{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T01:23:46Z","timestamp":1783041826540,"version":"3.54.6"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T00:00:00Z","timestamp":1374710400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Following the completion of treatment and as they enter the follow-up phase, breast cancer patients (BCPs) often recount feeling \u2018lost in transition\u2019, and are left with many questions concerning how their ongoing care and monitoring for recurrence will be managed. Family physicians (FPs) also frequently report feeling ill-equipped to provide follow-up care to BCPs. In this three-phase qualitative pilot study we designed, implemented and evaluated a multi-faceted survivorship care plan (SCP) to address the information needs of BCPs at our facility and of their FPs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In Phase 1 focus groups and individual interviews were conducted with 35 participants from three stakeholder groups (BCPs, FPs and oncology specialist health care providers (OHCPs)), to identify specific information needs. An SCP was then designed based on these findings, consisting of both web-based and paper-based tools (Phase 2). For Phase 3, both sets of tools were subsequently evaluated via focus groups and interviews with 26 participants. Interviews and focus groups were audio taped, transcribed and content analysed for emergent themes and patterns.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>In Phase 1 patients commented that web-based, paper-based and human resources components were desirable in any SCP. Patients did not focus exclusively on the post-treatment period, but instead spoke of evolving needs throughout their cancer journey. FPs indicated that any tools to support them must distill important information in a user-friendly format. In Phase 2, a pilot SCP was subsequently designed, consisting of both web-based and paper-based materials tailored specifically to the needs of BCPs as well as FPs. During Phase 3 (evaluation) BCPs indicated that the SCP was effective at addressing many of their needs, and offered suggestions for future improvements. Both patients and FPs found the pilot SCP to be an improvement from the previous standard of care. Patients perceived the quality of the BCP-FP relationship as integral to their comfort with FPs assuming follow-up responsibilities.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This pilot multi-component SCP shows promise in addressing the information needs of BCPs and the FPs who care for them. Next steps include refinement of the different SCP components, further evaluation (including usability testing), and planning for more extensive implementation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1472-6947-13-76","type":"journal-article","created":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T16:48:52Z","timestamp":1374770932000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study"],"prefix":"10.1186","volume":"13","author":[{"given":"Rashida","family":"Haq","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lineke","family":"Heus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie A","family":"Baker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisy","family":"Dastur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fok-Han","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Vu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet A","family":"Parsons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2013,7,25]]},"reference":[{"key":"698_CR1","volume-title":"Canadian Cancer Statistics","author":"Canadian Cancer Society\/NCIC","year":"2006","unstructured":"Canadian Cancer Society\/NCIC: Canadian Cancer Statistics. 2006, Toronto: Canadian Cancer Society\/National Cancer Institute of Canada"},{"key":"698_CR2","volume-title":"The global burden of disease: 2004 Update","author":"World Health Organization","year":"2008","unstructured":"World Health Organization: The global burden of disease: 2004 Update. 2008, Geneva: World Health Organization"},{"key":"698_CR3","first-page":"890","volume":"49","author":"B Miedema","year":"2003","unstructured":"Miedema B, MacDonald I, Tatemichi S: Cancer follow-up care: patient's perspectives. Can Fam Physician. 2003, 49: 890-895.","journal-title":"Can Fam Physician"},{"key":"698_CR4","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.1093\/jnci\/djh255","volume":"96","author":"KR Yabroff","year":"2004","unstructured":"Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML: Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Can Inst. 2004, 96: 1322-1330. 10.1093\/jnci\/djh255.","journal-title":"J Natl Can Inst"},{"key":"698_CR5","volume-title":"From cancer patient to cancer survivor: Lost in transition","author":"Institute of Medicine","year":"2005","unstructured":"Institute of Medicine: From cancer patient to cancer survivor: Lost in transition. Edited by: Hewitt M, Greefield S, Stovall E. 2005, Washington: Institute of Medicine"},{"key":"698_CR6","doi-asserted-by":"publisher","first-page":"101","DOI":"10.3322\/caac.20142","volume":"62","author":"T Salz","year":"2012","unstructured":"Salz T, Oeffinger KC, McCabe MS, Layne TM, Bach PB: Survivorship care plans in research and practice. CA Can J Clin. 2012, 62: 101-117. 