Connecting Colorado

About the Study:

The purpose of this project is to develop a scale to be used by healthcare providers to identify cancer survivors who need additional support in addressing work after cancer.  

You may be able to participate in the study if:

• You are over 18 years old
• You are a cancer patient or survivor
• Are a resident of the United States
• Currently employed
• Can read and complete surveys written in English

Study participation involves:

• Completion of an online survey through Qualtrics
  • Survey consists of an informed consent page, demographic survey, as well as a 34-question survey section on work after cancer (approximately 10-15 min. total)
• Participants will be given the option to provide an email address to enter a raffle for a $100 Amazon electronic gift card

Contact us:

You can reach study staff by visiting https://tinyurl.com/cancerandwork or emailing Trisha.Raque-Bogdan@du.edu.

About the Study: 

The aim of this study is to help increase physical activity, improve quality of life, and examine factors that might contribute to maintaining physical activity after the study ends. Participants will be offered compensation for participation in this study.

You may be able to participate in the study if:

• You are 40 years old or older
• Have been diagnosed with colon and/or rectal cancer
• Have completed surgery, chemotherapy and/or radiation treatment 

Study participation involves:

• Attendance to study visits
  • Visits consist of physical activity and sleep monitoring, measures of fitness, body composition and quality of life
  • Require two blood draws
• Participants will be required to participate in group-based or personal training exercise sessions
  • These will take place at either Colorado State University or the Anschutz Medical campus
  • Occur twice per week for 12 weeks

Contact us:

If you are interested in participating in this study or you have questions, please contact study staff by calling (970) 491-4653 or emailing patplab@colostate.edu.

Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer.

Zimmaro, L. A., Carson, J. W., Olsen, M. K., Sanders, L. L., Keefe, F. J., & Porter, L. S. (2020). Psycho-Oncology, 29(2), 263-270.

This study investigated the relationships between mindfulness and cancer-related symptoms in women with a diagnosis of metastatic breast cancer. Sixty-four women completed surveys evaluating mindfulness, and cancer-related symptoms including pain severity and interference, fatigue, psychological distress, and sleep disturbance. Results showed relationships between higher levels of mindfulness and lower symptom levels across all cancer-related symptoms. Non-reactivity, non-judging, and describing, three of the five facets of mindfulness measured in this study, showed the most frequent associations with lower symptom levels.  Findings from this study support the possible use of certain facets of mindfulness in the management of cancer-related symptoms in metastatic breast cancer patients. 

Link to PubMed Abstract:  https://pubmed.ncbi.nlm.nih.gov/31509614/

 

The Impact of Social Constraints on Insomnia Among African‐American Breast Cancer Survivors: The Mediating Role of Fear of Recurrence

Martin, C. M., Greene, D., Harrell, J. P., Mwendwa, D. T., Williams, C. D., Horton, S., ... & Taylor, T. R. (2020). Psycho‐Oncology.

African American breast cancer survivors often experience sleep difficulties following diagnosis.  This study investigated the relationship between social constraints (receiving unsupportive or critical responses when sharing trauma-related emotions) and insomnia in this group. Sixty-four women completed questionnaires about insomnia, social constraints, and other related variables. Results showed that the more a survivor feels that their friends and family interfered with or were unsupportive of them expressing their cancer-related emotions, the greater their symptoms of insomnia.  Fear of recurrence was found to impact the relationship.

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/32458549/

 

Sexual health and rehabilitation after ovarian suppression treatment (SHARE-OS): a clinical intervention for young breast cancer survivors.

Bober, S. L., Fine, E., & Recklitis, C. J. (2020). Journal of Cancer Survivorship, 14(1), 26-30.

Sexual dysfunction is a common side-effect of ovarian suppression in young women with a previous breast cancer diagnosis. In this study tested a 4-hour group-based psychological intervention to help manage sexual dysfunction and related distress in young breast cancer survivors currently on ovarian suppression medication. Twenty women were included in the study. The intervention included sexual health rehabilitation, body awareness exercises, and mindfulness-based cognitive therapy skills.  Results showed significant improvements in sexual health and anxiety in women participating in the trial. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/31482477/

 

Cancer-related fatigue and its determinants in a cohort of women with breast cancer: the DAMA Cohort. 

