{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T03:38:56Z","timestamp":1789443536288,"version":"build-2803163510"},"reference-count":58,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001773","name":"University of New South Wales","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001773","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low anterior resection syndrome (LARS) is a common survivorship challenge after colorectal cancer (CRC), affecting bowel function, psychosocial health, and daily living. Pelvic floor rehabilitation (PFR) is a supportive approach for bowel function recovery, but little is known about survivors\u2019 experiences of or behaviour change processes when participating in a structured PFR program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study explored CRC survivors\u2019 experiences of LARS and structured PFR with focus on satisfaction, supportive care needs, and behaviour change processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a cross-sectional qualitative study. Analysis employed a hybrid inductive-deductive approach to theme development and data mapping with Symptom Management Theory (SMT) and the COM-B model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants<\/jats:title>\n                    <jats:p>Fourteen participants with LARS who had completed the PFR program completed a self-administered paper satisfaction survey and semi-structured telephone interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All participants rated their experiences as good to excellent on a 6-point Likert scale. Three themes related to participants\u2019 LARS experience and PFR program participation were generated: (1) living with unpredictable LARS; (2) a desire for quality information, timely education, and individualised multimodal support; and (3) regaining function and control through structured rehabilitation. Processes of behaviour change were as follows: (1) expectation management; (2) gaining ability to manage; (3) self-efficacy and habit consolidation; and (4) re-evaluation and relapse management. Mapping to SMT and COM-B informed development of a new model, the empowered behavioural adaptation process (EBAP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LARS imposes considerable physical and psychosocial burdens on CRC survivors, worsened by unmet informational needs and fragmented support. Behaviour change and self-management theories explain how guided, supportive care and individualised multimodal PFR through an empowered behavioural adaptation process, support self-efficacy and long-term management of LARS in CRC survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10892-8","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:14:25Z","timestamp":1782454465000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The experiences of a structured pelvic floor rehabilitation program in colorectal cancer survivors with low anterior resection syndrome: A qualitative study"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3295-7475","authenticated-orcid":false,"given":"Kin Yin Carol","family":"Chan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9816-7498","authenticated-orcid":false,"given":"Sarah E.","family":"Ratcliffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Collett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janindra","family":"Warusavitarne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3215-0532","authenticated-orcid":false,"given":"Michael","family":"Suen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3586-2562","authenticated-orcid":false,"given":"Susan","family":"Coulson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5739-5790","authenticated-orcid":false,"given":"Janette