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Purpose: We aim to evaluate the relationship between psychological distress and engagement in mindfulness among a national representative sample of cancer survivors., Sample and Design: Using the 2017 National Health Interview Survey, our final analytical sample included 3068 participants who reported having been diagnosed with cancer., Methods and Analysis: We used logistic regression analysis to assess the association and to test age as a moderator. We also conducted follow-up analysis using Fisher's r -to- z transformation. All analyses were adjusted for complex sample weights., Findings: Cancer survivors who had subclinical and clinical psychological distress were more likely to engage in mindfulness, OR = 1.59, 95% CI [1.24, 2.02] and OR = 1.45, 95% CI [1.02, 2.05], respectively. Age significantly moderated such association with the relationship much stronger among those who are younger (younger than 65 years old) than those who are older (65 years or older), b  = 0.97, 95% CI [0.95, 0.99]., Conclusions: The relationship between psychological distress and engagement in mindfulness differs significantly by a survivor's age. Psychosocial oncological providers need to account for a survivor's age when delivering mindfulness based care to address psychological distress., Implications: Providers should be mindful of a survivor's age when recommending mindfulness oriented practices.

Purpose: To understand the perceptions of patients with cancer regarding the role and purpose of a survivorship care plan (SCP) to inform content and delivery opportunities., Participants & Setting: A mixed-methods evaluation was conducted among patients at a survivorship clinic for high-risk survivors of sarcomas in an academic medical center., Methodologic Approach: An electronic survey was administered, followed by qualitative telephone interviews., Findings: 51 surveys were delivered, and 23 surveys were completed. Eight telephone interviews were completed. Content analysis revealed that participants value the SCP as a health management tool to address information needs and reduce fear of recurrence. Few participants shared their SCP with other healthcare providers., Implications for Nursing: Patients use their SCP as a health management tool to understand the details of their cancer history and treatment and to manage their health concerns. Nurses who care for patients with cancer are well positioned to use the SCP as a patient education tool.