What are the mechanisms underlying the delivery of survivorship care information in Australia? A realist review

Article

Myers, Larry, Johnston, Elizabeth A., Zajdlewicz, Leah, Viljoen, Bianca, Kelly, Sarah, Perry, Nicole, Stiller, Anna, Crawford-Williams, Fiona, Chan, Raymond J., Emery, Jon D., Bergin, Rebecca J., Aitken, Joanne F. and Goodwin, Belinda C.. 2024. "What are the mechanisms underlying the delivery of survivorship care information in Australia? A realist review." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 33 (3). https://doi.org/10.1002/pon.6321
Article Title

What are the mechanisms underlying the delivery of survivorship care information in Australia? A realist review

ERA Journal ID6624
Article CategoryArticle
AuthorsMyers, Larry, Johnston, Elizabeth A., Zajdlewicz, Leah, Viljoen, Bianca, Kelly, Sarah, Perry, Nicole, Stiller, Anna, Crawford-Williams, Fiona, Chan, Raymond J., Emery, Jon D., Bergin, Rebecca J., Aitken, Joanne F. and Goodwin, Belinda C.
Journal TitlePsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
Journal Citation33 (3)
Article Numbere6321
Number of Pages12
Year2024
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN1057-9249
1099-1611
Digital Object Identifier (DOI)https://doi.org/10.1002/pon.6321
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1002/pon.6321
Abstract

Objective
Quality survivorship information is an essential component of cancer care. However, survivors often report not receiving this information and healthcare professionals report limited practical guidance on how to effectively deliver survivorship information. Therefore, this study used realist review methods to identify mechanisms reported within the published literature for communicating survivorship information and to understand the contextual factors that make these mechanisms effective.

Methods
Full-text papers published in CINAHL, PubMed, Web of Science, Scopus, Cochrane Library, and Academic Search Ultimate were included. Studies included in this review were conducted in Australia between January 2006 and December 2023, and reported on how information regarding survivorship care was communicated to adult cancer survivors living in the community. This review utilized realist methodologies: text extracts were converted to if-then statements used to generate context-mechanism-outcome theories.

Results
Fifty-one studies were included and six theories for mechanisms that underpin the effective delivery of survivorship information were formed. These include: (1) tailoring information based on the survivors' background, (2) enhancing communication among providers, (3) employing dedicated survivorship staff, (4) providing survivorship training, (5) reducing the burden on survivors to navigate their care, and (6) using multiple modalities to provide information.

Conclusions
Findings can inform practical guidance for how survivorship care information is best delivered in practice. Clinicians can apply this guidance to improve their individual interactions with cancer survivors, as can policymakers to develop healthcare systems and procedures that support effective communication of cancer survivorship information.