Puigpinós-Riera, R., Serral, G., Sala, M., Bargalló, X., Quintana, M. J., Espinosa, M., ... & Vidal, E. (2020). Supportive Care in Cancer, 1-9.

Cancer-related fatigue is a common among cancer survivors and often takes a chronic course. This study investigated the impact of a diagnosis of breast cancer and other factors including body mass index, age, other health issues, social network, quality of life, and mental health disorders on the development of cancer-related fatigue. 2,235 women were interviewed about these factors. Results showed that 72% of the women reported experiencing cancer-related fatigue, and that women of lower social class, those under 50 years old, those with chronic health conditions who had relapsed, and those who suffered from anxiety or depression experienced more severe fatigue. Cancer-related fatigue is common among women diagnosed with breast cancer and should be address by cancer treatment care teams. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/32078059/

Associations between self‐reported physical activity, quality of life, and emotional well‐being in men with prostate cancer on active surveillance.

Papadopoulos, E., Alibhai, S. M., Doré, I., Matthew, A. G., Tomlinson, G. A., Nesbitt, M., ... & Santa Mina, D. (2020). Psycho‐Oncology.

This study looked at the relationship between self-reported physical activity and changes in quality of life and emotional well-being during active surveillance in 630 men with a diagnosis of low-risk prostate cancer. Participants were evaluated from the start of active surveillance until curative treatment began. Participants who were active or highly active, as compared to those who were inactive, reported a higher quality of life over time. Additionally, those in the highest activity group were most likely to report high emotional well-being compared to inactive participants. These results support physical activity as an important part of supportive care for men with low-risk prostate cancer diagnoses on active surveillance.  

Link to PubMed Article: https://pubmed.ncbi.nlm.nih.gov/32154965/

 

Outcomes of a text message, Fitbit, and coaching intervention on physical activity maintenance among cancer survivors: a randomized control pilot trial

Gell, N. M., Grover, K. W., Savard, L., & Dittus, K. (2020). Journal of Cancer Survivorship, 14(1), 80-88.

This randomized control pilot trial tested the effect of a remote support intervention on physical activity maintenance in cancer survivors who had recently completed a supervised exercise program.  Sixty-six participants were randomly assigned to receive either the full remote intervention (i.e., health coach, text messages, and Fitbit) or Fitbit alone. The intervention was 8-weeks in length. Participants in the intervention group maintained pre-intervention levels of physical activity through post-intervention.  Participants in the Fitbit only group showed decreases in physical activity levels from pre-intervention to post-intervention.  This study supports the use of a remote intervention, including health coach, text message and FitBit, for maintaining physical activity levels following completion of an in-person exercise program. The use of a wearable tracker alone, like FitBit, may not be enough to maintain healthy levels of physical activity.  

Link to PubMed Article: https://pubmed.ncbi.nlm.nih.gov/31776849/

 

Resistance exercise and breast cancer–related lymphedema—a systematic review update and meta-analysis. Supportive Care in Cancer

Hasenoehrl, T., Palma, S., Ramazanova, D., Kölbl, H., Dorner, T. E., Keilani, M., & Crevenna, R. (2020).Official Journal of the Multinational Association of Supportive Care in Cancer.

This systematic review of the literature included 29 studies investigating the impact of resistance exercise on breast cancer-related lymphedema. This review included both randomized controlled and uncontrolled intervention trials. Data from a group of these studies showed a decrease in lymphedema following resistance exercise. Evidence was also found to support improvement in muscle strength following resistance exercise interventions. This study also found that a small number of participants had negative effects from resistance exercise on their lymphedema; therefore, safety concerns should always be considered before starting resistance exercise for this cancer-related side-effect. 

Link to PubMed Article: https://pubmed.ncbi.nlm.nih.gov/32415386/

 

Changes in lifestyle among prostate cancer survivors: A nationwide population‐based study. Psycho‐Oncology.

Bergengren, O., Enblad, A. P., Garmo, H., Bratt, O., Holmberg, L., Johansson, E., & Bill‐Axelson, A. (2020).

