Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting

Joanne S. Buzaglo, Suzanne M. Miller, Jeffery Kendall, Annette L. Stanton, Kuang Yi Wen, John Scarpato, Fang Zhu, Jennifer Lyle, Julia Rowland

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction: The NCI developed the print-based educational brochure, Facing Forward, to fill a gap in helping cancer patients meet the challenges of transitioning from active treatment to survivorship; however, little research has been conducted on its efficacy. Purpose: The aims of this study were to evaluate the efficacy of Facing Forward in promoting the uptake of recommended behaviors (e. g., ways to manage physical changes) and to explore its usability. Methods: At the last treatment appointment, early-stage breast, prostate, colorectal, and thoracic cancer patients (N = 340) recruited from community clinical oncology practices and an academic medical center completed a baseline assessment and were randomized to receive either Facing Forward (n = 175) or an attention control booklet about the NCI's Cancer Information Service (n = 165). Patients completed follow-up assessments at 8 weeks and 6 months post-baseline. Results: The reported uptake of recommended stress management behaviors was greater among intervention than control participants at both 8 weeks post-baseline (p = 0. 016) and 6 months post-baseline (p = 0. 017). At 8 weeks post-baseline, the intervention control group difference was greater among African-American than Caucasian participants (p < 0.03) and significant only among the former (p < 0.003); attendance at a cancer support group was also greater among the intervention than control group participants (p < 0.02). There were no significant intervention control group differences in the reported uptake of recommended behaviors in three other categories (p > 0.025). Intervention participants rated Facing Forward as understandable and helpful and indicated a high level of intention to try the behaviors recommended. Conclusions: Facing Forward can enhance early-stage survivors' reported ability to manage stress and increase support group use during the reentry period. Implications for Cancer Survivors: Facing Forward can help survivors meet the challenges of the reentry period.

Original languageEnglish (US)
Pages (from-to)63-73
Number of pages11
JournalJournal of Cancer Survivorship
Volume7
Issue number1
DOIs
StatePublished - 2013

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Pamphlets
Survivors
Neoplasms
Aptitude
Information Services
Medical Oncology
Self-Help Groups
African Americans
Prostate
Colorectal Neoplasms
Appointments and Schedules
Breast
Thorax
Survival Rate
Control Groups
Therapeutics
Research

Keywords

  • Cancer control
  • Facing Forward
  • Psychosocial interventions
  • Survivorship

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting. / Buzaglo, Joanne S.; Miller, Suzanne M.; Kendall, Jeffery; Stanton, Annette L.; Wen, Kuang Yi; Scarpato, John; Zhu, Fang; Lyle, Jennifer; Rowland, Julia.

In: Journal of Cancer Survivorship, Vol. 7, No. 1, 2013, p. 63-73.

Research output: Contribution to journalArticle

Buzaglo, JS, Miller, SM, Kendall, J, Stanton, AL, Wen, KY, Scarpato, J, Zhu, F, Lyle, J & Rowland, J 2013, 'Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting', Journal of Cancer Survivorship, vol. 7, no. 1, pp. 63-73. https://doi.org/10.1007/s11764-012-0245-7
Buzaglo, Joanne S. ; Miller, Suzanne M. ; Kendall, Jeffery ; Stanton, Annette L. ; Wen, Kuang Yi ; Scarpato, John ; Zhu, Fang ; Lyle, Jennifer ; Rowland, Julia. / Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting. In: Journal of Cancer Survivorship. 2013 ; Vol. 7, No. 1. pp. 63-73.
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T1 - Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting

AU - Buzaglo, Joanne S.

AU - Miller, Suzanne M.

AU - Kendall, Jeffery

AU - Stanton, Annette L.

AU - Wen, Kuang Yi

AU - Scarpato, John

AU - Zhu, Fang

AU - Lyle, Jennifer

AU - Rowland, Julia

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N2 - Introduction: The NCI developed the print-based educational brochure, Facing Forward, to fill a gap in helping cancer patients meet the challenges of transitioning from active treatment to survivorship; however, little research has been conducted on its efficacy. Purpose: The aims of this study were to evaluate the efficacy of Facing Forward in promoting the uptake of recommended behaviors (e. g., ways to manage physical changes) and to explore its usability. Methods: At the last treatment appointment, early-stage breast, prostate, colorectal, and thoracic cancer patients (N = 340) recruited from community clinical oncology practices and an academic medical center completed a baseline assessment and were randomized to receive either Facing Forward (n = 175) or an attention control booklet about the NCI's Cancer Information Service (n = 165). Patients completed follow-up assessments at 8 weeks and 6 months post-baseline. Results: The reported uptake of recommended stress management behaviors was greater among intervention than control participants at both 8 weeks post-baseline (p = 0. 016) and 6 months post-baseline (p = 0. 017). At 8 weeks post-baseline, the intervention control group difference was greater among African-American than Caucasian participants (p < 0.03) and significant only among the former (p < 0.003); attendance at a cancer support group was also greater among the intervention than control group participants (p < 0.02). There were no significant intervention control group differences in the reported uptake of recommended behaviors in three other categories (p > 0.025). Intervention participants rated Facing Forward as understandable and helpful and indicated a high level of intention to try the behaviors recommended. Conclusions: Facing Forward can enhance early-stage survivors' reported ability to manage stress and increase support group use during the reentry period. Implications for Cancer Survivors: Facing Forward can help survivors meet the challenges of the reentry period.

AB - Introduction: The NCI developed the print-based educational brochure, Facing Forward, to fill a gap in helping cancer patients meet the challenges of transitioning from active treatment to survivorship; however, little research has been conducted on its efficacy. Purpose: The aims of this study were to evaluate the efficacy of Facing Forward in promoting the uptake of recommended behaviors (e. g., ways to manage physical changes) and to explore its usability. Methods: At the last treatment appointment, early-stage breast, prostate, colorectal, and thoracic cancer patients (N = 340) recruited from community clinical oncology practices and an academic medical center completed a baseline assessment and were randomized to receive either Facing Forward (n = 175) or an attention control booklet about the NCI's Cancer Information Service (n = 165). Patients completed follow-up assessments at 8 weeks and 6 months post-baseline. Results: The reported uptake of recommended stress management behaviors was greater among intervention than control participants at both 8 weeks post-baseline (p = 0. 016) and 6 months post-baseline (p = 0. 017). At 8 weeks post-baseline, the intervention control group difference was greater among African-American than Caucasian participants (p < 0.03) and significant only among the former (p < 0.003); attendance at a cancer support group was also greater among the intervention than control group participants (p < 0.02). There were no significant intervention control group differences in the reported uptake of recommended behaviors in three other categories (p > 0.025). Intervention participants rated Facing Forward as understandable and helpful and indicated a high level of intention to try the behaviors recommended. Conclusions: Facing Forward can enhance early-stage survivors' reported ability to manage stress and increase support group use during the reentry period. Implications for Cancer Survivors: Facing Forward can help survivors meet the challenges of the reentry period.

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