L.","family":"Vardy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"10892_CR1","unstructured":"Australian-Government-Cancer-Australia (2025) Bowel cancer (Colorectal cancer) in Australia statistics. https:\/\/www.canceraustralia.gov.au\/cancer-types\/bowel-cancer\/bowel-cancer-colorectal-cancer-australia-statistics. Accessed\u00a05\/11\/2025"},{"key":"10892_CR2","unstructured":"Hayat Dagher SA, Salimi F, Tran A, Thompson-Fawcett M, Brennan A, Sammour T, Ciccocioppo A, Hoh SM, Arthus T, Sidhu A, Mohan H, Al-Timimi A, Murphy E, Nolan G, Chin S, Joon DL, Yap R, Byrne C, McMurrick P, Segelov E, Rosty C, Clark K, Egwunye J, Narasimhan V, Zalcberg J, Heriot A, Peng S-L, Smart P (2022)\u00a0The 2021 data binational colorectal cancer audit report. In: Binational Colorectal Cancer Audit, pp 1\u201372"},{"key":"10892_CR3","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.ijsu.2018.06.031","volume":"56","author":"A Croese","year":"2018","unstructured":"Croese A, Lonie J, Trollope A, Vangaveti V, Ho Y (2018) A meta-analysis of the prevalence of low anterior resection syndrome and systematic review of risk factors. Int J Surg 56:234\u2013241","journal-title":"Int J Surg"},{"key":"10892_CR4","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1111\/codi.14957","volume":"22","author":"C Keane","year":"2020","unstructured":"Keane C, Fearnhead NS, Mellgren A, Byrne C, Chen T, Clark D, Croft S, Dinning P, Keck J, Kirkwood K, Petersen D, Sloots K, Weston M, Andersen P, Barht H, Emmertsen K, Ingerslev P, Isaksen D, Jacobsen K, Jansen T, Juul T, Kj\u00e6r D, Nielsen C, Nielsen R, Nielsen T, Rahr H, S\u00f8rensen G, Vaabengaard P, Andreyev J, Battersby N, Bradbury J, Brown S, Chapman M, Chave H, Cook T, Cuffy L, Davies J, Dawson C, Dixon J, Duff S, Edwards C, Hancock L, Harji D, Hill J, Kapur S, Maxwell-Armstrong C, McArthur D, Nugent K, Pateman L, Rockall T, Sebag-Montefiore D, Senapati A, Singh B, Smart N, Sykes H, Voyce S, Walsh C, Warren O, Wheeler J, Woodward A, Winter D, Beban V, Bennett M, Collinson R, Dennett E, Eglinton T, Fraser A, Glue J, Stevenson D, Wells C, Wolyncewicz S, Boutros M, Brueseke M, DeKorte J, Floruta C, Keller D, Laffan A, Lovett S, Marlatt J, Milch H, Pulskamp S, Savitt L, Steele S, Tolbert M, Varma M, Wo J, Wunderlich C, Moug S, Oliphant R, Blanco-Colino R, Carrillo-Moreno J, Enriquez-Navascuez JM, Jimenez LM, Martin-Fern\u00e1ndez M, Martinez-Sanchez C, Mu\u00f1oz A, Paniagua-Cayetano G, Vaquer-Casas G, Vico-Garc\u00eda E, Torkington J (2020) International consensus definition of low anterior resection syndrome. Colorectal Dis 22:331\u2013341","journal-title":"Colorectal Dis"},{"key":"10892_CR5","volume":"4","author":"TY Chen","year":"2014","unstructured":"Chen TY, Emmertsen KJ, Laurberg S (2014) Bowel dysfunction after rectal cancer treatment: a study comparing the specialist\u2019s versus patient\u2019s perspective BMJ Open 4:e003374","journal-title":"Bowel dysfunction after rectal cancer treatment: a study comparing the specialist's versus patient's perspective BMJ Open"},{"key":"10892_CR6","first-page":"144","volume":"158","author":"SM Qaderi","year":"2021","unstructured":"Qaderi SM, van der Heijden JAG, Verhoeven RHA, de Wilt JHW, Custers JAE, Beets GL, Belt EJT, Berb\u00e9e M, Beverdam FH, Blankenburgh R, Coene PPLO, de Groot JWB, de Hingh IHJT, de Vos AI, de Wilt JHW, Dekker JWT, Erdkamp FLG, Haringhuizen AW, Helgason HH, Hendriks MP, Hoekstra R, Ijzermans JNM, Jansen J, Kloppenberg FWH, Los M, Meijerink MR, Mekenkamp LJM, Nieboer P, Peeters KCMJ, Peters NAJB, Pol\u00e9e MB, Pruijt JFM, van Ufford-Mannesse PQ, Rietbroek RC, Schiphorst AHW, van der Velden AS, Schrauwen RWM, Sie MPS, Simkens L, Sommeijer DW, Sonneveld DJA, Spierings LEA, Stockmann HBAC, Talsma K, ten Tije AJ, Terheggen F, Tjin-A-Ton