What are the barriers and facilitators to the sustainability of cancer interventions?

These overarching themes were identified, which when present, were facilitators, and if absent, were barriers:

  1. Evidence (intervention credibility, experienced efficacy, perceived need for intervention)
  2. Context (positive attitude to and capacity for survivorship/FCR care, favourable therapist orientation and flexibility, strong referral pathways)
  3. Facilitation of implementation (intervention/service fit, intervention/patient fit, and training,support, and provided resources).

Butow, Phyllis, Williams, Douglas, Thewes, Belinda, Tesson, Stephanie, Sharpe, Louise, Smith, Allan Ben, . . . Beith, Jane. (2019). A psychological intervention (ConquerFear) for treating fear of cancer recurrence: Views of study therapists regarding sustainability. Psycho-oncology., 28(3), 533-539.

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References:

Cowie, J., Nicoll, A., Dimova, E. D., Campbell, P., & Duncan, E. A. (2020). The barriers and facilitators influencing the sustainability of hospital-based interventions: a systematic review. BMC health services research, 20(1), 1-27.

Greidanus, MA, De Boer, AGEM, De Rijk, AE, Tiedtke, CM, Dierckx de Casterlé, B, Frings-Dresen, MHW, & Tamminga, SJ. (2018). Perceived employer-related barriers and facilitators for work participation of cancer survivors: A systematic review of employers’ and survivors’ perspectives. Psycho-oncology., 27(3), 725-733.

Tong, E.K.; Wolf, T.; Cooke, D.T.; Fairman, N.; Chen, M.S., Jr. The Emergence of a Sustainable Tobacco Treatment Program across the Cancer Care Continuum: A Systems Approach for Implementation at the University of California Davis Comprehensive Cancer Center. Int. J. Environ. Res. Public Health 2020, 17, 3241.

Tanzi, S., Leo, S. D., Mazzini, E., Castagnetti, M., Turrà, C., Peruselli, C., & Costantini, M. (2020). Long-term sustainability of a quality improvement program on cancer pain management: a complex intervention in an inpatient setting. Tumori Journal, 106(1), 25-32.

Groff, Shannon, Holroyd-Leduc, Jayna, White, Deborah, & Bultz, Barry D. (2018). Examining the sustainability of Screening for Distress, the sixth vital sign, in two outpatient oncology clinics: A mixed-methods study. Psycho-oncology., 27(1), 141-147.

Nguyen, Huong Q, Cuyegkeng, Thomas, Phung, Tieu O, Jahn, Karisa, Borneman, Tami, Macias, Mayra, . . . Ferrell, Betty R. (2017). Integration of a Palliative Care Intervention into Community Practice for Lung Cancer: A Study Protocol and Lessons Learned with Implementation. Journal of Palliative Medicine., 20(12), 1327-1337.

 

 

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