Beyond treatment: Psychosocial and behavioural issues in cancer survivorship research and practice

N.K. Aaronson, V. Mattioli, O. Minton, J. Weis, C. Johansen, S.O. Dalton, I.M. Verdonck-de Leeuw, K.D. Stein, C.M. Alfano, A. Mehnert, A. de Boer, L. van de Poll-Franse

Research output: Contribution to journalArticleScientificpeer-review

14 Downloads (Pure)

Abstract

The population of cancer survivors has grown steadily over the past several decades. Surviving cancer, however, is not synonymous with a life free of problems related to the disease and its treatment. In this paper we provide a brief overview of selected physical and psychosocial health problems prevalent among cancer survivors, namely pain, fatigue, psychological distress and work participation. We also address issues surrounding self-management and e-Health interventions for cancer survivors, and programmes to encourage survivors to adopt healthier lifestyles. Finally, we discuss approaches to assessing health-related quality of life in cancer survivors, and the use of cancer registries in conducting psychosocial survivorship research. We highlight research and practice priorities in each of these areas. While the priorities vary per topic, common themes that emerged included: (1) Symptoms should not be viewed in isolation, but rather as part of a cluster of interrelated symptoms. This has implications for both understanding the aetiology of symptoms and for their treatment; (2) Psychosocial interventions need to be evidence-based, and where possible should be tailored to the needs of the individual cancer survivor. Relatively low cost interventions with self-management and e-Health elements may be appropriate for the majority of survivors, with resource intensive interventions being reserved for those most in need; (3) More effort should be devoted to disseminating and implementing interventions in practice, and to evaluating their cost-effectiveness; and (4) Greater attention should be paid to the needs of vulnerable and high-risk populations of survivors, including the socioeconomically disadvantaged and the elderly.
Keywords: Psychosocial, Behavioural, Cancer, Survivorship
Original languageEnglish
Pages (from-to)54–64
JournalEuropean Journal of Cancer Supplements (EJC Supplements)
Volume12
Issue number1
DOIs
Publication statusPublished - 2014

Fingerprint

Survivors
Survival Rate
Neoplasms
Vulnerable Populations
Cost-Benefit Analysis

Cite this

Aaronson, N.K. ; Mattioli, V. ; Minton, O. ; Weis, J. ; Johansen, C. ; Dalton, S.O. ; Verdonck-de Leeuw, I.M. ; Stein, K.D. ; Alfano, C.M. ; Mehnert, A. ; de Boer, A. ; van de Poll-Franse, L. / Beyond treatment : Psychosocial and behavioural issues in cancer survivorship research and practice. In: European Journal of Cancer Supplements (EJC Supplements). 2014 ; Vol. 12, No. 1. pp. 54–64.
@article{33f474063c70404e8bfd7e947564b3f9,
title = "Beyond treatment: Psychosocial and behavioural issues in cancer survivorship research and practice",
abstract = "The population of cancer survivors has grown steadily over the past several decades. Surviving cancer, however, is not synonymous with a life free of problems related to the disease and its treatment. In this paper we provide a brief overview of selected physical and psychosocial health problems prevalent among cancer survivors, namely pain, fatigue, psychological distress and work participation. We also address issues surrounding self-management and e-Health interventions for cancer survivors, and programmes to encourage survivors to adopt healthier lifestyles. Finally, we discuss approaches to assessing health-related quality of life in cancer survivors, and the use of cancer registries in conducting psychosocial survivorship research. We highlight research and practice priorities in each of these areas. While the priorities vary per topic, common themes that emerged included: (1) Symptoms should not be viewed in isolation, but rather as part of a cluster of interrelated symptoms. This has implications for both understanding the aetiology of symptoms and for their treatment; (2) Psychosocial interventions need to be evidence-based, and where possible should be tailored to the needs of the individual cancer survivor. Relatively low cost interventions with self-management and e-Health elements may be appropriate for the majority of survivors, with resource intensive interventions being reserved for those most in need; (3) More effort should be devoted to disseminating and implementing interventions in practice, and to evaluating their cost-effectiveness; and (4) Greater attention should be paid to the needs of vulnerable and high-risk populations of survivors, including the socioeconomically disadvantaged and the elderly.Keywords: Psychosocial, Behavioural, Cancer, Survivorship",
author = "N.K. Aaronson and V. Mattioli and O. Minton and J. Weis and C. Johansen and S.O. Dalton and {Verdonck-de Leeuw}, I.M. and K.D. Stein and C.M. Alfano and A. Mehnert and {de Boer}, A. and {van de Poll-Franse}, L.",
year = "2014",
doi = "10.1016/j.ejcsup.2014.03.005",
language = "English",
volume = "12",
pages = "54–64",
journal = "European Journal of Cancer Supplements (EJC Supplements)",
issn = "1359-6349",
publisher = "Elsevier Limited",
number = "1",

