Abstract
BACKGROUND: Although cancer diagnosis and treatment frequently cause distress, many survivors report personal growth, change, and transformation. To better understand these dynamics, we used a qualitative approach to study twenty-seven heterogeneous cancer survivors who participated in physically and emotionally challenging journeys through the Above and Beyond Cancer organization. Groups traveled to Kathmandu (Nepal), Mt. Kilimanjaro (Tanzania), and Mt. Kailash (China), and volunteered at nearby cancer hospitals. METHODS: Survivors completed short essays and surveys pre-departure, 3 weeks, and 3 months post-trip. Qualitative responses were categorized into themes by 4 independent reviewers following consensus, and quantitative measures assessed sociodemographic characteristics and mood. RESULTS: Qualitative findings highlighted the role of new experiences and social support in enabling participants to develop new meaning, growth, and a new sense of their capabilities. Quantitative measures showed that anxiety of participants decreased over time. CONCLUSIONS: This study points to lifestyle undertakings that can support personal growth in cancer survivors.