TY - JOUR
T1 - Cancer prevention, risk reduction, and control
T2 - Opportunities for the next decade of health care delivery research
AU - O'Malley, Denalee M.
AU - Alfano, Catherine M.
AU - Doose, Michelle
AU - Kinney, Anita Y.
AU - Lee, Simon J.Craddock
AU - Nekhlyudov, Larissa
AU - Duberstein, Paul
AU - Hudson, Shawna V.
N1 - Publisher Copyright:
© 2021 Society of Behavioral Medicine 2021.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - In this commentary, we discuss opportunities to optimize cancer care delivery in the next decade building from evidence and advancements in the conceptualization and implementation of multi-level translational behavioral interventions. We summarize critical issues and discoveries describing new directions for translational behavioral research in the coming decade based on the promise of the accelerated application of this evidence within learning health systems. To illustrate these advances, we discuss cancer prevention, risk reduction (particularly precision prevention and early detection), and cancer treatment and survivorship (particularly risk- and need-stratified comprehensive care) and propose opportunities to equitably improve outcomes while addressing clinician shortages and cross-system coordination. We also discuss the impacts of COVID-19 and potential advances of scientific knowledge in the context of existing evidence, the need for adaptation, and potential areas of innovation to meet the needs of converging crises (e.g., fragmented care, workforce shortages, ongoing pandemic) in cancer health care delivery. Finally, we discuss new areas for exploration by applying key lessons gleaned from implementation efforts guided by advances in behavioral health.
AB - In this commentary, we discuss opportunities to optimize cancer care delivery in the next decade building from evidence and advancements in the conceptualization and implementation of multi-level translational behavioral interventions. We summarize critical issues and discoveries describing new directions for translational behavioral research in the coming decade based on the promise of the accelerated application of this evidence within learning health systems. To illustrate these advances, we discuss cancer prevention, risk reduction (particularly precision prevention and early detection), and cancer treatment and survivorship (particularly risk- and need-stratified comprehensive care) and propose opportunities to equitably improve outcomes while addressing clinician shortages and cross-system coordination. We also discuss the impacts of COVID-19 and potential advances of scientific knowledge in the context of existing evidence, the need for adaptation, and potential areas of innovation to meet the needs of converging crises (e.g., fragmented care, workforce shortages, ongoing pandemic) in cancer health care delivery. Finally, we discuss new areas for exploration by applying key lessons gleaned from implementation efforts guided by advances in behavioral health.
KW - COVID-19
KW - cancer care
KW - cancer survivorship
KW - health care delivery research
KW - learning health systems
KW - precision prevention
UR - http://www.scopus.com/inward/record.url?scp=85122436328&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85122436328&partnerID=8YFLogxK
U2 - 10.1093/tbm/ibab109
DO - 10.1093/tbm/ibab109
M3 - Review article
C2 - 34850934
AN - SCOPUS:85122436328
SN - 1869-6716
VL - 11
SP - 1989
EP - 1997
JO - Translational Behavioral Medicine
JF - Translational Behavioral Medicine
IS - 11
ER -