}

Aaronson, NK, Mattioli, V, Minton, O, Weis, J, Johansen, C, Dalton, SO, Verdonck-de Leeuw, IM, Stein, KD, Alfano, CM, Mehnert, A, de Boer, A & van de Poll-Franse, L 2014, 'Beyond treatment: Psychosocial and behavioural issues in cancer survivorship research and practice' European Journal of Cancer Supplements (EJC Supplements), vol. 12, no. 1, pp. 54–64. https://doi.org/10.1016/j.ejcsup.2014.03.005

Beyond treatment : Psychosocial and behavioural issues in cancer survivorship research and practice. / Aaronson, N.K.; Mattioli, V.; Minton, O.; Weis, J.; Johansen, C.; Dalton, S.O.; Verdonck-de Leeuw, I.M.; Stein, K.D.; Alfano, C.M.; Mehnert, A.; de Boer, A.; van de Poll-Franse, L.

In: European Journal of Cancer Supplements (EJC Supplements), Vol. 12, No. 1, 2014, p. 54–64.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Beyond treatment

T2 - Psychosocial and behavioural issues in cancer survivorship research and practice

AU - Aaronson, N.K.

AU - Mattioli, V.

AU - Minton, O.

AU - Weis, J.

AU - Johansen, C.

AU - Dalton, S.O.

AU - Verdonck-de Leeuw, I.M.

AU - Stein, K.D.

AU - Alfano, C.M.

AU - Mehnert, A.

AU - de Boer, A.

AU - van de Poll-Franse, L.

PY - 2014

Y1 - 2014

N2 - The population of cancer survivors has grown steadily over the past several decades. Surviving cancer, however, is not synonymous with a life free of problems related to the disease and its treatment. In this paper we provide a brief overview of selected physical and psychosocial health problems prevalent among cancer survivors, namely pain, fatigue, psychological distress and work participation. We also address issues surrounding self-management and e-Health interventions for cancer survivors, and programmes to encourage survivors to adopt healthier lifestyles. Finally, we discuss approaches to assessing health-related quality of life in cancer survivors, and the use of cancer registries in conducting psychosocial survivorship research. We highlight research and practice priorities in each of these areas. While the priorities vary per topic, common themes that emerged included: (1) Symptoms should not be viewed in isolation, but rather as part of a cluster of interrelated symptoms. This has implications for both understanding the aetiology of symptoms and for their treatment; (2) Psychosocial interventions need to be evidence-based, and where possible should be tailored to the needs of the individual cancer survivor. Relatively low cost interventions with self-management and e-Health elements may be appropriate for the majority of survivors, with resource intensive interventions being reserved for those most in need; (3) More effort should be devoted to disseminating and implementing interventions in practice, and to evaluating their cost-effectiveness; and (4) Greater attention should be paid to the needs of vulnerable and high-risk populations of survivors, including the socioeconomically disadvantaged and the elderly.Keywords: Psychosocial, Behavioural, Cancer, Survivorship

AB - The population of cancer survivors has grown steadily over the past several decades. Surviving cancer, however, is not synonymous with a life free of problems related to the disease and its treatment. In this paper we provide a brief overview of selected physical and psychosocial health problems prevalent among cancer survivors, namely pain, fatigue, psychological distress and work participation. We also address issues surrounding self-management and e-Health interventions for cancer survivors, and programmes to encourage survivors to adopt healthier lifestyles. Finally, we discuss approaches to assessing health-related quality of life in cancer survivors, and the use of cancer registries in conducting psychosocial survivorship research. We highlight research and practice priorities in each of these areas. While the priorities vary per topic, common themes that emerged included: (1) Symptoms should not be viewed in isolation, but rather as part of a cluster of interrelated symptoms. This has implications for both understanding the aetiology of symptoms and for their treatment; (2) Psychosocial interventions need to be evidence-based, and where possible should be tailored to the needs of the individual cancer survivor. Relatively low cost interventions with self-management and e-Health elements may be appropriate for the majority of survivors, with resource intensive interventions being reserved for those most in need; (3) More effort should be devoted to disseminating and implementing interventions in practice, and to evaluating their cost-effectiveness; and (4) Greater attention should be paid to the needs of vulnerable and high-risk populations of survivors, including the socioeconomically disadvantaged and the elderly.Keywords: Psychosocial, Behavioural, Cancer, Survivorship

U2 - 10.1016/j.ejcsup.2014.03.005

DO - 10.1016/j.ejcsup.2014.03.005

M3 - Article

VL - 12

SP - 54

EP - 64

JO - European Journal of Cancer Supplements (EJC Supplements)

JF - European Journal of Cancer Supplements (EJC Supplements)

SN - 1359-6349

IS - 1

ER -