title: Using Survivorship Care Plans to Enhance Communication and Cancer Care Coordination: Results of a Pilot Study.
abstract: To compare a structured cancer survivorship care plan (SCP) transition visit versus an SCP transition visit coupled with a coordinated follow-up visit from the primary care provider (PCP). .
  
  
  
  Pilot randomized, controlled study. .
  
  
  
  REX Cancer Hospital, a community cancer center in Raleigh, North Carolina. .
  
  
  
  34 adults completing treatment with curative intent.  .
  
  
  
  Patients and PCPs completed measures at baseline and at six weeks. Wilcoxon signed rank and rank sum tests were used for comparisons of SCP only versus SCP with PCP follow-up visit, as well as between high- and low-activated patients. .
  
  
  
  Confidence in survivorship information and survivor concerns. .
  
  
  
  The intervention was feasible and acceptable to patients and their PCPs. All patients (N = 34) had less contradictory information about care after SCP receipt. PCPs reported improved confidence in patients, regardless of intervention arm. Highly activated or empowered patients benefited more and had increased confidence and fewer concerns about cancer care.  .
  
  
  
  The SCP interventions led to increased confidence in survivorship information, but some benefits were greater for highly activated patients. PCPs also had improved confidence in survivorship care after SCP receipt, whether or not they saw the patient in follow-up. A larger study is needed to further explore these findings and the changes over time. .
  
  
  
  Nurses can be instrumental in facilitating the development and delivery of SCP to survivors and PCPs.
authors.forename: Deborah K
authors.initials: DK
authors.lastname: Mayer
authors.affiliation: Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC.
authors.forename: Allison M
authors.initials: AM
authors.lastname: Deal
authors.affiliation: REX Cancer Center.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Crane
authors.affiliation: University of North Carolina at Chapel Hill.
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Chen
authors.affiliation: University of North Carolina in Chapel Hill.
authors.forename: Gary N
authors.initials: GN
authors.lastname: Asher
authors.affiliation: University of North Carolina in Chapel Hill.
authors.forename: Laura C
authors.initials: LC
authors.lastname: Hanson
authors.affiliation: University of North Carolina in Chapel Hill.
authors.forename: Stephanie B
authors.initials: SB
authors.lastname: Wheeler
authors.affiliation: University of North Carolina in Chapel Hill.
authors.forename: Adrian
authors.initials: A
authors.lastname: Gerstel
authors.forename: Melissa
authors.initials: M
authors.lastname: Green
authors.forename: Sarah
authors.initials: S
authors.lastname: Birken
authors.affiliation: UNC Lineberger Comprehensive Cancer Center.
authors.forename: Donald L
authors.initials: DL
authors.lastname: Rosenstein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000073116:Cancer Survivors / Q000523:psychology*; D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing*; D009657:North Carolina; D009859:Oncology Nursing / Q000379:methods*; D010347:Patient Care Planning / Q000458:organization & administration*; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D000073859:Survivorship
keywords: cancer care coordination; cancer surveillance; cancer worries; patient activation; survivorship care plan