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Erschienen in: Supportive Care in Cancer 3/2018

01.03.2018 | Original Article

Evaluation of an advance care planning web-based resource: applicability for cancer treatment patients

verfasst von: Martha A. Cresswell, Carole A. Robinson, Gillian Fyles, Joan L. Bottorff, Rebecca Sudore

Erschienen in: Supportive Care in Cancer | Ausgabe 3/2018

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Abstract

Purpose

The purpose of this study was to explore the acceptability, applicability, and understandability of a promising advance care planning (ACP) web-based resource for use with oncology patients, and determine whether revisions to the website would be necessary before implementation into oncology care. The resource is called PREPARE (www.​prepareforyourca​re.​org) and it had not been tested for use within oncology, but had previously been shown to influence the readiness of older, community-dwelling adults to engage in ACP behaviors.

Methods

This qualitative descriptive study included participants receiving cancer medications and one participant on watchful waiting post-chemotherapy (n = 21). Data were collected via cognitive interviewing, followed by a brief semi-structured interview to gather a meaningful account of the participants’ experience with PREPARE. Content analysis resulted in a comprehensive summary of what participants liked and did not like about the resource, as well as suggestions for change.

Results

Overall, participants agreed PREPARE was acceptable, applicable, and understandable for cancer patients. A small number of participants had difficulty with the life-limiting language found within the website and this requires follow-up to determine whether the language causes distress or disengagement from ACP. These findings extend our understanding of barriers to engagement in ACP that appear unique to cancer patients receiving active treatment.

Conclusions

Results indicated that PREPARE is a reflective, capacity-building ACP resource that was acceptable, applicable, and understandable for use in oncology. These findings offer direction for both research and practice.
Literatur
2.
Zurück zum Zitat Robinson C (2011) Advance care planning: re-visioning our ethical approach. Can J Nurs Res 43:18–27PubMed Robinson C (2011) Advance care planning: re-visioning our ethical approach. Can J Nurs Res 43:18–27PubMed
24.
Metadaten
Titel
Evaluation of an advance care planning web-based resource: applicability for cancer treatment patients
verfasst von
Martha A. Cresswell
Carole A. Robinson
Gillian Fyles
Joan L. Bottorff
Rebecca Sudore
Publikationsdatum
01.03.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 3/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3901-7

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