Improving cancer care for underserved populations in an academic and community practice setting: protocol for a community health worker pilot navigation programme.
Improving cancer care for underserved populations in an academic and community practice setting: protocol for a community health worker pilot navigation programme.
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DOI：
10.1136/bmjopen-2022-067270
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发表时间：
2022-12-01
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
确诊后推迟癌症治疗会影响健康结果，包括增加患者的痛苦和死亡几率。促进及时保健参与的干预措施可能会减少患者报告的压力，提高生活质量。社区卫生工作者(CHW)是减少初次肿瘤治疗就诊延误的有利资源。作为默克基金会正在进行的计划评估的一部分，我们将实施一项试点导航计划，其中包括由CHW为支持患者及其照顾者进行的需求评估。我们的目标是调查(1)该计划对患者从首次诊断到首次就诊之间的医疗利用的影响，以及(2)该计划实施的逻辑可行性和可接受性。我们将采用混合实施设计，在约翰霍普金斯大学西德尼·基梅尔综合癌症中心引入CHW导航计划。CHW团队成员将使用连续抽样方法。参与者将完成问题清单、慢性病苦恼问卷和生活领域满意度问卷。CHWS将通过分享约翰·霍普金斯大学电子资源数据库上的信息，提供量身定制的指导。调查人员将通过在干预后3个月和6个 月审查电子医疗记录来评估患者到最初肿瘤治疗和医疗保健利用的时间。将完成双变量分析，以评估接受方案和所有成果衡量标准之间的关系。这项研究的方案得到了约翰霍普金斯医学院机构审查委员会的批准(IRB00160610)。CHW导航员将通过电话获得知情同意。通过调查员小组成员和两个社区咨询小组的公众成员之间的定期会议，传播规划正在进行。研究计划包括与约翰·霍普金斯临床和翻译研究所和约翰·霍普金斯健康公平中心的其他专家合作，构思传播战略。
Delaying cancer treatment following diagnosis impacts health outcomes, including increasing patient distress and odds of mortality. Interventions to promote timely healthcare engagement may decrease patient-reported stress and improve quality of life. Community health workers (CHWs) represent an enabling resource for reducing delays in attending initial oncology treatment visits. As part of an ongoing programme evaluation coordinated by the Merck Foundation, we will implement a pilot navigation programme comprising CHW-conducted needs assessments for supporting patients and their caregivers. We aim to investigate (1) the programme’s influence on patients’ healthcare utilisation within the period between their first diagnosis and initial treatment visit and (2) the logistic feasibility and acceptability of programme implementation. We will employ a hybrid implementation design to introduce the CHW navigation programme at the Johns Hopkins Sidney Kimmel Comprehensive Cancer Center. CHW team members will use a consecutive sampling approach. Participants will complete the Problem-Checklist, Chronic Illness Distress Scale and the Satisfaction with Life Domains instruments. CHWs will provide tailored guidance by sharing information available on the Johns Hopkins Electronic Resource databases. The investigators will evaluate patients’ time to initial oncology treatment and healthcare utilisation by reviewing electronic medical records at 3 and 6 months postintervention. Bivariate analyses will be completed to evaluate the relationships between receiving the programme and all outcome measures. This study’s protocol was approved by the Johns Hopkins School of Medicine’s institutional review board (IRB00160610). Informed consent will be obtained by phone by the CHW navigator. Dissemination planning is ongoing through regular meetings between members of the investigator team and public members of two community advisory groups. Study plans include collaborating with other experts from the Johns Hopkins Institute for Clinical and Translational Research and the Johns Hopkins Center for Health Equity for ideating dissemination strategies.
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DOI：
10.3322/caac.21452
发表时间：
2018-05
期刊：
CA: a cancer journal for clinicians
影响因子：
--
作者：
Doubeni CA;Gabler NB;Wheeler CM;McCarthy AM;Castle PE;Halm EA;Schnall MD;Skinner CS;Tosteson ANA;Weaver DL;Vachani A;Mehta SJ;Rendle KA;Fedewa SA;Corley DA;Armstrong K
通讯作者：
Armstrong K
影响因子：
13.8
作者：
Cone EB;Marchese M;Paciotti M;Nguyen DD;Nabi J;Cole AP;Molina G;Molina RL;Minami CA;Mucci LA;Kibel AS;Trinh QD
通讯作者：
Trinh QD
影响因子：
2.6
作者：
Hwang, Soohyun;Birken, Sarah A.;Smith, Justin D.
通讯作者：
Smith, Justin D.
影响因子：
3.8
作者：
ENG, E;SMITH, J
通讯作者：
SMITH, J
影响因子：
12.7
作者：
Han, Hae-Ra;Song, Youngshin;Roter, Debra
通讯作者：
Roter, Debra