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| Name | Class |
|---|---|
| Dokter Drenthe | UNKNOWN |
| University Medical Center Groningen | OTHER |
| Kloosterveen, Assen | UNKNOWN |
| Gezondheidscentrum Assen-Oost, Assen |
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The goal of this observational study is to learn about how cancer survivors experience a relatively new 12-month interdisciplinary aftercare program called the Transdiagnostic Oncologic Program (TOP). TOP is an innovative program offered as part of routine family-doctor care among several practices in the province Drenthe, the Netherlands. It is coordinated by the family doctor and caried out by an interdisciplinary team, consisting of the family doctor, a physiotherapist, nutritionist, and optionally a psychologist. The main questions this study aims to answer are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cancer survivors taking part in the program | Eligble cancer survivors who agreed to take part in TOP and in the study. |
| |
| Cancer survivors serving as controls | Eligble cancer survivors who declined to take part in TOP, but agreed to take part in the study. They serve as a convenience control group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transdiagnostic Oncologic Program | Behavioral | The "Transdiagnostic Oncology Program" (TOP) is a 12-month interdisciplinary aftercare program aimed at improving cancer survivors' quality of life by addressing common clinical issues. In the first three months, participants attended two weekly 1-hour exercise sessions led by physiotherapists. Once a week, this was followed by 1-hour mind-body therapy for stress reduction. A dietitian provided an initial group session on nutrition and advised at least two personal consultations. Between months 3-6, exercise was reduced to once weekly, with encouragement to continue independent exercise and relaxation. A second informational session on stress and sleep hygiene was given. After six months, participants continued independently, meeting the family doctor quarterly to evaluate progress. For the participants who experienced some psychological problems, sessions with a psychologist at an institute specialized for psycho-oncology, were available. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility and satisfaction. | Feasibility of the intervention was assessed through attrition and attendance rates and through several questions on an evaluation form at post-intervention (T2), including adverse effects. Serious adverse events were also inquired by the GP. Satisfaction with the intervention was assessed with the same evaluation form at T2. | From baseline to the end of the program, after 1 year. |
| Change in quality of life | Quality of life (QoL) was measured with the validated European Organization for Research and Treatment of Cancer 30-item Quality of Life Questionnaire (EORTC QLQ-C30). From this, global health status, an overall indicator of quality of life, as well as five functioning scales (physical, emotional, cognitive, social and role) and three symptom scales (fatigue, nausea and vomiting, and pain) were used. | From baseline to the end of the program, after 1 year. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in fatigue | Fatigue was comprehensively assessed by the validated Dutch version of the Multidimensional Fatigue inventory (MFI); the MFI-20. | From baseline to the end of the program, after 1 year. |
| Change in mental symptoms |
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Eligibility criteria for the program and for the study were the same, with the exception that participants were willing to sign informed consent to participate in the study.
Inclusion criteria:
Exclusion criteria:
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Participants were recruited through an e-referral program called "Zorgdomein", local papers and flyers in the waitingroom of eleven primary care clinics in Drenthe, the Netherlands. In addition, two of them (Kloosterveen and Gezondheidscentrum Assen-Oost, Assen, the Netherlands) screened their caseload for potentially eligible participants by using the International Classification of Primary Care (ICPC) code for oncology. Sixty potential participants were approached by the family doctor. The participants who were eligible and interested were called the 'intervention group' (n=19) and allocated to one of the two training locations based on where they lived. The others (n=35), who indicated no interest, were asked to serve as part of a convenience control group, called 'control group'. Sixteen of them agreed to do so. All participants agreed to participate and signed an informed consent form before starting the study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gezondheidscentrum Assen-Oost | Assen | Drenthe | Netherlands | |||
| Kloosterveen |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41214573 | Derived | Booij SH, Pieper A, Wester CD, Bultmann U, Waarsenburg EC, Hoenders HJR. The Transdiagnostic Oncology Program (TOP): a multidomain lifestyle intervention to improve the quality of life of cancer survivors - a before-and-after pilot study in primary care. BMC Cancer. 2025 Nov 10;25(1):1745. doi: 10.1186/s12885-025-15063-2. |
| Label | URL |
|---|---|
| Information page about TOP for clients from primary care practices in Drenthe | View source |
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The informed consent form did not include permission for sharing data with third parties. Therefore, we are legally not allowed to do so as long as the data remains pseudonymized."
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| UNKNOWN |
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Mental symptoms were assessed with the 21-item Depression, Anxiety and Stress Scale (DASS-21), which is a reliable and validated questionnaire.
| From baseline to the end of the program, after 1 year. |
| Change in happiness | Happiness, a specific aspect of quality of life, was measured with the happiness index (HI). | From baseline to the end of the program, after 1 year. |
| Change in work ability | Work ability was assessed by a validated single-item question from the work ability index (WAI). | From baseline to the end of the program, after 1 year. |
| Change in work accommodations after work resumption | Work accommodations after work resumption was assessed with six contextual items. Participants who resumed work at one of the assessments (T0, T1, T2) were asked to specify any work accommodations. | From baseline to the end of the program, after 1 year. |
| Assen |
| Drenthe |
| Netherlands |