SBIR PHASE I TOPIC 406: MHEALTH TO UTILIZE CANCER SURVIVORSHIP NAVIGATION FOR BENEFIT (HUB)

SBIR 第一阶段主题 406：利用癌症幸存者导航获取利益的健康（中心）

• 批准号: 10275866
• 负责人: MAYA SAID
• 金额: $ 39.97万
• 依托单位: OUTCOMES4ME INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-16 至 2021-06-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10275866
• 关键词: Address; Architecture; Cancer Patient; Cancer Survivor; Cancer Survivorship; Caring; Chronic; Cognitive; Communication; Continuity of Patient Care; Education; Goals; Inferior; Infrastructure; Intervention; Malignant Neoplasms; Outcome; Patients; Phase; Practice Guidelines; Provider; Recurrence; Resources; Rural Community; Small Business Innovation Research Grant; Survivors; System; Time; Treatment/Psychosocial Effects; cancer care; cancer therapy; cancer type; care coordination; cyber security; disparity reduction; follow-up; improved; interoperability; patient privacy; survivorship; usability

For over a decade, best practice guidelines have recommended that cancer survivors receive survivorship care, which includes surveillance for recurrence or new malignancies and for chronic physical or psychosocial effects from cancer and its treatment. While survivorship care may exist in academic centers, an implementation gap remains to provide this care seamlessly to survivors regardless of cancer type and providers. Patient navigators can address this gap. However, the absence of integrated approaches to reduce the cognitive and time burden of navigation-related tasks has significantly strained the capacity of these resources, who traditionally have not been focused on survivorship. Our goal is to develop and evaluate a patient navigation platform focusing on facilitating navigation tasks in the later stages of the cancer care continuum, creating an integrated survivorship care plan and enabling communication, care coordination and education. Special emphasis is put on integration into existing workflows and IT infrastructure. The proposed approach is particularly adapted, given its mobile infrastructure, to address the needs of survivors in both urban and rural communities including those where access to cancer treatment and follow-up may be challenging, leading to inferior outcomes. The proposed intervention has therefore the potential to improve survivorship care and reduce disparities.

十多年来，最佳实践指南建议癌症幸存者接受幸存者护理，包括监测复发或新发恶性肿瘤以及癌症及其治疗造成的慢性身体或心理影响。虽然学术中心可能存在幸存者护理，但无论癌症类型和提供者如何，为幸存者无缝提供这种护理的实施差距仍然存在。有耐心的导航员可以解决这个问题。然而，由于缺乏减少与导航相关任务的认知和时间负担的综合方法，这些资源的能力严重紧张，这些资源传统上并不关注幸存者。我们的目标是开发和评估一个患者导航平台，重点是促进癌症护理连续体后期的导航任务，创建一个综合的生存护理计划，并实现沟通，护理协调和教育。特别强调与现有工作流和IT基础设施的集成。鉴于其移动基础设施，拟议的方法特别适合于满足城市和农村社区幸存者的需求，包括那些获得癌症治疗和随访可能具有挑战性，导致结果较差的社区。因此，拟议的干预措施具有