Keywordscancer; cancer survivors; health communication; health services; oncology; psycho‐oncology; review; survivorship
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420699. Public health not elsewhere classified
Byline AffiliationsSchool of Psychology and Wellbeing
Cancer Council Queensland, Australia
QIMR Berghofer Medical Research Institute, Australia
Queensland University of Technology
School of Nursing and Midwifery
Centre for Health Research
Flinders University
University of Melbourne
Cancer Council of Victoria, Australia
University of Queensland
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Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage
Goodwin, Belinda C., March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Ng, Shu-Kay, Baade, Peter D., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00372
Health literacy and the health status of men with prostate cancer
Goodwin, Belinda C., March, Sonja, Zajdlewicz, Leah, Osborne, Richard H., Dunn, Jeff and Chambers, Suzanne K.. 2018. "Health literacy and the health status of men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2374-2381. https://doi.org/10.1002/pon.4834
Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
Crawford-Williams, Fiona, March, Sonja, Ireland, Michael J., Rowe, Arlen, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00116
Understanding performance decrements in a letter-canceling task: overcoming habits or inhibition of reading
Myers, Larry, Downie, Steven, Taylor, Grant, Marrington, Jessica, Tehan, Gerald and Ireland, Michael J.. 2018. "Understanding performance decrements in a letter-canceling task: overcoming habits or inhibition of reading." Frontiers in Psychology. 9, pp. 1-15. https://doi.org/10.3389/fpsyg.2018.00711
Cancer care in regional Australia from the health professional's perspective
Crawford-Williams, Fiona, Goodwin, Belinda, March, Sonja, Ireland, Michael J., Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Cancer care in regional Australia from the health professional's perspective." Supportive Care in Cancer. 26 (10), pp. 3507-3515. https://doi.org/10.1007/s00520-018-4218-x
Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review
Clough, Bonnie A., March, Sonja, Chan, Raymond J., Casey, Leanne M., Phillips, Rachel and Ireland, Michael J.. 2017. "Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review." Systematic Reviews. 6, pp. 1-19. https://doi.org/10.1186/s13643-017-0526-3
Can alcohol sponsorship be diluted by health messaging?
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2018. "Can alcohol sponsorship be diluted by health messaging?" Sport in Society. 21 (3), pp. 434-451. https://doi.org/10.1080/17430437.2017.1346617
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial
Chambers, Suzanne K, Ritterband, Lee M, Thorndike, Frances, Nielsen, Lisa, Aitken, Joanne F, Clutton, Samantha, Scuffham, Paul A, Youl, Philippa, Moreton, Bronwyn, Baade, Peter D and Dunn Jeff. 2018. "Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial." Journal of Medical Internet Research. 20 (1). https://doi.org/10.2196/jmir.8850
Community knowledge of law at the end of life: Availability and accessibility of web-based resources
White, Ben, Willmott, Lindy, Tilse, Cheryl, Wilson, Jill, Lawson, Deborah, Pearce, Angela, Dunn Jeffrey, Aitken, Joanne F., Feeney, Rachel and Jowett, Stephanie. 2018. "Community knowledge of law at the end of life: Availability and accessibility of web-based resources." Australian Health Review. 42 (3), pp. 266-271. https://doi.org/10.1071/AH16234
Survivor identity after colorectal cancer: Antecedents, prevalence and outcomes
Chambers, Suzanne K., Baade, Peter, Meng, Xingqiong, Youl, Pip, Aitken, Joanne and Dunn, Jeff. 2012. "Survivor identity after colorectal cancer: Antecedents, prevalence and outcomes." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 21 (9), pp. 962-969. https://doi.org/10.1002/pon.1991
Trajectories of psychological distress after colorectal cancer
Dunn, Jeff, Ng, Shu Kay, Holland, Jimmie, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Trajectories of psychological distress after colorectal cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (8), pp. 1759-1765. https://doi.org/10.1002/pon.3210
The validity of the distress thermometer in prostate cancer populations
Chambers, Suzanne K., Zajdlewicz, Leah, Youlden, Danny R., Holland, Jimmie C. and Dunn, Jeff. 2014. "The validity of the distress thermometer in prostate cancer populations." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 23 (2), pp. 195-203. https://doi.org/10.1002/pon.3391
A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners
Chambers, Suzanne K., Occhipinti, Stefano, Schover, Leslie, Nielsen, Lisa, Zajdlewicz, Leah, Clutton, Samantha, Halford, Kim, Gardiner, Robert A. and Dunn, Jeff. 2015. "A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (7), pp. 748-756. https://doi.org/10.1002/pon.3726
Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints
Chambers, Suzanne K., Baade, Peter, Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia C., Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, Dunn, Jeff and O'Connell, Dianne L.. 2015. "Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (11), pp. 1569-1577. https://doi.org/10.1002/pon.3829
The impact of alcohol sponsorship in sport upon varsity sportspeople
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Alpert, Frank. 2014. "The impact of alcohol sponsorship in sport upon varsity sportspeople." Journal of Sport Management. 28 (4), pp. 418-432. https://doi.org/10.1123/jsm.2013-0078