MLR, Valkenburg-van Iersel LBJ, van Cruijsen H (2021) Velden A M T v d, van Dodewaard-de Jong J M, van Lent A U G, van Voorthuizen T, Vermaas M, Vles W J, Vogelaar J F J and Zimmerman D D E. Trajectories of health-related quality of life and psychological distress in patients with colorectal cancer: A population-based study European Journal of Cancer 158:144\u2013155","journal-title":"Trajectories of health-related quality of life and psychological distress in patients with colorectal cancer: A population-based study European Journal of Cancer"},{"key":"10892_CR7","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2021.102088","volume":"56","author":"E Pape","year":"2022","unstructured":"Pape E, Decoene E, Debrauwere M, Van Nieuwenhove Y, Pattyn P, Feryn T, Pattyn PRL, Verhaeghe S, Van Hecke A (2022) The trajectory of hope and loneliness in rectal cancer survivors with major low anterior resection syndrome: A qualitative study. Eur J Oncol Nurs 56:102088","journal-title":"Eur J Oncol Nurs"},{"key":"10892_CR8","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1097\/WON.0000000000000910","volume":"49","author":"C Buergi","year":"2022","unstructured":"Buergi C (2022) It Has Become a Part of Me: Living With Low Anterior Resection Syndrome After Ostomy Reversal: A Phenomenological Study Journal of Wound. Ostomy, and Continence Nursing 49:545\u2013550","journal-title":"Ostomy, and Continence Nursing"},{"key":"10892_CR9","first-page":"728","volume":"259","author":"T Juul","year":"2014","unstructured":"Juul T, Ahlberg M, Biondon S, Emmertsen K, Espin E, Jimenez L (2014) KE K, Palmer G, Sauermann A, Trenti L, Zhang W, Laureberg S and Christensen P. International valiadtion of the low anterior resection syndrome score Annals of Surgery 259:728\u2013734","journal-title":"International valiadtion of the low anterior resection syndrome score Annals of Surgery"},{"key":"10892_CR10","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1007\/s10350-004-0942-z","volume":"48","author":"LK Temple","year":"2005","unstructured":"Temple LK, Bacik J, Savatta SG, Gottesman L, Paty PB, Weiser MR, Guillem JG, Minsky BD, Kalman M, Thaler HT, Schrag D, Wong WD (2005) The Development of a Validated Instrument to Evaluate Bowel Function After Sphincter-Preserving Surgery for Rectal Cancer. Dis Colon Rectum 48:1353\u20131365","journal-title":"Dis Colon Rectum"},{"key":"10892_CR11","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s11888-014-0217-6","volume":"11","author":"T Chen","year":"2015","unstructured":"Chen T, Emmertsen K, Laureberg S (2015) What are the best questionnaires to capture anorectal function after surgery in rectal cancer? Current Colorectal Cancer Reports 11:37\u201343","journal-title":"Current Colorectal Cancer Reports"},{"key":"10892_CR12","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1097\/DCR.0000000000000862","volume":"60","author":"BJP Hupkens","year":"2017","unstructured":"Hupkens BJP, Martens MH, Stoot JH, Berbee M, Melenhorst J, Beets-Tan RG, Beets GL, Breukink SO (2017) Quality of Life in Rectal Cancer Patients After Chemoradiation: Watch-and-Wait Policy Versus Standard Resection - A Matched-Controlled Study. Dis Colon Rectum 60:1032\u20131040","journal-title":"Dis Colon Rectum"},{"key":"10892_CR13","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1111\/codi.15515","volume":"23","author":"FF Quezada-Diaz","year":"2021","unstructured":"Quezada-Diaz FF, Elfeki H, Emmertsen KJ, Pappou EP, Jimenez-Rodriguez R, Patil S, Laurberg S, Garcia-Aguilar J (2021) Comparative analysis of the Memorial Sloan Kettering Bowel Function Instrument and the Low Anterior Resection Syndrome Questionnaire for assessment of bowel dysfunction in rectal cancer patients after low anterior resection. Colorectal Dis 