Efficacy of a survivorship-focused consultation versus a time-controlled rehabilitation consultation in patients with lymphoma: A cluster randomized controlled trial Journal Article


Authors: Parker, P. A.; Banerjee, S. C.; Matasar, M. J.; Bylund, C. L.; Rogers, M.; Franco, K.; Schofield, E.; Li, Y.; Levin, T. T.; Jacobsen, P. B.; Astrow, A. B.; Leventhal, H.; Horwitz, S.; Kissane, D.
Article Title: Efficacy of a survivorship-focused consultation versus a time-controlled rehabilitation consultation in patients with lymphoma: A cluster randomized controlled trial
Abstract: Background: Survivors of cancer often describe a sense of abandonment after treatment along with heightened uncertainty and limited knowledge of what lies ahead. This study examined the efficacy of a survivorship care plan (SCP) intervention to help physicians to address survivorship issues through communication skills training plus a new consultation focused on the use of an SCP for patients with Hodgkin lymphoma and diffuse large B-cell lymphoma. Methods: This 4-site cluster randomized trial examined the efficacy of a survivorship planning consultation (SPC) in patients who achieved complete remission after the completion of first-line therapy (for the SPC, physicians received communication skills training and, using an SCP, applied those skills in a survivorship-focused office visit) versus a control arm in which physicians were trained in and subsequently provided a time-controlled, manualized wellness rehabilitation consultation (WRC) focused only on discussion of healthy nutrition and exercise as rehabilitation after chemotherapy. The primary outcomes for patients were changes in knowledge about lymphoma and adherence to physicians’ recommendations for vaccinations and cancer screenings. Results: Forty-two physicians and 198 patients participated across the 4 sites. Patients whose physicians were in the SPC arm had greater knowledge about their lymphoma (P =.01) and showed greater adherence to physician recommendations for influenza vaccinations (P =.02) and colonoscopy (P =.02) than patients whose physicians were in the WRC arm. Conclusions: A dedicated consultation using an SCP and supported by communication skills training may enhance patients’ knowledge and adherence to some health promotion recommendations. © 2018 American Cancer Society
Keywords: lymphoma; communication; survivorship; knowledge; adherence
Journal Title: Cancer
Volume: 124
Issue: 23
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2018-12-01
Start Page: 4567
End Page: 4576
Language: English
DOI: 10.1002/cncr.31767
PROVIDER: scopus
PMCID: PMC6289801
PUBMED: 30335188
DOI/URL:
Notes: Cancer -- Export Date: 2 January 2019 -- Article -- CODEN: CANCA C2 - 30335188 -- Source: Scopus
Altmetric Score
MSK Authors
  1. Yuelin Li
    136 Li
  2. Steven M Horwitz
    338 Horwitz
  3. Tomer T Levin
    58 Levin
  4. David W Kissane
    159 Kissane
  5. Matthew J Matasar
    116 Matasar
  6. Patricia Ann Parker
    25 Parker
  7. Kara Ann Franco
    5 Franco
  8. Madeline Cullity Rogers
    4 Rogers