Positive lifestyle changes (e.g., healthy diet and physical activity) and social support following a prostate cancer diagnosis decrease risk of cancer recurrence and noncancer mortality. This study investigated the prevalence of lifestyle changes among prostate cancer survivors, as well as the relationship between lifestyle changes and increased quality of life.  1288 men completed questionnaires about mental health, quality of life, lifestyle changes, satisfaction with cancer care, medical treatments, and health behaviors. Results showed that men who had more interest in social support and who exercised more reported a higher quality of life. Positive lifestyle changes and social support was found to impact quality of life. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/32779258/

Prospective Cohort Study of Pre-and Postdiagnosis Physical Activity and Endometrial Cancer Survival. 

Friedenreich, C. M., Cook, L. S., Wang, Q., Kokts-Porietis, R. L., McNeil, J., Ryder-Burbidge, C., & Courneya, K. S. (2020). Journal of Clinical Oncology, JCO-20.

Physical inactivity is associated with an increased risk for endometrial cancer. This study investigated the relationship between pre- and post-diagnosis physical activity and endometrial cancer survival. 425 women completed questionnaires about their physical activity habits prior to and following their diagnosis. Results showed higher rates of survival among women who engaged in recreational physical activity, especially following diagnosis. Highest rates of survival were among women who were highly physically active both prior to and following diagnosis. Physical activity prior to, but especially following diagnosis of endometrial cancer was found to impact survival rates. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/33026939/

Personal growth and caregiving

Individuals who provide care to patients with advanced cancer are at risk for negative health outcomes.  Caring for patients with advanced cancer involves encountering heavy physical, emotional and cognitive symptoms. This can lead caregivers to experience depression, anxiety, and other factors that impact the quality of life.  However, caregivers also report benefit from caregiving, researchers call this posttraumatic growth. Researchers recently conducted a survey of caregivers to patients with advanced cancer to determine factors that lead to personal growth in caregivers. One hundred caregivers completed questionnaires that assessed resilience, aspects of care, emotional distress, spirituality and posttraumatic growth.  The researchers found that caregivers who experienced posttraumatic growth were more likely to have a resilient coping style, connect with positive aspects of care, and have stronger spiritual beliefs. These findings support building resilience in cancer caregivers. Caregivers may benefit from connection to the positive aspects of caregiving, meaning-making and increased spiritual awareness. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/31823055/

 

Caregiving and Loneliness

Caregivers to patients with cancer tend to focus their attention on their loved ones. They are more likely to withdraw from their normal activities and disconnect from their previous support systems.  Social connection and interaction is important for well-being. A discrepancy between desired and achieved social relationships can result in loneliness, a challenging and unpleasant psychological state.  Moreover, loneliness is linked to increased morbidity, mortality, health risks and poor health behaviors like smoking. Researchers were interested in better understanding the prevalence of loneliness in the informal caregivers of patients with cancer. The study tracked levels of loneliness in cancer caregivers over the course of six months. A third of caregivers had consistently high levels of loneliness. This was highest in caregivers who were not married, not working,  and had worse mental health, higher perceived stress and higher caregiver burden. These findings support caregivers staying connected to work and relationships.  Attending online social support groups may also be beneficial for caregivers. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/32672866/

 

Family Caregivers Benefit from Aerobic Exercise

As the population ages, there is an increased need for informal caregivers. These roles are often filled by family members. Informal caregiving is associated with a number of health risks, including higher risk of developing cardiovascular disease and risk of early mortality. These caregivers also face psychological and emotional health risks. Recently, researchers designed the Fitness, Aging and Stress (FAST) program to improve the physical health of family caregivers. This consisted of participation in a 24-week aerobic exercise intervention.  After participating in the exercise program, family caregivers had better physical health compared to those who had not yet participated in the program. They also had lower caregiver burden and symptoms of depression. Although caregivers have limited time, finding space for exercise can have benefits beyond physical health.

Relationship between mental health status and fear of cancer recurrence in American cancer survivors 

It is common for cancer survivors to experience worry about their cancer returning. Researchers call this fear of cancer recurrence (FCR). FCR is defined as “fear, worry, or concern relating to the possibility that cancer will come back or progress.” It is considered an important and often unmet need among cancer survivors.  Researchers aimed to estimate the prevalence of FCR in a survey of over 1,000 U.S. cancer survivors. About 11% of respondents reported high FCR, and 54% reported low to moderate FCR.  They also identified demographic and psychological characteristics associated with FCR. FCR was associated with a lower health-related quality of life.  Participants who reported symptoms of depression or psychological distress were not more likely to report FCR. FCR seems to be different than depression or distress.  This study highlights the prevalence of FCR and needs to address this need in our growing population of cancer survivors. 