Young consumers’ exposure to alcohol sponsorship in sport
Kelly, Sarah, Ireland, Michael, Alpert, Frank and Mangan, John. 2015. "Young consumers’ exposure to alcohol sponsorship in sport." International Journal of Sports Marketing and Sponsorship. 16 (2), pp. 2-21. https://doi.org/10.1108/IJSMS-16-02-2015-B002
Systematic review of psychosocial outcomes for patients with advanced melanoma
Dunn, Jeff, Watson, Maggie, Aitken, Joanne F. and Hyde, Melissa K.. 2017. "Systematic review of psychosocial outcomes for patients with advanced melanoma." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (11), pp. 1722-1731. https://doi.org/10.1002/pon.4290
The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia
Youl, Philippa H., Aitken, Joanne F., Turrell, Gavin, Chambers, Suzanne K., Dunn, Jeffrey, Pyke, Christopher and Baade, Peter D.. 2016. "The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia." International Journal of Environmental Research and Public Health. 13 (11). https://doi.org/10.3390/ijerph13111156
Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment
Dunn, Jeff, Ng, Shu Kay, Breitbart, William, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment." Health and Quality of Life Outcomes. 11 (1). https://doi.org/10.1186/1477-7525-11-46
A systematic review of the impact of stigma and nihilism on lung cancer outcomes
Chambers, Suzanne K., Dunn, Jeffrey, Occhipinti, Stefano, Hughes, Suzanne, Baade, Peter, Sinclair, Sue, Aitken, Joanne, Youl, Pip and O'Connell, Dianne L.. 2012. "A systematic review of the impact of stigma and nihilism on lung cancer outcomes." BMC Cancer. 12 (184). https://doi.org/10.1186/1471-2407-12-184
The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia
Baade, Peter D., Meng, Xingqiong, Youl, Philippa H., Aitken, Joanne F., Dunn, Jeff and Chambers, Suzanne K.. 2011. "The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia." Cancer Epidemiology, Biomarkers and Prevention. 20 (7), pp. 1410-1420. https://doi.org/10.1158/1055-9965.EPI-11-0079
A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer
Youl, Philippa H., Baade, Peter D., Aitken, Joanne F., Chambers, Suzanne K., Turrell, Gavin, Pyke, Christopher and Dunn, Jeffrey. 2011. "A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer." BMC Cancer. 11. https://doi.org/10.1186/1471-2407-11-415
Defining young in the context of prostate cancer
Chambers, Suzanne K., Lowe, Anthony, Hyde, Melissa K., Zajdlewicz, Leah, Gardiner, Robert A., Sandoe, David and Dunn, Jeff. 2015. "Defining young in the context of prostate cancer." American Journal of Men's Health. 9 (2), pp. 103-114. https://doi.org/10.1177/1557988314529991
Medical help-seeking for sexual concerns in prostate cancer survivors
Hyde, Melissa K., Zajdlewicz, Leah, Wootten, Addie C., Nelson, Christian J., Lowe, Anthony, Dunn, Jeff and Chambers, Suzanne K.. 2016. "Medical help-seeking for sexual concerns in prostate cancer survivors." Sexual Medicine. 4 (1), pp. e7-e17. https://doi.org/10.1016/j.esxm.2015.12.004
The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial
Devin, James L., Sax, Andrew T., Hughes, Gareth I., Jenkins, David G., Aitken, Joanne F., Chambers, Suzanne K., Dunn, Jeffrey C., Bolam, Kate A. and Skinner, Tina L.. 2016. "The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial." Journal of Cancer Survivorship. 10 (3), pp. 467-479. https://doi.org/10.1007/s11764-015-0490-7
A five-year prospective study of quality of life after colorectal cancer
Chambers, Suzanne K., Meng, Xingqiong, Youl, Pip, Aitken, Joanne, Dunn, Jeff and Baade, Peter. 2012. "A five-year prospective study of quality of life after colorectal cancer." Quality of Life Research. 21 (9), pp. 1551-1564. https://doi.org/10.1007/s11136-011-0067-5
Measuring masculinity in the context of chronic disease
Chambers, Suzanne K., Hyde, Melissa K., Oliffe, John L., Zajdlewicz, Leah, Lowe, Anthony, Wootten, Addie C. and Dunn, Jeff. 2016. "Measuring masculinity in the context of chronic disease." Psychology of Men and Masculinity. 17 (3), pp. 228-242. https://doi.org/10.1037/men0000018
A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors
Occhipinti, Stefano, Chambers, Suzanne K., Lepore, Stephen, Aitken, Joanne and Dunn, Jeff. 2015. "A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors." PLoS One. 10 (9). https://doi.org/10.1371/journal.pone.0139119
It works two ways: impacts of sponsorship alliance upon sport and sponsor image
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2016. "It works two ways: impacts of sponsorship alliance upon sport and sponsor image." Sport Marketing Quarterly. 25 (4), pp. 241-259.
Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 1999. "Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland." Physics in Medicine and Biology. 44 (12), pp. 2947-2953. https://doi.org/10.1088/0031-9155/44/12/307
Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 2000. "Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools." Photodermatology, Photoimmunology and Photomedicine. 16 (1), pp. 19-24. https://doi.org/10.1034/j.1600-0781.2000.160106.x
Evaluation of differences in ultraviolet exposure during weekend and weekday activities
Parisi, A. V., Meldrum, L. R., Kimlin, M. G., Wong, J. C. F., Aitken, J. and Mainstone, J. S.. 2000. "Evaluation of differences in ultraviolet exposure during weekend and weekday activities." Physics in Medicine and Biology. 45 (8), pp. 2253-2262. https://doi.org/10.1088/0031-9155/45/8/314