{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:18:02Z","timestamp":1793038682577,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"16","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006095","name":"Helse S\u00f8r-\u00d8st RHF","doi-asserted-by":"publisher","award":["2019073"],"award-info":[{"award-number":["2019073"]}],"id":[{"id":"10.13039\/501100006095","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008730","name":"Kreftforeningen","doi-asserted-by":"publisher","award":["198057"],"award-info":[{"award-number":["198057"]}],"id":[{"id":"10.13039\/100008730","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2025,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increasing outpatient demands and unmet patient needs necessitate personalized follow\u2010up care for cancer survivors. This study investigated whether a self\u2010management\u2013focused follow\u2010up model improves empowerment and quality of life (QoL) in gynecological cancer survivors compared to standard follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve Norwegian hospitals participated in this cohort study. Patients initiating routine follow\u2010up after primary treatment were eligible and allocated to either intervention or standard care follow\u2010up groups based on their treatment hospital. The intervention included nurse\u2010led consultations using coaching techniques for education on symptom monitoring and healthy lifestyle, alternated with physician\u2010led consultations and access to a mobile app. Standard follow\u2010up consisted of physician\u2010led consultations only. The primary outcome was change in patient empowerment over 12 months, measured with the self\u2010monitoring and insight domain of the Health Education Impact Questionnaire (heiQ). Secondary outcomes included changes in remaining heiQ domains and QoL. Data were analyzed according to intention\u2010to\u2010treat principles using linear mixed effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 741 participants (intervention: 378, standard: 363), baseline characteristics were comparable. At 12 months, no significant differences were observed in self\u2010monitoring and insight (\u0394\u00a0=\u00a00.02 [95% confidence interval (CI), \u20130.04 to 0.08]; effect sizes [ES]\u00a0=\u00a00.29). However, health\u2010directed activity (\u0394\u00a0=\u00a00.15 [95% CI, 0.04\u20130.25]; ES\u00a0=\u00a00.15), emotional well\u2010being (\u0394\u00a0=\u00a00.12 [95% CI, 0.02\u20130.20]; ES\u00a0=\u00a00.15), social functioning (\u0394\u00a0=\u00a05.2 [95% CI, 1.1\u20139.3]; ES\u00a0=\u00a00.41), and physical functioning (\u0394\u00a0=\u00a02.5 [95% CI, 0.0\u20135.0]; ES\u00a0=\u00a00.20) were significantly more improved in the intervention group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lifestyle and Empowerment Techniques in Survivorship of Gynaecologic Oncology follow\u2010up did not significantly impact self\u2010monitoring and insight, but positively influenced other survivorship domains, indicating its potential for enhancing self\u2010management and QoL in gynecological cancer survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.70040","type":"journal-article","created":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T06:44:34Z","timestamp":1754721874000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Empowerment and quality of life in gynecological cancer survivors: Outcomes from a multicenter quasi\u2010experimental cohort study from Norway (the LETSGO trial)"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5262-6326","authenticated-orcid":false,"given":"Ingvild","family":"Vistad","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Sorlandet Hospital Trust Kristiansand  Kristiansand Norway"},{"name":"Faculty of Medicine Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mette","family":"Skorstad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sorlandet Hospital Trust Kristiansand  Kristiansand Norway"},{"name":"Medical Department Clinical Institute II University of Bergen  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sveinung","family":"Berntsen","sequence":"additional","affiliation":[{"name":"Department of Sport Science and Physical Education University of Agder  Kristiansand Norway"},{"name":"Department of Public Health and Caring Science University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Demmelmaier","sequence":"additional","affiliation":[{"name":"Department of Sport Science and Physical Education University of Agder  Kristiansand Norway"},{"name":"Department of Public Health and Caring Science University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Line","family":"Bj\u00f8rge","sequence":"additional","affiliation":[{"name":"Department of Clinical Science Centre for Cancer Biomarkers CCBIO University of Bergen  Bergen Norway"},{"name":"Department of Obstetrics and Gynecology Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lonneke V.","family":"van de Poll\u2010Franse","sequence":"additional","affiliation":[{"name":"Division of Psychosocial Research and Epidemiology Netherlands Cancer Institute  Amsterdam the Netherlands"},{"name":"Department of Medical and Clinical Psychology Center of Research on Psychological and Somatic Disorders (CoRPS) Tilburg University  Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2162-0175","authenticated-orcid":false,"given":"Kristina","family":"Lindemann","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Institute of Clinical Medicine University of Oslo  Oslo Norway"},{"name":"Section for Gynaecological Oncology Department of Surgical Oncology Norwegian Radium Hospital Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth Berge","family":"Nilsen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Haug","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Institute of Clinical Medicine University of Oslo  Oslo Norway"},{"name":"Akershus University Hospital  L\u00f8renskog Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Gry","family":"Bentzen","sequence":"additional","affiliation":[{"name":"Department of Gynecological Oncology University Hospital of North Norway  Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonje","family":"Bohlin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology 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