Adaptation of the Chronic Disease Self-Management Program for Cancer Survivors: Feasibility, Acceptability, and Lessons for Implementation

B. Risendal, A. Dwyer, R. Seidel, K. Lorig, C. Katzenmeyer, L. Coombs, Y. Kellar-Guenther, L. Warren, A. Franco, M. Ory

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Self-management in chronic disease has been shown to improve patient-reported and health care-related outcomes. However, relatively little information about its utility in cancer survivorship is known. We evaluated the feasibility and acceptability of the delivery of an adaptation of the evidence-based Chronic Disease Self-management Program (Stanford) called Cancer Thriving and Surviving (CTS). Triangulated mixed methods were used to capture baseline characteristics and post-program experiences using a combination of closed- and open-ended survey items; emergent coding and simple descriptive statistics were used to summarize the data. Twenty-seven workshops were delivered by 22 CTS leaders to 244 participants between August 2011 and January 2013 in a variety of settings (48 % community, 30 % health care, 22 % regional/community cancer center). Representing a variety of cancer types, about half the participants were 1–3 years post-diagnosis and 45 % were 4 or more years from diagnosis. Program attendance was high with 84 % of participants attending four or more of the six sessions in the workshop. Overall, 95 % of the participants were satisfied with the program content and leaders, and would recommend the program to friends and family. These results confirm the feasibility and acceptability of delivery of a high-fidelity, peer-led model for self-management support for cancer survivors. Expansion of the CTS represents a powerful tool toward improving health-related outcomes in this at-risk population.

Original languageEnglish (US)
Pages (from-to)762-771
Number of pages10
JournalJournal of Cancer Education
Issue number4
StatePublished - Dec 2014


  • Cancer survivorship
  • Chronic illness care
  • Community-based intervention
  • Long-term cancer survivors
  • Self-management

ASJC Scopus subject areas

  • Oncology
  • Public Health, Environmental and Occupational Health


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