Link to PubMed Article: https://pubmed.ncbi.nlm.nih.gov/31510882/

 

Benefits of mindfulness in young adults with cancer

Receiving a cancer diagnosis as a young adult is disruptive to developmental milestones including career and educational aspirations, friendships, the formation of romantic relationships, family planning, finances and overall quality of life. As a result, this diagnosis can cause significant psychological distress.  Mindfulness-based stress reduction (MBSR) is a well-established mind-body approach for helping people to reduce distress and manage disease-related symptoms for individuals with medical conditions.  It has been helpful for other cancer patient populations in improving emotional distress, pain, sleep, and health-related quality of life.  Researchers conducted a study to determine if MBSR would be helpful for young adults with cancer. Participants completed weekly 2.5-hour MBSR classes for 8 weeks and participated in an intensive half-day workshop.  Barriers to participating in the study included distance to the study site, time constraints and scheduling issues. The participants who were able to participate in the MBSR classes found benefit and reported higher levels of self-kindness. Over the course of participating in MBSP, participants reported improvements in disease- and treatment-related symptoms, psychological distress and overall wellbeing. Thus, MBSR may be an important tool for young adults with cancer. Flexible interventions that fit with young adults’ schedules would likely be the best match for this population. 

Link to PubMed Article: https://pubmed.ncbi.nlm.nih.gov/32040222/

 

The COVID-19 pandemic may affect patients with head and neck cancer more than others

The onset of the COVID-19 pandemic significantly impacted how patients with cancer receive their care.  Many states entered lockdown and millions of Americans lost their jobs. A Chinese study found that patients with cancer were at higher risk of COVID-19 itself and for negative health outcomes from the disease. Patients living in rural areas, and those with head and neck cancer (HNC) are thought to be particularly at risk for these outcomes. Researchers believe that this is due to several reasons. First, patients with HNC require numerous clinic appointments to monitor symptoms that require careful examination. Postponing these appointments can negatively impact quality of care and quality of life.  Second, caregivers play an important role in supporting HNC patients. Maintaining physical distance may complicate caregiving responsibilities. Third there is increased mental health burden on both survivors and caregivers due to an abundance of misinformation about the pandemic. This can result in increased anxiety and risk for depression.  The authors recommend the increased use of telemedicine to meet the needs of HNC patients. Increased access to mental health supports for patients and caregivers is also recommended. 

Link to PubMed Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262054/

 

How common are suicidal thoughts in patients with cancer?

Suicide has become a public health concern in the United States, and particularly in Colorado. Additionally, patients with cancer. have a higher risk of suicide than the general public.  Furthermore, thoughts about suicide (such as “I want to die”) can increase suicidal behaviors. Researchers at the University of Colorado sought to better understand the relationship between thoughts about suicide and other patient factors. They reviewed scientific articles on suicide in patients with cancer from all over the world. The researchers found that up to 46% of patients with cancer have suicidal thoughts. However, the frequency of suicidal thoughts varied among the studies. Overall, suicidal thoughts were more common among patients with anxiety and depression. This research shows that it is critical for doctors to assess distress in cancer patients. 

Link to PubMed Article: https://pubmed.ncbi.nlm.nih.gov/31554521/

 

Can cancer patients’ thoughts of suicide be assessed by an online survey?

Having suicidal thoughts (such as “I’d be better off dead”) can be very common in cancer survivors. Doctors can help with these thoughts, but first they need to learn more about these thoughts including when their patients are having them.    Researchers explored if they could safely track cancer patients’ mental health using an online survey. Cancer patients receiving mental health services completed a survey that asked about their suicidal thoughts and behavior. Researchers put a safety ‘net’ into the survey to help identify and support individuals who may be at a higher risk for suicide. Over 75% of cancer survivors who signed up for the study completed the survey. About 10% of survivors activated the high-risk safety net, and all of them were called and checked-in on. The results of this research show that an online assessment is a safe way to determine suicidality in cancer patients.

 

Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer.

