Johns Hopkins Work Stride

Cancer Prevention, Navigation and Support

While 42% of new cancer cases can be prevented through early detection, for 1 in 2 men and 1 in 3 women, life-threatening cancer is in the future.  Many of us will be working at the time of diagnosis, all hoping for a cure and that our lives will be as normal as possible as we go through treatment and strive for that cure.

About Work Stride

Work Stride provides information and nurse navigator support to help employees, dependents, caregivers and managers understand and navigate the cancer journey. This approach keeps everyone who has access informed, engaged and feeling supported.

The Johns Hopkins Advantage

For 130 years, Johns Hopkins Hospital has led the way in both biomedical discovery and health care, establishing the standard by which others follow and build upon. This is one of many faculty-developed programs, protocols and services provided by Johns Hopkins HealthCare Solutions to improve health outcomes and reduce the cost of care. Our faculty experts developed this program for maximum impact, based on years of research and clinical success.


U.S. Cancer Facts 2018

Cancer will likely touch all of us at some point in our lives, and we will have to deal with its physical, emotional, financial and spiritual effects.

  • For 1 in 3 men, and 1 in 3 women life-threatening cancer is in the future.
  • 1.7 million new cancer cases
    • 42% of these CAN BE PREVENTED!
  • 15.5 million cancer survivors
    • 53% of them are under age 70
  • 870,970 — number of males newly diagnosed
  • 891,480 — number of females newly diagnosed

Many cancers can be prevented through behavior change.

  • 18% — newly diagnosed cancers related to obesity, lack of exercise, excess alcohol use, or poor nutrition
  • 30% — cancer deaths related to cigarette smoking
  • 27% — drop in rate of cancer-related deaths (from 1991) due to early detection, early treatment, and smoking cessation

Cancer Risk Factors

A risk factor is anything that may increase a person’s chance of developing a disease. It may be smoking, asbestos exposure, diet, family history, or many other things. Different diseases, including cancers, have different risk factors.

Knowing your risk factors for any disease can help guide you into the appropriate actions, including changing behaviors and being clinically monitored for the disease.


The Johns Hopkins Advantage

Our faculty experts originally developed Work Stride as a way to help our own employees navigate their cancer journey.

Lillie D. Shockney, R.N., B.S., M.A.S., has worked at Johns Hopkins since 1983. She is the Johns Hopkins University Distinguished Service Professor of Breast Cancer and, since 1997, has been the administrative director of the Johns Hopkins Breast Center. She also serves as the director of Cancer Survivorship Programs, at the Sidney Kimmel Cancer Center, at Johns Hopkins, and is a professor of Surgery and Oncology, in the Johns Hopkins University School of Medicine.

A two-time breast cancer survivor, Lillie has worked tirelessly to improve the care of breast cancer patients around the world. The author of 15 books and more than 250 articles on cancer care and a nationally recognized speaker on the subject of cancer and cancer survivorship, Lillie is the breast cancer consultant for ABC News and Good Morning America, and she is consulted regularly by NBC’s Today Show and CNN.


Terry Langbaum, M.A.S., worked at Johns Hopkins for more than 40 years. From 2001 to 2017, Terry served as the chief administrative officer of the Johns Hopkins Sidney Kimmel Comprehensive Cancer Center. During this time, she worked with Lillie Shockney on cancer survivorship initiatives, and together they developed Work Stride to help Johns Hopkins employees who had been diagnosed with cancer, using her own experience as a cancer patient to support and guide others. The Work Stride program has been recognized as a best practice for cancer care by external organizations, including the Maryland Comprehensive Cancer Control Program. By 2016, Terry and Lillie had developed the program for use by companies outside of Johns Hopkins. Today, Work Stride is being offered as an employee benefit by corporations across the country. After a valiant battle with cancer, Terry Langbaum passed away in 2019. Her legacy lives on in the many lives she touched over her life and career, and within the Work Stride program.