23:451\u2013460","journal-title":"Colorectal Dis"},{"key":"10892_CR14","first-page":"1","volume":"34","author":"S-Y Wang","year":"2021","unstructured":"Wang S-Y, Chang T-H, Han C-Y (2021) Effectiveness of a Multimedia Patient Education Intervention on Improving Self-care Knowledge and Skills in Patients with Colorectal Cancer after Enterostomy Surgery: A Pilot Study Advances in skin & wound care 34:1\u20136","journal-title":"Effectiveness of a Multimedia Patient Education Intervention on Improving Self-care Knowledge and Skills in Patients with Colorectal Cancer after Enterostomy Surgery: A Pilot Study Advances in skin & wound care"},{"key":"10892_CR15","doi-asserted-by":"crossref","first-page":"e403","DOI":"10.1016\/S1470-2045(12)70236-X","volume":"13","author":"C Bryant","year":"2012","unstructured":"Bryant C, Lunniss P, Knowles C, Thaha M, Chan C (2012) Anterior Resection Syndrome Lancet Oncology 13:e403\u2013e408","journal-title":"Anterior Resection Syndrome Lancet Oncology"},{"key":"10892_CR16","first-page":"79","volume":"59","author":"J Martellucci","year":"2016","unstructured":"Martellucci J (2016) Low Anterior Resection Syndrome: A Treatment Algorithm Diseases of the Colon and Rectum 59:79\u201382","journal-title":"Low Anterior Resection Syndrome: A Treatment Algorithm Diseases of the Colon and Rectum"},{"key":"10892_CR17","doi-asserted-by":"crossref","first-page":"e623","DOI":"10.1111\/jocn.14112","volume":"27","author":"M Reinwalds","year":"2018","unstructured":"Reinwalds M, Blixter A, Carlsson E (2018) Living with a resected rectum after rectal cancer surgery Struggling not to let bowel function control life. J Clin Nurs 27:e623\u2013e634","journal-title":"J Clin Nurs"},{"key":"10892_CR18","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1080\/09593985.2018.1443184","volume":"35","author":"KY Lin","year":"2019","unstructured":"Lin KY, Denehy L, Granger CL, Frawley HC (2019) Pelvic floor outcomes in patients who have undergone general rehabilitation following surgery for colorectal cancer: A pilot study. Physiother Theory Pract 35:206\u2013218","journal-title":"Physiother Theory Pract"},{"key":"10892_CR19","first-page":"761","volume":"276","author":"A Asnong","year":"2022","unstructured":"Asnong A, D\u2019Hoore A, Van Kampen M, Wolthuis A, Van Molhem Y, Van Geluwe B, Devoogdt N, De Groef A (2022) Guler Caamano Fajardo I and Geraerts I. The Role of Pelvic Floor Muscle Training on Low Anterior Resection Syndrome: A Multicenter Randomized Controlled Trial Annals of Surgery 276:761\u2013768","journal-title":"The Role of Pelvic Floor Muscle Training on Low Anterior Resection Syndrome: A Multicenter Randomized Controlled Trial Annals of Surgery"},{"key":"10892_CR20","volume":"15","author":"Y Nakashima","year":"2023","unstructured":"Nakashima Y, Fudeyasu K, Kataoka Y, Taito S, Ariie T, Mikami Y (2023) Efficacy of Pelvic Floor Muscle Training for Postoperative Patients With Rectal Cancer: A Systematic Review and Meta-Analysis Cureus 15:e50287","journal-title":"Efficacy of Pelvic Floor Muscle Training for Postoperative Patients With Rectal Cancer: A Systematic Review and Meta-Analysis Cureus"},{"key":"10892_CR21","first-page":"1795","volume":"29","author":"KYC Chan","year":"2021","unstructured":"Chan KYC, Suen M, Coulson S, Vardy JL (2021) Efficacy of pelvic floor rehabilitation for bowel dysfunction after anterior resection for colorectal cancer: a systematic review. Support Care Cancer 29:1795\u20131809","journal-title":"Support Care Cancer"},{"key":"10892_CR22","doi-asserted-by":"crossref","first-page":"E93","DOI":"10.1097\/ANS.0000000000000347","volume":"44","author":"A Mathew","year":"2021","unstructured":"Mathew A, Doorenbos AZ, Vincent C (2021) Symptom Management Theory: Analysis, Evaluation, and Implications for