Zetzl, T., Renner, A., Pittig, A., Jentschke, E., Roch, C., & van Oorschot, B. (2020). Supportive Care in Cancer, 1-10.

Cancer-related fatigue and depression are common side-effects of cancer treatments, which can significantly impact quality of life. Mind-body interventions, such as yoga, have been shown to improve symptoms of fatigue and subsequent depression in breast cancer survivors, but less is known about their effects among survivors of other cancer types. The researchers on this study wanted to investigate whether an 8-week yoga intervention would be effective in improving fatigue, depression, and quality of life among survivors of breast, prostate, and gastrointestinal cancers. 173 cancer survivors participants in the study, consisting of 8 weekly 60-minute yoga sessions. Results showed that participants who attended 7 or 8 of the yoga sessions experienced the greatest improvements in fatigue, depression, and quality of life. Women with breast cancer appeared to receive the most benefit from the yoga session. Yoga appears to benefit cancer survivors in decreasing fatigue and depression, which improve their quality of life. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/33026490/

Financial Distress Among Older Adults With Cancer. 

Giri, S., Clark, D., Al-Obaidi, M., Varnado, W., Kumar, S., Paluri, R., ... & Williams, G. R. (2020). JCO Oncology Practice, OP-20.

Cancer treatment is very expensive and insurance may not always cover the full cost of those treatments. As a result, cancer treatment-related financial distress is common among individuals diagnosed with cancer and their families. This study investigated how common financial distress is among older adults, specifically, who may experience these difficulties at higher rates. 447 older adults were included in the study. Researchers collected information on participants’ financial distress, demographics, and medical factors. Results show that almost one third of older adults reported having financial distress related as a result of their cancer treatment expenses. Older adults who were disabled, unemployed, less education were are greater risk of financial distress. Older adults experiencing financial distress were more at greater risk of depression, poorer health, and lower quality fo life. Financial distress is common among older adults with cancer, disproportionately impacts those of lower socioeconomic status, and is related to poorer health. 

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/33125296/

 

Depression and suicidal ideation among patients with cancer in the United States: a population-based study. 

Abdel-Rahman, O. (2020). JCO oncology practice, JOP-19.

Many factors may put cancer patients may be at increased risk for suicidal behaviors. This study investigated the relationship between cancer diagnosis, depression, and suicidal ideation. The researchers used the National Health & Nutrition Examination Survey to compared data from 3,043 respondents with cancer to 29,675 respondents without cancer. Results showed that cancer survivors were not at greater risk of depression, but were at greater risk of suicidal ideation. Cancer diagnosis is associated with higher risk of suicide and should be part of assessment in cancer patients’ standard of care.

Link to PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/32069187/

Behavioral oncology research is different than biomedical research in many ways. It does not involve scans or giving blood samples. Instead it involves things like answering questions about your mood or behaviors or participating in psychotherapy or group meetings and answering questions about the process.

These studies involve answering questions about how you feel or what you are thinking. It may involve having discussions about the whole-person experience of having cancer or being a caregiver. Some research studies involve attending group or individual meetings with a study therapist or interventionist.

Clinical trials are typically created to test treatments. In these trials we want to see if the new trial is better than the standard treatment to see if it is safe for widespread use. 

An RCT is a commonly used type of research study to evaluate a new treatment. Participants are assigned to a treatment or treatment as usual group based on change (50-50). This makes sure assignment to groups is fair.

Often clinical trials are compared to treatment as usual or TAU. It is the standard method of care for patients. This could include things such as psychotherapy, medicine, etc.

While participating in behavioral oncology research you will provide information about your feelings and experiences. These data are protected by HIPAA privacy rules to keep your information confidential. This means that the researchers will not share your information with anyone that you do not want to. However, your name and identity will be separated from the information you provide in order for researchers to share findings from the study.  If you want to learn more about these instances you can visit the American Psychological Association’s page discussing psychotherapy confidentiality.

No, participating in a behavioral science research study does not impact your insurance. In fact, many behavioral science research studies pay you for your participation!

Psychotherapy is a form of treatment that is generally used  better your mental health and overall well-being. Psychotherapy is a common behavioral treatment for those living with cancer and many techniques prove to be effective with identifying emotional, behavior, and physical stressors that are part of the cancer experience. Psychotherapy helps you in this identification and teaches you how to replace or change these behaviors with more adaptive ones.

