Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting

Joanne S. Buzaglo, Suzanne M. Miller, Jeffery Kendall, Annette L. Stanton, Kuang Yi Wen, John Scarpato, Fang Zhu, Jennifer Lyle, Julia Rowland

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Introduction: The NCI developed the print-based educational brochure, Facing Forward, to fill a gap in helping cancer patients meet the challenges of transitioning from active treatment to survivorship; however, little research has been conducted on its efficacy. Purpose: The aims of this study were to evaluate the efficacy of Facing Forward in promoting the uptake of recommended behaviors (e. g., ways to manage physical changes) and to explore its usability. Methods: At the last treatment appointment, early-stage breast, prostate, colorectal, and thoracic cancer patients (N = 340) recruited from community clinical oncology practices and an academic medical center completed a baseline assessment and were randomized to receive either Facing Forward (n = 175) or an attention control booklet about the NCI's Cancer Information Service (n = 165). Patients completed follow-up assessments at 8 weeks and 6 months post-baseline. Results: The reported uptake of recommended stress management behaviors was greater among intervention than control participants at both 8 weeks post-baseline (p = 0. 016) and 6 months post-baseline (p = 0. 017). At 8 weeks post-baseline, the intervention control group difference was greater among African-American than Caucasian participants (p < 0.03) and significant only among the former (p < 0.003); attendance at a cancer support group was also greater among the intervention than control group participants (p < 0.02). There were no significant intervention control group differences in the reported uptake of recommended behaviors in three other categories (p > 0.025). Intervention participants rated Facing Forward as understandable and helpful and indicated a high level of intention to try the behaviors recommended. Conclusions: Facing Forward can enhance early-stage survivors' reported ability to manage stress and increase support group use during the reentry period. Implications for Cancer Survivors: Facing Forward can help survivors meet the challenges of the reentry period.

Original languageEnglish (US)
Pages (from-to)63-73
Number of pages11
JournalJournal of Cancer Survivorship
Issue number1
StatePublished - Mar 2013


  • Cancer control
  • Facing Forward
  • Psychosocial interventions
  • Survivorship

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)


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