Caring for Adults With Cancer. Adv Nurs Sci 44:E93\u2013E112","journal-title":"Adv Nurs Sci"},{"key":"10892_CR23","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1046\/j.1365-2648.2001.01697.x","volume":"33","author":"M Dodd","year":"2001","unstructured":"Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, Lee K, Miaskowski C, Puntillo K, Rankin S, Taylor D (2001) Advancing the science of symptom management. J Adv Nurs 33:668\u2013676","journal-title":"J Adv Nurs"},{"key":"10892_CR24","first-page":"42","volume":"6","author":"S Michie","year":"2011","unstructured":"Michie S, van Stralen MM, West R (2011) The behaviour change wheel: a new method for characterising and designing behaviour change interventions Implementation Science\u202f: IS 6:42","journal-title":"The behaviour change wheel: a new method for characterising and designing behaviour change interventions Implementation Science : IS"},{"key":"10892_CR25","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.ejso.2018.11.001","volume":"45","author":"G Thomas","year":"2019","unstructured":"Thomas G, van Heinsbergen M, van der Heijden J, Slooter G, Konsten J, Maaskant S (2019) Awareness and management of low anterior resection syndrome: A Dutch national survey among colorectal surgeons and specialized nurses. Eur J Surg Oncol 45:174\u2013179","journal-title":"Eur J Surg Oncol"},{"key":"10892_CR26","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1111\/codi.16475","volume":"25","author":"J Burch","year":"2023","unstructured":"Burch J, Wright J, Taylor C, Wilson A, Norton C (2023) \u2018He\u2019s a surgeon, like I\u2019m not going to waste his time\u2019: interviews to determine healthcare needs of people with low anterior resection syndrome after rectal cancer surgery. Colorectal Disease 25:880\u20137","journal-title":"Colorectal Disease"},{"key":"10892_CR27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0301518","volume":"19","author":"NM Bosch","year":"2024","unstructured":"Bosch NM, Kalkdijk-Dijkstra AJ, Broens PMA, van Westreenen HL, Pierie J, Klarenbeek BR, van der Heijden JAG (2024) Implementation of Pelvic Floor Rehabilitation after rectal cancer surgery: A qualitative study guided by the Consolidated Framework for Implementation Research (CFIR). PLoS One 19:e0301518","journal-title":"PLoS One"},{"key":"10892_CR28","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/SLA.0000000000006777","volume":"282","author":"R Garfinkle","year":"2025","unstructured":"Garfinkle R, Demian M, Sabboobeh S, Bhatnagar S, Savard J, Drolet S, Liberman S, Brown C, Park J, Moon J, Loiselle C, Wexner S, Bordeianou L, Ghitulescu G, Faria J, Morin N, Vasilevsky C-A, Boutros M (2025) Impact of a Patient-Centered Program for Low Anterior Resection Syndrome: A Multicenter, Single-Blinded, Randomized Controlled. Trial Ann Surg 282:361\u2013370","journal-title":"Trial Ann Surg"},{"key":"10892_CR29","doi-asserted-by":"crossref","unstructured":"Tong A, Sainsbury P and Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.\u00a0Int J Quality Health Care 19:349\u201357","DOI":"10.1093\/intqhc\/mzm042"},{"key":"10892_CR30","doi-asserted-by":"crossref","unstructured":"Chan KY, Suen M, Collett G, Coulson S, Warusavitarne J, Vardy J (2025)\u00a0A pelvic floor rehabilitation program for low anterior resection syndrome after colorectal cancer surgery. [Conference presentation abstract]. Australian Physiotherapy Association Scientific Congress, Adelaide, SA, Australia","DOI":"10.1007\/s00520-026-10777-w"},{"key":"10892_CR31","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1097\/SLA.0b013e31824f1c21","volume":"255","author":"K Emmertsen","year":"2012","unstructured":"Emmertsen K, Laureberg S (2012) Low anterior resection syndrome score: Development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer. Ann Surg 255:922\u2013928","journal-title":"Ann Surg"},{"key":"10892_CR32","unstructured":"Trint Ltd (2025)\u00a0Trint transcription software. London.