10.3322\/caac.20142.","journal-title":"CA Can J Clin"},{"key":"698_CR7","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/s11764-011-0185-7","volume":"5","author":"SL Smith","year":"2011","unstructured":"Smith SL, Singh-Carlson S, Downie L, Payeur N, Wai ES: Survivors of breast cancer: patient perspectives on survivorship care planning. J Can Surviv. 2011, 5: 337-344. 10.1007\/s11764-011-0185-7.","journal-title":"J Can Surviv"},{"key":"698_CR8","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s11764-012-0232-z","volume":"6","author":"D Howell","year":"2012","unstructured":"Howell D, Hack TF, Oliver TK, Chulak T, Mayo S, Aubin M, Chasen M, Earle CC, Friedman AJ, Green E: Models of care for post-treatment follow-up of adult cancer survivors: a systematic review and quality appraisal of the evidence. J Can Surviv. 2012, 6: 359-371. 10.1007\/s11764-012-0232-z.","journal-title":"J Can Surviv"},{"issue":"36","key":"698_CR9","doi-asserted-by":"publisher","first-page":"4755","DOI":"10.1200\/JCO.2011.36.8373","volume":"29","author":"E Grunfeld","year":"2011","unstructured":"Grunfeld E, Julian JA, Pond G, Maunsell E, Coyle D, Folkes A, Joy AA, Provencher L, Rayson D, Rheaume DE: Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol. 2011, 29 (36): 4755-4762. 10.1200\/JCO.2011.36.8373.","journal-title":"J Clin Oncol"},{"key":"698_CR10","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1007\/s10549-006-9359-9","volume":"103","author":"A Gagliardi","year":"2007","unstructured":"Gagliardi A, Wright FC, Quan ML, McCready D: Evaluating the organization and delivery of breast cancer services: Use of performance measures to identify knowledge gaps. Breast Can Res Treat. 2007, 103: 131-148. 10.1007\/s10549-006-9359-9.","journal-title":"Breast Can Res Treat"},{"key":"698_CR11","unstructured":"What to know: ASCO's guide on follow-up care for breast cancer.http:\/\/www.asco.org,"},{"key":"698_CR12","unstructured":"Breast Cancer Survivorship Care Plan.http:\/\/www.cancer.net\/survivorship\/asco-cancer-treatment-summaries,"},{"key":"698_CR13","doi-asserted-by":"publisher","DOI":"10.4135\/9781849209502","volume-title":"Narratives in Social Science Research","author":"B Czarniawska","year":"2004","unstructured":"Czarniawska B: Narratives in Social Science Research. 2004, London: Sage Publications"},{"key":"698_CR14","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1177\/1049732302239601","volume":"13","author":"AW Frank","year":"2003","unstructured":"Frank AW: Survivorship as craft and conviction: reflections on research in progress. Qual Health Res. 2003, 13: 247-255. 10.1177\/1049732302239601.","journal-title":"Qual Health Res"},{"key":"698_CR15","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226260259.001.0001","volume-title":"The Renewal of Generosity: Illness, Medicine and How to Live","author":"AW Frank","year":"2004","unstructured":"Frank AW: The Renewal of Generosity: Illness, Medicine and How to Live. 2004, Chicago: The University of Chicago Press"},{"key":"698_CR16","volume-title":"The Illness Narratives: Suffering, Healing and the Human Condition","author":"A Kleinman","year":"1998","unstructured":"Kleinman A: The Illness Narratives: Suffering, Healing and the Human Condition. 1998, New York: Basic Books"},{"key":"698_CR17","volume-title":"Narrative Analysis","author":"CK Reissman","year":"1993","unstructured":"Reissman CK: Narrative Analysis. 1993, Thousand Oaks: Sage Publications"},{"key":"698_CR18","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1136\/bmj.311.6996.42","volume":"311","author":"N Mays","year":"1995","unstructured":"Mays N, Pope C: Qualitative research: reaching the parts other methods cannot reach. Br Med J. 1995, 311: 42-45. 10.1136\/bmj.311.6996.42.","journal-title":"Br Med J"},{"key":"698_CR19","first-page":"404","volume":"337","author":"A Kuper","year":"2008","unstructured":"Kuper A, Reeves S, Levinson W: An introduction to reading and appraising qualitative research. Br Med J. 2008, 337: 404-407.","journal-title":"Br Med J"},{"key":"698_CR20","first-page":"33","volume-title":"Doing Qualitative Research","author":"AJ Kuzel","year":"1999","unstructured":"Kuzel AJ: Sampling in qualitative inquiry. Doing Qualitative Research. Edited by: Crabtree BF, Miller WL. 1999, Thousand Oaks: Sage Publications Inc, 33-45. 2","edition":"2"},{"key":"698_CR21","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1186\/1471-2288-10-109","volume":"10","author":"S Johnston","year":"2010","unstructured":"Johnston S, Liddy C, Hogg W, Donskov M, Russell G, Gyorfi-Dyke E: Barriers and facilitators to recruitment of physicians and practices for primary care health services research at one centre. BMC Med Res Methodol. 2010, 10: 109-10.1186\/1471-2288-10-109.","journal-title":"BMC Med Res Methodol"},{"key":"698_CR22","volume-title":"InterViews: An Introduction to Qualitative Research Interviewing","author":"S Kvale","year":"1996","unstructured":"Kvale S: InterViews: An Introduction to Qualitative Research Interviewing. 