267025 Partnering to Improve Health Outcomes of Post Treatment Cancer Survivors

Wednesday, October 31, 2012

Ivy Ahmed, MPH, MCHES , Education and Outreach, Cancer Support Community, Washington, DC
Mitch Golant, PhD , The Cancer Support Community, Los Angeles, CA
Erica Weiss, MPH, MSUP , Consultant, Cancer Support Community, Kensington, MD
Jordan Parks , Program Manager: Community, LIVESTRONG, Austin, TX
Claire Neal, MPH , Senior Director: Mission, LIVESTRONG, Austin, TX
Haley Gardiner, MPH , Public Health, LIVESTRONG Foundation, Austin, TX
Melissa F. Miller, PhD, MPH , Research and Training Institute, Cancer Support Community, Philadelphia, PA
Joanne Buzaglo, PhD , Cancer Support Community, Philadelphia, PA
Julie Taylor , Consultant, Cancer Support Community, Lynchburg, VA
In partnership, Cancer Support Community and LIVESTRONG developed Cancer Transitions: Moving Beyond TreatmentTM to meet the needs of post treatment cancer survivors. This six week community based intervention aims to modify health behaviors through the integration of health education, emotional support, exercise and nutrition to improve health outcomes of cancer survivors. The 2007 evaluation included 134 survivors up to one year post active treatment; 87% female; 75% white; mean age 55. Data was collected using the SF-12 to show change over time in the mental health component summary (MCS) and physical component summary (PCS) at baseline, 6, 18 and 30 weeks. At baseline, 17% reported their health as fair with over half overweight or obese. 50% had one or more comorbid condition including diabetes; HBP; heart disease; and psychological problems. Results indicated that when compared to baseline, MCS was significantly greater at 6 weeks (p=0.042), 18 weeks (p=0.001), 30 weeks (p=0.005), and PCS was significantly greater at 18 weeks (p=0.044) and 30 weeks (p=0.011). Levels of physical activity increased (p=0.002) peaking at 18 weeks. This corresponded to a mean increase from baseline levels of 614 minutes of total activity per week. The proportion of participants reporting low level of physical activity decreased from 27% at baseline to 18% at 6 weeks, 10% at 18 weeks and 18% at 30 weeks. Fat- and fiber-related dietary habits improved when compared to baseline levels. The dietary score was significantly lower indicating better dietary habits at 6, 18 and 30 weeks (p<0.00).

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Describe a successful integrative educational and empowerment program for post-treatment cancer survivors Understand the key components to post treatment cancer survivorship programming Identify the behavior changes observed following a six week evidence based cancer survivorship program.

Keywords: Cancer, Health Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I managed the implementation and evaluation of the Cancer Transitions program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.