Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention.

Small single-group pilot with no randomisation, no control group, and no power calculation, so changes cannot be attributed to the intervention. 41 survivors consented and enrolled, but only 30 completed the study with evaluable data; attrition was 26.8%. The sample was primarily Caucasian, retired, highly educated, high income, and mostly stage I or II disease, so results may not apply to other groups. Baseline depression and anxiety were low and self-efficacy was high, leaving little room for improvement. The intervention included a personalized treatment summary/care plan, nurse-led review, self-management coaching, and usual post-treatment care, so the contribution of any single component cannot be separated. The satisfaction survey was self-administered and did not allow probing or clarification. Plan preparation time may not generalise because information was documented in separate electronic locations.

Do not read the significant pre-post changes as proof that the survivorship care plan improves depression, anxiety, self-efficacy, or quality of life. The primary aim was feasibility and acceptability, there was no control group, and the comparisons were exploratory.