1996, Thousand Oaks: Sage Publications"},{"key":"698_CR23","volume-title":"Qualitative Inquiry and Research Design Choosing Among Five Traditions","author":"JW Creswell","year":"1998","unstructured":"Creswell JW: Qualitative Inquiry and Research Design Choosing Among Five Traditions. 1998, Thousand Oaks, CA: Sage Publications"},{"key":"698_CR24","volume-title":"Qualitative Research and Evaluation Methods","author":"MQ Patton","year":"2002","unstructured":"Patton MQ: Qualitative Research and Evaluation Methods. 2002, California: Sage Publications, 3","edition":"3"},{"issue":"4","key":"698_CR25","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G","volume":"23","author":"M Sandelowski","year":"2000","unstructured":"Sandelowski M: Whatever happened to qualitative description?. Res Nurs Health. 2000, 23 (4): 334-340. 10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G.","journal-title":"Res Nurs Health"},{"issue":"1","key":"698_CR26","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1002\/nur.20362","volume":"33","author":"M Sandelowski","year":"2010","unstructured":"Sandelowski M: What's in a name? Qualitative description revisited. Res Nurs Health. 2010, 33 (1): 77-84.","journal-title":"Res Nurs Health"},{"key":"698_CR27","unstructured":"Survivorship Care Plan for Breast Cancer.http:\/\/journeyforward.org\/,"},{"key":"698_CR28","unstructured":"Breast cancer survivorship program.http:\/\/www.survivorship.ca\/index.html,"},{"key":"698_CR29","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1093\/jncimonographs\/lgq002","volume":"40","author":"E Grunfeld","year":"2010","unstructured":"Grunfeld E, Earle CC: The interface between primary and oncology specialty care: treatment through survivorship. J Natl Cancer Inst Monogr. 2010, 40: 25-30.","journal-title":"J Natl Cancer Inst Monogr"},{"key":"698_CR30","doi-asserted-by":"publisher","first-page":"6650","DOI":"10.1136\/bmj.313.7058.665","volume":"313","author":"E Grunfeld","year":"1996","unstructured":"Grunfeld E, Mant D, Yudkin P, Adewuyi-Dalton R, Cole D, Stewart J: Routine follow-up of breast cancer in primary care; randomized trial. BMJ. 1996, 313: 6650-6669.","journal-title":"BMJ"},{"issue":"10","key":"698_CR31","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.1503\/cmaj.045062","volume":"172","author":"E Grunfeld","year":"2005","unstructured":"Grunfeld E, Dhessy-Thind S, Levine M: Cancer SCoCPGftCaToB: Clinical practice guidelines for the care and treatment of breast cancer: follow-up after treatmemt for breast cancer. Can Med Assoc J. 2005, 172 (10): 1319-1320. 10.1503\/cmaj.045062.","journal-title":"Can Med Assoc J"},{"issue":"4","key":"698_CR32","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1185\/030079906X96407","volume":"22","author":"M Jiwa","year":"2006","unstructured":"Jiwa M, Thompson J, Coleman R, Reed M: Breast cancer follow-up: could primary care be the right venue?. Curr Med Res Opin. 2006, 22 (4): 625-630. 10.1185\/030079906X96407.","journal-title":"Curr Med Res Opin"},{"key":"698_CR33","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.1200\/JCO.1997.15.5.2149","volume":"15","author":"Breast Cancer Surveillance Expert Panel","year":"1997","unstructured":"Breast Cancer Surveillance Expert Panel: Recommended breast cancer surveillance guidelines. J Clin Oncol. 1997, 15: 2149-2156.","journal-title":"J Clin Oncol"},{"issue":"1","key":"698_CR34","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1111\/j.1524-4741.2011.01195.x","volume":"18","author":"CE Hill-Kayser","year":"2012","unstructured":"Hill-Kayser CE, Vachani C, Hampshire MK, Metz JM: High level use and satisfaction with internet-based breast cancer survivorship care plans. Breast J. 2012, 18 (1): 97-99. 10.1111\/j.1524-4741.2011.01195.x.","journal-title":"Breast J"},{"key":"698_CR35","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1093\/jncimonographs\/lgq004","volume":"40","author":"BW Hesse","year":"2010","unstructured":"Hesse BW, Hanna C, Massett HA, Hesse N: Outside the box: Will information technology be a viable intervention to improve the quality of cancer care?. J Natl Can Inst Monogr. 2010, 40: 81-89.","journal-title":"J Natl Can Inst Monogr"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6947-13-76.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1472-6947-13-76\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6947-13-76","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6947-13-76.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T00:48:11Z","timestamp":1630543691000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/1472-6947-13-76"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,25]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["698"],"URL":"https:\/\/doi.org\/10.1186\/1472-6947-13-76","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,25]]},"assertion":[{"value":"8 February 2013","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 July 2013","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 July 2013","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"76"}}