SurvivorCare: A digital health solution to support long-term cancer survivorship using patient navigation

项目摘要 解决长期癌症的过渡期和后续护理方面的差距的需求日益迫切 幸存者从基于肿瘤的治疗转向基于初级和社区的治疗。一线卫生工作者，如 患者导航员和社区卫生工作者可以支持癌症幸存者从肿瘤学过渡到 基于初级保健。第二阶段SBIR项目的总体目标是完善和测试SurvivorCare，一个移动的- /基于网络的系统，通过患者导航支持长期癌症生存， 服务不足的人群。遵循以人为本的设计方法和建议， 从第一阶段试点工作开始，我们将开发和测试一个功能性的Web/移动的应用程序， 患者导航员和其他一线卫生工作者协助患者导航和癌症幸存者 通过一个集中的平台，支持与癌症生存护理规划相关的需求。我们将实现 我们的项目目标通过三个具体目标： ·具体目标1.我们将根据第一阶段收集的反馈建立一个功能原型。具体地说， 我们将扩大第一阶段工作的范围，包括对处于早期生存阶段的患者的支持 生存护理计划和/或患者导航计划， 结肠直肠癌、乳腺癌、前列腺癌、肺癌和头颈癌。 ·具体目标2。我们将与目标最终用户（患者）一起对功能原型进行可用性测试 导航员和癌症幸存者）来验证内容和可用性。 ·具体目标3。我们将在现实世界的临床环境中与目标最终用户进行beta测试， 大型城市安全网医院，服务于多样化的低资源人群。 这一项目的成果将用于进一步研究和执行开发工具的工作， 促进一线卫生工作者、癌症幸存者、PCP和其他 癌症护理团队成员，以减轻显着的健康差距，在长期癌症生存。

Project Summary There is a growing and urgent need to address a gap in transitional and follow-up care for long-term cancer survivors shifting from oncology-based to primary and community-based care. Frontline health workers such as patient navigators and community health workers can support cancer survivors with the transition from oncology- based to primary care. The overall goal of this Phase II SBIR project is to refine and test SurvivorCare, a mobile- /web-based system to support long-term cancer survivorship through patient navigation for low-resource, underserved populations. Following a human-centered design approach and recommendations and learnings from Phase I pilot work, we will develop and test a functional web/mobile application expressly designed for patient navigators and other frontline health workers assisting with patient navigation and cancer survivors through a centralized platform supporting needs related to cancer survivorship care planning. We will achieve our project goal through 3 specific aims: • Specific Aim 1. We will build a functional prototype based on feedback collected in Phase I. Specifically, we will expand the scope of our Phase I work to include support for patients in early stages of survivorship with prevalent cancer types with survivorship care plans and/or patient navigation programs such as colorectal, breast, prostate, lung, and head/neck cancers. ● Specific Aim 2. We will conduct usability testing of a functional prototype with target end users (patient navigators and cancer survivors) to validate content and usability. ● Specific Aim 3. We will conduct beta testing in real-world clinical settings with target end users in two large, urban, safety net hospitals serving diverse, low-resource populations. Results from this project will go towards furthering research and implementation efforts in developing tools to promote collaboration and coordination between frontline health workers, cancer survivors, PCPs, and other cancer care team members to mitigate pronounced health disparities in long-term cancer survivorship.