\u00a0https:\/\/trint.com"},{"key":"10892_CR33","volume-title":"IBM SPSS statistics for windows, version 26.0","author":"IBM Corp","year":"2019","unstructured":"Corp IBM (2019) IBM SPSS statistics for windows, version 26.0. IBM Corp, Armonk, NY"},{"key":"10892_CR34","volume-title":"Thematic analysis: a practical guide","author":"V Braun","year":"2022","unstructured":"Braun V, Clarke V (2022) Thematic analysis: a practical guide. SAGE Publications, London"},{"key":"10892_CR35","volume-title":"NVivo (Version 14)","author":"Lumivero","year":"2023","unstructured":"Lumivero (2023) NVivo (Version 14). Lumivero, Denver, CO"},{"key":"10892_CR36","volume-title":"Microsoft powerPoint","author":"Microsoft Corporation","year":"2018","unstructured":"Microsoft Corporation (2018) Microsoft powerPoint. Microsoft Corporation, Redmond, WA"},{"key":"10892_CR37","doi-asserted-by":"crossref","first-page":"E93","DOI":"10.1097\/ANS.0000000000000347","volume":"44","author":"A Mathew","year":"2021","unstructured":"Mathew A, Doorenbos AZ, Vincent C (2021) Symptom Management Theory Advances in Nursing Science 44:E93\u2013E112","journal-title":"Symptom Management Theory Advances in Nursing Science"},{"key":"10892_CR38","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2025.102904","volume":"77","author":"F Serroyen","year":"2025","unstructured":"Serroyen F, Van Hecke A, Delforge L, van Ramshorst GH, Van Nieuwenhove Y, Geboes K, Lybaert W, Pattyn P, Pape E (2025) Dynamics in experiences, information and counselling needs of patients without or with minor LARS after rectal cancer surgery. Eur J Oncol Nurs 77:102904","journal-title":"Eur J Oncol Nurs"},{"key":"10892_CR39","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0305212","volume":"19","author":"C L\u00f8vall","year":"2024","unstructured":"L\u00f8vall C, Mjelde LME, Eide LSP, Reime MH (2024) Patients\u2019 experiences of living with low anterior resection syndrome three to six months after colorectal cancer surgery: A phenomenological study. PLoS ONE 19:e0305212","journal-title":"PLoS ONE"},{"key":"10892_CR40","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1111\/jocn.16277","volume":"32","author":"E Pape","year":"2023","unstructured":"Pape E, Decoene E, Debrauwere M, Van Nieuwenhove Y, Pattyn P, Feryn T, Pattyn PRL, Verhaeghe S, Van Hecke A (2023) Information and counselling needs of patients with major low anterior resection syndrome: A qualitative study. J Clin Nurs 32:1240\u20131250","journal-title":"J Clin Nurs"},{"key":"10892_CR41","unstructured":"Clinical Oncology Society of Australia\u00a0(2016)\u00a0Model of Survivorship Care: Critical Components of Cancer Survivorship Care in Australia Position Statement (Sydney: Clinical Oncology Society of Australia)"},{"key":"10892_CR42","doi-asserted-by":"crossref","first-page":"4","DOI":"10.5334\/ijic.3046","volume":"18","author":"JJ Loonen","year":"2018","unstructured":"Loonen JJ, Blijlevens NMA, Prins J, Dona DJS, Den Hartogh J, Senden T, van Dulmen-Den BE, van der Velden K, Hermens RPMG (2018) Cancer Survivorship Care: Person Centered Care in a Multidisciplinary Shared Care Model International. J Integr Care 18:4","journal-title":"J Integr Care"},{"key":"10892_CR43","doi-asserted-by":"crossref","unstructured":"Van der Heijden J, Thomas G, Caers F, Van Dijk W, Slooter G, Maaskant-Braat A (2018) What you should know about the low anterior resection syndrome \u2014 Clinical recommendations from a patient perspective. Eur J Surg Oncol\u00a044:1331\u20137","DOI":"10.1016\/j.ejso.2018.05.010"},{"key":"10892_CR44","doi-asserted-by":"crossref","unstructured":"Bolton