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01-12-2021 | Active Ingredients | Reflections

Implementation of Self-Management Interventions in Cancer Survivors: Why Are We Not There Yet?

Authors: Ben Rimmer, Linda Sharp, on behalf of Ways Ahead study team

Published in: Journal of Cancer Education | Issue 6/2021

Abstract

Despite the growing evidence base for supported self-management for the improvement of quality of life, there is a lack of widespread implementation of self-management interventions for cancer survivors. We propose five key areas that, if addressed, would optimise the development and evaluation of these interventions, namely: (1) improving intervention adaptability to different survivor populations; (2) establishing intervention acceptability (and feasibility); (3) ensuring systematic description of interventions, their content, and active ingredients; (4) conducting process evaluations; and (5) assessing cost-effectiveness. These areas are an essential prerequisite for translation of self-management interventions from research into routine cancer care.

Howell D, Harth T, Brown J, Bennett C, Boyko S (2017) Self-management education interventions for patients with cancer: a systematic review. Support Care Cancer 25(4):1323–1355. https://doi.org/10.1007/s00520-016-3500-zCrossRefPubMed

Dwarswaard J, Bakker EJ, van Staa A, Boeije HR (2016) Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies. Health Expect 19(2):194–208. https://doi.org/10.1111/hex.12346CrossRefPubMed

de Wit LM, van Uden-Kraan CF, Lissenberg-Witte BI, Melissant HC, Fleuren MA, Cuijpers P, Verdonck-de Leeuw IM (2019) Adoption and implementation of a web-based self-management application “Oncokompas” in routine cancer care: a national pilot study. Support Care Cancer 27(8):2911–2920. https://doi.org/10.1007/s00520-018-4591-5CrossRef

Bradbury K, Steele M, Corbett T, Geraghty AW, Krusche A, Heber E, ... Yardley L (2019) Developing a digital intervention for cancer survivors: an evidence-, theory-and person-based approach. NPJ Digit Med 2(1):1-13.https://doi.org/10.1038/s41746-019-0163-4

McCorkle R, Ercolano E, Lazenby M, Schulman‐Green D, Schilling LS, Lorig K, Wagner EH (2011) Self‐management: enabling and empowering patients living with cancer as a chronic illness. CA: a cancer journal for clinicians 61(1):50–62. https://doi.org/10.3322/caac.20093CrossRef

Evans RE, Craig P, Hoddinott P, Littlecott H, Moore L, Murphy S, ... Moore G (2019) When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance.https://doi.org/10.1136/jech-2018-210840

Jansen F, van Uden-Kraan CF, van Zwieten V, Witte BI, Verdonck-de Leeuw IM (2015) Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth. Support Care Cancer 23(6):1679–1688. https://doi.org/10.1007/s00520-014-2514-7CrossRefPubMed

Sadler E, Wolfe CD, McKevitt C (2014) Lay and health care professional understandings of self-management: a systematic review and narrative synthesis. SAGE Open Med 2:2050312114544493. https://doi.org/10.1177/2050312114544493CrossRefPubMedPubMedCentral

Taylor SJ, Pinnock H, Epiphaniou E, Pearce G, Parke HL, Schwappach A, ... Sheikh A (2014) A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS–Practical systematic Review of Self-Management Support for long-term conditions. https://doi.org/10.3310/hsdr02530

10.

Pearce G, Parke HL, Pinnock H, Epiphaniou E, Bourne CL, Sheikh A, Taylor SJ (2016) The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility. J Health Serv Res Policy 21(2):73–82. https://doi.org/10.1177/1355819615602725CrossRefPubMed

11.

Burns RM, Wolstenholme J, Shinkins B, Frith E, Matheson L, Rose PW, Watson E (2017) Including health economic analysis in pilot studies: lessons learned from a cost-utility analysis within the PROSPECTIV pilot study. Glob Reg Health Technol Assess 4(1):grhta-5000269. https://doi.org/10.5301/grhta.5000269CrossRef

12.

Cuthbert CA, Farragher JF, Hemmelgarn BR, Ding Q, McKinnon GP, Cheung WY (2019) Self-management interventions for cancer survivors: a systematic review and evaluation of intervention content and theories. Psychooncology 28(11):2119–2140. https://doi.org/10.1002/pon.5215CrossRefPubMed

13.

Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, ... Michie S (2014) Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. Bmj 348.https://doi.org/10.1136/bmj.g1687

14.

Araújo-Soares V, Hankonen N, Presseau J, Rodrigues A, Sniehotta FF (2018) Developing behavior change interventions for self-management in chronic illness. Eur Psychol. https://doi.org/10.1027/1016-9040/a000330

15.

Panagioti M, Richardson G, Small N, Murray E, Rogers A, Kennedy A, ... Bower P (2014) Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis. BMC Health Serv Res 14(1):1–14. https://doi.org/10.1186/1472-6963-14-356

Title: Implementation of Self-Management Interventions in Cancer Survivors: Why Are We Not There Yet?
Authors: Ben Rimmer
Linda Sharp
on behalf of Ways Ahead study team
Publication date: 01-12-2021
Publisher: Springer US
Keyword: Active Ingredients
Published in: Journal of Cancer Education / Issue 6/2021
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-021-02021-2

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