.lastname: Eakin
authors.affiliation: Queensland University of Technology, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Brisbane, Australia. sc.hayes@qut.ed.au.
authors.forename: Sandra C
authors.initials: SC
authors.lastname: Hayes
authors.affiliation: University of Technology Sydney, Centre for Health Economics Research and Evaluation, Sydney, Australia. Marion.Haas@chere.uts.edu.au.
authors.forename: Marion R
authors.initials: MR
authors.lastname: Haas
authors.affiliation: The University of Queensland, School of Public Health, Brisbane, Australia. m.reeves@sph.uq.edu.au.
authors.forename: Marina M
authors.initials: MM
authors.lastname: Reeves
authors.affiliation: The University of Sydney, Concord Clinical School, Sydney, Australia. janette.vardy@sydney.edu.au.
authors.forename: Janette L
authors.initials: JL
authors.lastname: Vardy
authors.affiliation: Mater Hospital Sydney, The Patricia Ritchie Centre for Cancer Care and Research, Sydney, Australia. franb@bigond.net.au.
authors.forename: Frances
authors.initials: F
authors.lastname: Boyle
authors.affiliation: Swinburne University of Technology, School of Health Sciences, Melbourne, Australia. jhiller@swin.edu.au.
authors.forename: Janet E
authors.initials: JE
authors.lastname: Hiller
authors.affiliation: The University of Queensland, School of Public Health, Brisbane, Australia. g.mishra@sph.uq.edu.au.
authors.forename: Gita D
authors.initials: GD
authors.lastname: Mishra
authors.affiliation: The University of Queensland, School of Public Health, Brisbane, Australia. a.goode@sph.uq.edu.au.
authors.forename: Ana D
authors.initials: AD
authors.lastname: Goode
authors.affiliation: Peter MacCallum Cancer Centre, Department of Cancer Experiences Research, Melbourne, Australia. Michael.Jefford@petermac.org.|Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia. Michael.Jefford@petermac.org.
authors.forename: Michael
authors.initials: M
authors.lastname: Jefford
authors.affiliation: Flinders Medical Centre, Department of Medical Oncology, Bedford Park, Australia. Bogda.Koczwara@health.sa.gov.au.
authors.forename: Bogda
authors.initials: B
authors.lastname: Koczwara
authors.affiliation: University of Western Australia, School of Surgery, Perth, Australia. christobel.saunders@uwa.edu.au.
authors.forename: Christobel M
authors.initials: CM
authors.lastname: Saunders
authors.affiliation: University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, USA. demark@uab.edu.
authors.forename: Wendy
authors.initials: W
authors.lastname: Demark-Wahnefried
authors.affiliation: University of Alberta, Faculty of Physical Education and Recreation, Edmonton, Canada. kerry.courneya@ualberta.ca.
authors.forename: Kerry S
authors.initials: KS
authors.lastname: Courneya
authors.affiliation: University of Pennsylvania, Perelman School of Medicine, Center for Clinical Epidemiology and Biostatistics, Philadelphia, USA. schmitz@mail.med.upenn.edu.
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Schmitz
authors.affiliation: Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW Medicine, University of New South Wales, Sydney, Australia. afaf.girgis@unsw.edu.au.
authors.forename: Afaf
authors.initials: A
authors.lastname: Girgis
authors.affiliation: University of Sydney, Sydney Nursing School, Sydney, Australia. kate.white@sydney.edu.au.
authors.forename: Kate
authors.initials: K
authors.lastname: White
authors.affiliation: Cancer Council New South Wales, Sydney, Australia. kathyc@nswcc.org.au.
authors.forename: Kathy
authors.initials: K
authors.lastname: Chapman
authors.affiliation: Cancer Council Victoria, Melbourne, Australia. Anna.Boltong@cancervic.org.au.|Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Australia. Anna.Boltong@cancervic.org.au.
authors.forename: Anna G
authors.initials: AG
authors.lastname: Boltong
authors.affiliation: Cancer Council Victoria, Melbourne, Australia. Katherine.Lane@cancervic.org.au.
authors.forename: Katherine
authors.initials: K
authors.lastname: Lane
authors.affiliation: Cancer Council Western Australia, Perth, Australia. SMcKiernan@cancerwa.asn.au.
authors.forename: Sandy
authors.initials: S
authors.lastname: McKiernan
authors.affiliation: Cancer Council Western Australia, Perth, Australia. lmillar@cancerwa.asn.au.
authors.forename: Lesley
authors.initials: L
authors.lastname: Millar
authors.affiliation: Cancer Council New South Wales, Sydney, Australia. lornaob@nswcc.org.au.
authors.forename: Lorna
authors.initials: L
authors.lastname: O'Brien
authors.affiliation: Cancer Council South Australia, Adelaide, Australia. gsharplin@cancersa.org.au.
authors.forename: Greg
authors.initials: G
authors.lastname: Sharplin
authors.affiliation: Cancer Council South Australia, Adelaide, Australia. pbaldwin@cancersa.org.au.
authors.forename: Polly
authors.initials: P
authors.lastname: Baldwin
authors.affiliation: The University of Queensland, School of Public Health, Brisbane, Australia. e.robson@uq.edu.au.
authors.forename: Erin L
authors.initials: EL
authors.lastname: Robson
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D003362:Cost-Benefit Analysis; D004032:Diet; D015444:Exercise; D005260:Female; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D012107:Research Design; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors; D013689:Telephone; D055815:Young Adult