Shared Healthcare Actions and Reflections Electronic Systems in Survivorship

Nationally, there is a recognized gap in implementing guideline-concordant cancer survivorship care planning (SCP). Initial SCP guideline implementation efforts focused on document/information delivery and demonstrated limited efficacy for improving patient health outcomes. The proposed SHARE-S Implementation Program builds upon successful SCP studies based on the Chronic Care Model and aims to enhance SCP implementation, leveraging technology. SHARE-S will enhance SCP with self-management coaching and text/coaching support for adherence to the SCP guidelines that require self-management. We will conduct a single-arm pragmatic pilot study of SHARE-S implemented in clinical care (n=40). We will test the study protocols, implementation program, and complete mixed-methods data collection to guide future study planning. The primary goal of this study is to assess how successfully SHARE-S can be implemented in a clinical setting that already consistently provides survivorship care planning documents to improve guideline concordant survivorship care. We will also collect data on the feasibility of assessing the impact of SHARE-S on service outcomes and patient outcomes. The primary goal of the future larger study will be to assess SHARE-S in multiple clinical settings to improve implementation of guideline concordant survivorship care and thus patient health outcomes. SHARE-S is a novel approach to supporting patient self-management that is integrated with clinical care and may generalize to improving care for other chronic illnesses such as cardiovascular disease.