W S, Chapman S J, Corrigan N, Croft J, Collinson F, Brown J M and Jayne D G (2021) The incidence of low anterior resection syndrome as assessed in an international randomized controlled trial (MRC\/NIHR ROLARR). Annal Surg\u00a0274:e1223-e9","DOI":"10.1097\/SLA.0000000000003806"},{"key":"10892_CR45","doi-asserted-by":"crossref","first-page":"3988","DOI":"10.3390\/ijerph20053988","volume":"20","author":"A Gulliver","year":"2023","unstructured":"Gulliver A, Morse A, Banfield M (2023) Cancer Survivors\u2019 Experiences of Navigating the Australian Health Care System for Physical and Mental Health Care Needs. Int J Environ Res Public Health 20:3988","journal-title":"Int J Environ Res Public Health"},{"key":"10892_CR46","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1111\/codi.16145","volume":"24","author":"E Pape","year":"2022","unstructured":"Pape E, Van Haver D, Lievrouw A, Van Nieuwenhove Y, Van De Putte D, Van Ongeval J, Rogge S, Van Hecke A, Decoene E, Deseyne P, Geboes K, Pattyn P, Van Ramshorst G, Vlerick I, Debruyne E, Fierens K, Kinnaer LM, Verhaeghe S (2022) Interprofessional perspectives on care for patients with low anterior resection syndrome: a qualitative study. Colorectal Dis 24:1032\u20131039","journal-title":"Colorectal Dis"},{"key":"10892_CR47","first-page":"82","volume":"16","author":"C Hussey","year":"2024","unstructured":"Hussey C, Hanbridge M, Dowling M, Gupta A (2024) Cancer survivorship: understanding the patients\u2019 journey and perspectives on post-treatment needs BMC Sports Science. Medicine and Rehabilitation 16:82","journal-title":"Medicine and Rehabilitation"},{"key":"10892_CR48","volume":"31","author":"MH Larsen","year":"2022","unstructured":"Larsen MH, Hansson KE, Larsen EH, Fridh MK, Petersen NN, Mellblom AV, Ruud E, Larsen HB, Lie HC (2022) The gap between expectations and reality: A qualitative study of psychosocial challenges of young childhood cancer survivors from the PACCS study. Eur J Cancer Care 31:e13696","journal-title":"Eur J Cancer Care"},{"key":"10892_CR49","unstructured":"Stanton AL, Bower JE, Low CA (2006) Posttraumatic growth after cancer. In: Calhoun LG, Tedeschi RG (eds) Handbook of posttraumatic growth: research and practice. Lawrence Erlbaum Associates Publishers, Mahwah, NJ, pp 138\u201375"},{"key":"10892_CR50","doi-asserted-by":"crossref","unstructured":"Foster C, Wright D, Hill H, Hopkinson J, Roffe L (2009)\u00a0Psychosocial implications of living 5 years or more following a cancer diagnosis: a systematic review of the research evidence. Eur J Cancer Car 18:223\u201347","DOI":"10.1111\/j.1365-2354.2008.01001.x"},{"key":"10892_CR51","doi-asserted-by":"crossref","first-page":"208","DOI":"10.3389\/fpsyt.2019.00208","volume":"10","author":"A Seiler","year":"2019","unstructured":"Seiler A, Jenewein J (2019) Resilience in Cancer Patients Frontiers in Psychiatry 10:208","journal-title":"Resilience in Cancer Patients Frontiers in Psychiatry"},{"issue":"4","key":"10892_CR52","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1017\/S0141347300015019","volume":"14","author":"DJ Kavanagh","year":"1986","unstructured":"Kavanagh DJ (1986) Stress, appraisal and coping by R S Lazarus and S Folkman (Book review). Behav Cogn Psychother 14(4):345","journal-title":"Behav Cogn Psychother"},{"key":"10892_CR53","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1090198104263660","volume":"31","author":"A Bandura","year":"2004","unstructured":"Bandura A (2004) Health Promotion by Social Cognitive Means. Health Educ Behav 31:143\u2013164","journal-title":"Health Educ Behav"},{"key":"10892_CR54","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1158\/1055-9965.EPI-15-1267","volume":"25","author":"KS Courneya","year":"2016","unstructured":"Courneya