Local Resources

Find Local Support Programs

This page is a great place to start looking as a caregiver or as a patient. Easy to navigate, it allows you to search for programs in your general area that are easily accessible and will present you with free or low-cost groups and other support resources. Additionally, for finding transport to treatment, this page includes links to finding programs and explains how to schedule rides for your next treatment date. 

Colorado Cancer Coalition

This site holds listings for emotional support groups and allows you to add in your own listing if you would like to share additional groups with other patients and survivors. It gives you options to view all listings or search for keywords that are relevant to your needs.

Cancer Support Community

The Cancer Support Community works worldwide to find you support groups, activities, and workshops for learning how to cope with cancer whether you are currently in treatment, a survivor, or are affected by a loved one living with cancer. This site helps you find projects and groups based on your zip code so that you can stay local.

National Resources

Living with Cancer

This is Living with Cancer is a site for caregivers, loved ones, and patients looking to find specific support groups that pertain to certain cancers.  A filter at the top of the page allows you to choose a cancer area as well as a filter for different types of support, including additional resources and cancer group communities.

Cancer Care

Cancer Care’s site allows for a personalized search on counseling and support groups and includes additional online options if there aren’t any areas nearby or if you prefer to stay at home for counseling purposes. You can determine your results based on different types of cancers as either patients and survivors or as caregivers and loved ones

Imerman Angels

Imerman Angels is a cancer support community that allows you to look for more one-on-one support rather than large group support as it pairs you with a mentor that will provide you with personal support and related understanding. Additionally, if you are looking to help others in this way, you can apply to become a mentor.

American Cancer Society - COVID-19 Information 

This site discusses important information regarding Cancer and the current COVID-19 pandemic. Includes information on what the virus is, how it spreads, as well as other frequently asked questions regarding cancer patients.

American Institute for Cancer Research

The American Institute for Cancer Research’s website provides evidence-based resources regarding diet and physical activity for both cancer prevention and cancer survival.  This is a great website to better understand lifestyle topics in cancer. 

American Cancer Society - End of Life Information

This website discusses the end of life, with what to do when coping with end of life personally or a loved one, as well as information on possible care options through hospice. Includes information on the Family and Medical Leave Act for caretakers who need to alter job schedules or take leave in order to help care for loved ones with cancer.

American Cancer Society - Treatments and Side Effects

This page links to information about different cancer as well as related side effects. This includes information on how to manage side effects and how to prepare for treatment.

First Descents

First Descents is an organization working to better the lives of those dealing with cancer or other health conditions, ages 18-39, by providing free outdoor programs.

Sites and Insights

Sites and Insights is a group that helps cancer patients and survivors, as well as caregivers, use art as a form of expression. They offer no-cost art workshops, classes, and retreats that work to motivate and encourage those dealing with cancer either directly or indirectly.

Judi's House

Judi’s House, located in the Denver Metro area, provides grief-related services for children and their families.

To register for a remote session, please register at 720-848-4254

• Ask the Expert Series – 1st Monday of every month: 12 pm to 1 pm
• Brain Tumor Support Group – 1st Tuesday of every month: 5 pm to 7:30 pm
• Writing with Cancer Workshop – 1st and 3rd Wednesday of every month: 3 pm to 4:30 pm
• Young Adults Cancer Support Group – 2nd Tuesday of every month: 5 pm to 6 pm
• Prostate Cancer Support Group – 2nd Tuesday of every month: 6 pm to 7 pm
• Head and Neck Cancer Support Group – 2nd Wednesday of every month: 12 pm to 1 pm
• Wellness Education Series – 2nd Wednesday of every month: 12 pm to 1 pm
• Cancer Patient Support Group – 2nd and 4th Thursday of every month: 4 pm to 5 pm
• Caregiver Support Group – 2nd and 4th Thursday of every month: 4 pm to 5 pm
• Breast Cancer Support Group – 3rd Monday of every month: 3 pm to 4 pm
• Cancer Patient Support Group – 3rd Wednesday of every month: 4 pm to 5 pm
• Caregiver Support Group – 3rd Wednesday of every month: 4 pm to 5 pm
• Head and Neck Cancer Support Group – 3rd Thursday of every month: 10 am to 11 am

Register now for any of these support groups