. 2023 Jul 21;31(8):478. doi: 10.1007/s00520-023-07908-y

Table 1.

Description of the Ramsay Connect Cancer Survivorship Program (CSP), incorporating HealthierMe and MindStep

Component	Description and content	Providers
Nursing support and cancer care navigation In the hospital setting	Patients were provided with nursing support and cancer care navigation in the hospital setting. Towards the end of their treatment in the hospital setting, a risk and screening assessment survey was completed to identify any unmet needs of cancer survivors, and their potential eligibility for the HealthierMe component of the CSP (described below).	Nurses were responsible for supporting patients with treatment in the Ramsay hospital setting. Cancer Care Navigators were experienced cancer nurses who provided healthcare navigation support to patients in the hospital-setting and championed the CSP in their hospital. Both nurses and Cancer Care Navigators (whoever was available) had the responsibility of organising the risk and screening assessment surveys. These surveys were completed either by the cancer survivor alone, or together with a nurse or Cancer Care Navigator.
HealthierMe Telephone-delivered	HealthierMe was the core component of the CSP and was suitable for all cancer survivors who had a need for self-management support. HealthierMe consists of telephone-based health coaching, self-management support, and care coordination. The standard program was adapted for this cohort of cancer survivors to include core modules relating to managing general emotional wellbeing, as well as anxiety and depression; managing lifestyle factors including diet, sleep, smoking, and especially physical activity; health services navigation; management of treatment side effects and symptoms; management of medicines; and supporting family and social life.	HealthierMe is delivered by Health Coaches at Remedy Healthcare who are primarily qualified as nutritionists and have extensive experience in chronic condition self-management, using behavioural change and motivational interviewing techniques. Training is provided to Health Coaches by Health Change Australia. Health Coaches who were involved in this pilot received additional training to prepare them to work with a cohort of cancer survivors specifically. This included multiple training sessions covering specific cancer-related content and participating in a webinar on cancer survivorship run by the Peter MacCallum Institute.
MindStep Telephone-delivered	MindStep is a telephone-based low-intensity cognitive behavioural therapy program, which has been shown to help people who are experiencing depression and/or anxiety [23]. The MindStep program was offered to cancer survivors who were identified by their Health Coach as experiencing mild-to-moderate psychological distress (i.e. had a score of 3 or greater on one or both sub-scores of the Patient Health Questionnaire-4).	MindStep is delivered by MindStep Coaches at Remedy Healthcare, who are trained in a range of techniques such as behavioural activation, behavioural experiments, worry management, psychoeducation, goal setting, and problem solving (see Lawn et al. [24] for more details). In preparation for the CSP, MindStep coaches also viewed the webinar on cancer survivorship run by the Peter MacCallum Institute.

Component

Description and content

Providers

Nursing support and cancer care navigation

In the hospital setting

Patients were provided with nursing support and cancer care navigation in the hospital setting. Towards the end of their treatment in the hospital setting, a risk and screening assessment survey was completed to identify any unmet needs of cancer survivors, and their potential eligibility for the HealthierMe component of the CSP (described below).

Nurses were responsible for supporting patients with treatment in the Ramsay hospital setting. Cancer Care Navigators were experienced cancer nurses who provided healthcare navigation support to patients in the hospital-setting and championed the CSP in their hospital. Both nurses and Cancer Care Navigators (whoever was available) had the responsibility of organising the risk and screening assessment surveys. These surveys were completed either by the cancer survivor alone, or together with a nurse or Cancer Care Navigator.

HealthierMe

Telephone-delivered

HealthierMe was the core component of the CSP and was suitable for all cancer survivors who had a need for self-management support. HealthierMe consists of telephone-based health coaching, self-management support, and care coordination. The standard program was adapted for this cohort of cancer survivors to include core modules relating to managing general emotional wellbeing, as well as anxiety and depression; managing lifestyle factors including diet, sleep, smoking, and especially physical activity; health services navigation; management of treatment side effects and symptoms; management of medicines; and supporting family and social life.

HealthierMe is delivered by Health Coaches at Remedy Healthcare who are primarily qualified as nutritionists and have extensive experience in chronic condition self-management, using behavioural change and motivational interviewing techniques. Training is provided to Health Coaches by Health Change Australia. Health Coaches who were involved in this pilot received additional training to prepare them to work with a cohort of cancer survivors specifically. This included multiple training sessions covering specific cancer-related content and participating in a webinar on cancer survivorship run by the Peter MacCallum Institute.

MindStep

Telephone-delivered

MindStep is a telephone-based low-intensity cognitive behavioural therapy program, which has been shown to help people who are experiencing depression and/or anxiety [23]. The MindStep program was offered to cancer survivors who were identified by their Health Coach as experiencing mild-to-moderate psychological distress (i.e. had a score of 3 or greater on one or both sub-scores of the Patient Health Questionnaire-4).

MindStep is delivered by MindStep Coaches at Remedy Healthcare, who are trained in a range of techniques such as behavioural activation, behavioural experiments, worry management, psychoeducation, goal setting, and problem solving (see Lawn et al. [24] for more details). In preparation for the CSP, MindStep coaches also viewed the webinar on cancer survivorship run by the Peter MacCallum Institute.