title: Factors influencing implementation of a survivorship care plan-a quantitative process evaluation of the ROGY Care trial.
abstract: The aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that influence SCP receipt.
  
  
  
  Between 2011 and 2015, a pragmatic cluster randomized-controlled-trial was conducted on the effects of automatically generated SCPs. Endometrial (N = 117) and ovarian (N = 61) cancer patients were allocated to 'SCP care', as provided by their SCP care providers (N = 10). Associations between SCP receipt (self-reported SCP receipt and actually generated SCPs), patient-factors (socio-demographic-, clinical-, and personality factors), and care provider factors (profession and a-priori motivation regarding SCP provision) were tested in univariate analysis. The odds ratios of factors influencing self-reported SCP receipt were estimated with a multivariate regression model.
  
  
  
  Of all patients in the SCP care arm (N = 178), SCPs were generated by the care provider for 90 % of the patients and 70 % of the patients reported that they had received an SCP. Patients with older age, ovarian cancer, type D (distressed) personality, and patients that completed the questionnaire a longer period of time after the SCP consult were more likely to report no SCP receipt.
  
  
  
  SCP receipt was influenced by patient- but not care-provider factors.
  
  
  
  Certain patient groups were less likely to report SCP receipt. Whether all patients are in need of an SCP, requires further investigation. If they do, more efforts need to be made towards the implementation of SCPs.
authors.affiliation: CoRPS-Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands. b.h.derooij@uvt.nl.|The Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands. b.h.derooij@uvt.nl.
authors.forename: Belle H
authors.initials: BH
authors.lastname: de Rooij
authors.affiliation: CoRPS-Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.|The Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.
authors.forename: Nicole P M
authors.initials: NP
authors.lastname: Ezendam
authors.affiliation: CoRPS-Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.|The Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.
authors.forename: Kim A H
authors.initials: KA
authors.lastname: Nicolaije
authors.affiliation: Department of Obstetrics and Gynecology, Gynecologic Cancer Center South, Elisabeth-TweeSteden Hospital, Tilburg and Waalwijk, The Netherlands.
authors.forename: M Caroline
authors.initials: MC
authors.lastname: Vos
authors.affiliation: Department of Obstetrics and Gynecology, Gynecologic Cancer Center South, Elisabeth-TweeSteden Hospital, Tilburg and Waalwijk, The Netherlands.
authors.forename: Johanna M A
authors.initials: JM
authors.lastname: Pijnenborg
authors.affiliation: Department of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, The Netherlands.
authors.forename: Dorry
authors.initials: D
authors.lastname: Boll
authors.affiliation: Department of Gynecology and GROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Roy F P M
authors.initials: RF
authors.lastname: Kruitwagen
authors.affiliation: CoRPS-Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.|The Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.|Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
authors.forename: Lonneke V
authors.initials: LV
authors.lastname: van de Poll-Franse
mesh_terms: D000368:Aged; D005260:Female; D005833:Genital Neoplasms, Female / Q000401:mortality*; D006801:Humans; D008875:Middle Aged; D010347:Patient Care Planning / Q000592:standards*; D011795:Surveys and Questionnaires; D015996:Survival Rate; D017741:Survivors / Q000706:statistics & numerical data*
keywords: Gynecologic cancer; Implementation; Information provision; Survivorship care plan