Extended Cancer Education for Longer-Term Survivors in Primary Care for Patients With Stage I-II Breast or Prostate Cancer or Stage I-III Colorectal Cancer

PRIMARY OBJECTIVES:

I. Develop the EXCELS intervention to facilitate engaged self-management of cancer follow-up
for cancer survivors.

II. Evaluate the efficacy of EXCELS intervention in a small randomized controlled trial.

III. Assess/refine intervention usability and acceptability for primary care patients.

OUTLINE:

PHASE I: EXCELS intervention is developed and assessed.

PHASE II: Participants are randomized into 1 of 4 arms.

ARM I: Participants receive National Cancer Institute's Facing Forward brochure.

ARM II: Participants have untimed access to the EXCELS mobile web application.

ARM III: Participants also receive 4 calls of 15-20 minutes each over 3 months focusing on
assisting survivors with addressing challenges to receiving preventive service and health
care.

ARM IV: Participants have access to EXCELS website as in Arm II. Participants also receive 4
health coaching calls as in Arm III.

Patients are followed up at 6 months, 12 months and 18 months post randomization.

Inclusion Criteria:

- Have been diagnosed with localized breast or prostate (stages 1-2) or colorectal
cancer (stage 1-3)

- Have completed active treatment for their cancer diagnosis (excluding hormonal
therapy)

- Have access to a phone for contact with health coach

- Be able to communicate in English; and be competent to consent

- Usability Testing and the randomized control trial (RCT): have access to a computer, a
smartphone or an i-Pad/tablet equivalent with internet access

Exclusion Criteria:

- Patients who are required because of their disease to see primarily oncologists for
follow-up will be excluded (i.e., those diagnosed with lymph node or distant
metastasis, those with a new primary cancer)