Advancing Patient-Centered Cancer Survivorship Care: Evaluation of a Dissemination Project.
Advancing Patient-Centered Cancer Survivorship Care: Evaluation of a Dissemination Project.
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推进以患者为中心的癌症生存护理：传播项目评估。
DOI：
10.1007/s13187-022-02138-y
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Pratt-Chapman,MandiL
中科院分区：
文献类型：
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作者：
Shirima,Sylvia;Brazinskaite,Ruta;Killackey,Maureen;Sieloff,BethI;Cisneros,Cindy;Pratt-Chapman,MandiL
初级保健提供者和肿瘤学家之间的护理协调仍然是癌症生存护理的一个挑战。推进以患者为中心的癌症生存护理工具包（“工具包”）的开发是为了为综合癌症控制（CCC）利益相关者提供一个“盒子中的研讨会”，以推进其所在地区以患者为中心的癌症生存护理。工具包通过电子学习模块、既定网页、在线论坛和社交媒体传播。使用RE-AIM框架评估了工具包的传播情况。为了取得成效，对电子学习模块和讲习班参与者进行了调查，以评估对学习目标的信心的变化。工具包网页的浏览次数超过10 000次。电子学习模块参与者（n= 212）报告了前测试（M= 3.42，SD = 0.85）和后测试（M= 4.18，SD = 0.60）的自信平均得分之间的统计学显著改善（p< 0.001），以描述患者报告的癌症生存护理优先级。在虚拟研讨会的学员（n= 121），28名参与者完成配对前和研讨会后的调查。在回答匹配的患者中，从研讨会前到研讨会后，患者对癌症生存护理的需求的自我报告知识有统计学显著改善（M= 2.5，SD = 1.0，vs.M= 3.3，SD = 1.0;p= 0.001）;描述以患者为中心的癌症生存护理的关键组成部分的信心（M= 3.1，SD = 1.2，vs.M= 4.2，SD = 0.5;p< 0.001）;以及描述癌症生存护理患者优先级的置信度（M= 3.0，SD = 1.1，vs.M= 4.1，SD = 0.6;p< 0.001）。以各种形式提供技术援助资源可以成功地建立医疗保健提供者和综合癌症联盟利益相关者的能力，使他们更有准备地提供以患者为中心的协调癌症生存护理。
Care coordination among primary care providers and oncologists continues to be a challenge in cancer survivorship care. The Advancing Patient-Centered Cancer Survivorship Care Toolkit (“Toolkit”) was developed to provide a “workshop in a box” for comprehensive cancer control (CCC) stakeholders to advance patient-centered cancer survivorship care in their region. The Toolkit was disseminated through an e-learning module, established webpages, an online forum, and social media. Toolkit dissemination was evaluated using the RE-AIM framework. For effectiveness, e-learning module and workshop participants were surveyed to assess changes in confidence in learning objectives. The Toolkit Web page received over 10,000 impressions. E-learning module participants (n= 212) reported statistically significant improvement (p< 0.001) between the pre- (M= 3.42, SD = 0.85) and post-test (M= 4.18, SD = 0.60) mean scores on self-confidence to describe patient-reported priorities for cancer survivorship care. Among virtual workshop trainees (n= 121), 28 participants completed paired pre- and post-workshop surveys. Among those with matched responses, there were statistically significant improvements from pre- to post-workshop self-reported knowledge on what patients want in cancer survivorship care (M= 2.5, SD = 1.0, vs.M= 3.3, SD = 1.0;p= 0.001); confidence in describing critical components of patient-centered cancer survivorship care (M= 3.1, SD = 1.2, vs.M= 4.2, SD = 0.5;p< 0.001); and confidence in describing patient priorities for cancer survivorship care (M= 3.0, SD = 1.1, vs.M= 4.1, SD = 0.6;p< 0.001). Provision of technical assistance resources in a variety of formats can successfully build capacity of healthcare providers and comprehensive cancer coalition stakeholders to feel more prepared to deliver patient-centered, coordinated cancer survivorship care.