KS, Vardy JL, O\u2019Callaghan CJ, Friedenreich CM, Campbell KL, Prapavessis H, Crawford JJ, O\u2019Brien P, Dhillon HM, Jonker DJ, Chua NS, Lupichuk S, Sanatani MS, Gill S, Meyer RM, Begbie S, Bonaventura T, Burge ME, Turner J, Tu D, Booth CM (2016) Effects of a Structured Exercise Program on Physical Activity and Fitness in Colon Cancer Survivors: One Year Feasibility Results from the CHALLENGE Trial Cancer Epidemiology. Biomarkers Prev 25:969\u2013977","journal-title":"Biomarkers Prev"},{"key":"10892_CR55","first-page":"1","volume":"5","author":"MAS Metry","year":"2021","unstructured":"Metry MAS, Miah M, Kaur G (2021) Establishing A Dedicated Low Anterior Resection Syndrome (LARS) Clinic. A Scope in The Syndrome and Added Value Clinics of Surgery 5:1\u20134","journal-title":"A Scope in The Syndrome and Added Value Clinics of Surgery"},{"key":"10892_CR56","doi-asserted-by":"crossref","unstructured":"McCorkle R, Ercolano E, Lazenby M, Schulman\u2010Green D, Schilling LS, Lorig K, Wagner EH (2011) Self\u2010management: Enabling and empowering patients living with cancer as a chronic illness.\u00a0CA Cancer J Clin\u00a061:50\u201362","DOI":"10.3322\/caac.20093"},{"key":"10892_CR57","first-page":"32","volume":"58","author":"AJ Hoffman","year":"2009","unstructured":"Hoffman AJ, von Eye A, Gift AG, Given BA, Given CW, Rothert M (2009) Testing a Theoretical Model of Perceived Self-efficacy for Cancer-Related Fatigue Self-management and Optimal Physical Functional Status Nursing Research (New York) 58:32\u201341","journal-title":"Testing a Theoretical Model of Perceived Self-efficacy for Cancer-Related Fatigue Self-management and Optimal Physical Functional Status Nursing Research (New York)"},{"key":"10892_CR58","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ejon.2017.05.004","volume":"29","author":"G Kotronoulas","year":"2017","unstructured":"Kotronoulas G, Papadopoulou C, Burns-Cunningham K, Simpson M, Maguire R (2017) A systematic review of the supportive care needs of people living with and beyond cancer of the colon and\/or rectum. Eur J Oncol Nurs 29:60\u201370","journal-title":"Eur J Oncol Nurs"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10892-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10892-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10892-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:46:00Z","timestamp":1784011560000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10892-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":58,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10892"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10892-8","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"assertion":[{"value":"3 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics approval was granted by the Sydney Local Health District Human Research Ethics Committee, Concord Repatriation General Hospital (SLHD HREC, CRGH) under the reference number 2019\/PID 15308. This study was registered on the Australian and New Zealand Clinical Trials Registry (ANZCTR), ACTRN 12620000821998. The study was conducted in accordance with the \u201cNHMRC National Statement on Ethical Conduct in Human Research\u201d (Commonwealth of Australia, 2007, updated 2018) and the ethical principles derived from the World Medical Association Declaration of Helsinki (Helsinki, 1964, updated 2016).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Study participants received a Participant Information Sheet outlining the study details. Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Study participants received a Participant Information Sheet explaining publication and confidentiality information. Written consent was obtained.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"697"}}