nach oben

Supportive Care in Cancer

Erschienen in:

01.03.2018 | Original Article

Integrating referral to community-based cancer information and support services in a hospital setting

verfasst von: David J. T. Marco, Anna G. Boltong, Adrian Dabscheck, Georgina Akers, Michelle Pryce, Victoria M. White

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

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To implement and evaluate a hospital-based referral mechanism to increase patient uptake of community-based cancer information and support services. Feasibility and acceptability of the intervention and education program was evaluated. Changes in usage of Cancer Council Victoria’s cancer information and support telephone line were investigated.

Methods

A 6-month study was conducted in one metropolitan and one regional cancer treatment hospital. Clinicians attended an education session regarding referral mechanisms to Cancer Council support services. Clinicians completed a questionnaire, and consenting patients participated in a semi-structured telephone interview for the project evaluation. The number of calls made from patients at study sites was monitored.

Results

Fifty-two clinicians were trained and referred a total of 430 patients to the cancer information and support service during the study period. Calls from patients increased by up to 100% per month from baseline following the implementation of the referral mechanism. Staff evaluations showed support for the referral mechanism and its incorporation into routine practice. Interviews were conducted with 45 patients; most remembered receiving the referral and were positive towards the intervention. Common reasons patients gave for not acting on the referral included forgetting, lack of need, timing and burden of information.

Conclusions

There is preliminary evidence that this intervention increases awareness and uptake of community-based cancer information and support services. Ongoing clinician education and improvements in patient-clinician communication are important for effective translation from referral to service uptake. Consideration of the most appropriate time in a patients’ care trajectory to introduce a referral is warranted.

Dunn J, Lynch B, Rinaldis M, Pakenham K, McPherson L, Owen N, Leggett B, Newman B, Aitken J (2006) Dimensions of quality of life and psychosocial variables most salient to colorectal cancer patients. Psychooncology 15:20–30CrossRefPubMed

Liekweg A, Eckhardt M, Taylor SC, Erdfelder E, Jaehde U (2005) Psychometric assessment and application of a questionnaire measuring patient: satisfaction with information on cancer treatment. Pharm World Sci 27(2):96–103CrossRefPubMed

Meneses KD, McNees P, Loerzel VW, Su X, Zhang Y, Hassey LA (2007) Transition from treatment to survivorship: effects of a psychoeducational intervention on quality of life in breast cancer survivors. Oncol Nurs Forum 34(5):1007–1016. https://doi.org/10.1188/07.ONF.1007-1016 CrossRefPubMed

Griggs JJ, Sorbero ME, Mallinger JB, Quinn M, Waterman M, Brooks B, Yirinec B, Shields CG (2007) Vitality, mental health, and satisfaction with information after breast cancer. Patient Educ Couns 66(1):58–66. https://doi.org/10.1016/j.pec.2006.10.008 CrossRefPubMed

Clarke SA, Booth L, Velikova G, Hewison J (2006) Social support: gender differences in cancer patients in the United Kingdom. Cancer Nurs 29(1):66–72CrossRefPubMed

Turner J, Zapart S, Pedersen K, Rankin N, Luxford K, Fletcher J (2005) Clinical practice guidelines for the psychosocial care of adults with cancer. Psycho-Oncology 14(3):159–173. https://doi.org/10.1002/pon.897 CrossRefPubMed

Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17(8):1117–1128. https://doi.org/10.1007/s00520-009-0615-5 CrossRefPubMed

Hasegawa T, Goto N, Matsumoto N, Sasaki Y, Ishiguro T, Kuzuya N, Sugiyama Y (2016) Prevalence of unmet needs and correlated factors in advanced-stage cancer patients receiving rehabilitation. Support Care Cancer 24(11):4761–4767. https://doi.org/10.1007/s00520-016-3327-7 CrossRefPubMed

Jefford M, Black C, Grogan S, Yeoman G, White V, Akkerman D (2005) Information and support needs of callers to the cancer helpline, the Cancer Council Victoria. Eur J Cancer Care 14(2):113–123. https://doi.org/10.1111/j.1365-2354.2005.00505.x CrossRef

10.

Boltong A, Ledwick M, Babb K, Sutton C, Ugalde A (2017) Exploring the rationale, experience and impact of using cancer information and support (CIS) services: an international qualitative study. Support Care Cancer 25(4):1221–1228. https://doi.org/10.1007/s00520-016-3513-7 CrossRefPubMed

11.

Hutchison SD, Steginga SK, Dunn J (2006) The tiered model of psychosocial intervention in cancer: a community based approach. Psychooncology 15(6):541–546. https://doi.org/10.1002/pon.973 CrossRefPubMed

12.

Heckel L, Fennell KM, Mohebbi M, Byrnes M, Livingston PM (2017) Demographic characteristics, call details and psychosocial support needs of the family/friends of someone diagnosed with cancer who access Australian cancer council telephone information and support services. Eur J Oncol Nurs 28:86–91. https://doi.org/10.1016/j.ejon.2017.03.007 CrossRefPubMed

13.

Beesley VL, Janda M, Eakin EG, Auster JF, Chambers SK, Aitken JF, Dunn J, Battistutta D (2010) Gynecological cancer survivors and community support services: referral, awareness, utilization and satisfaction. Psychooncology 19(1):54–61. https://doi.org/10.1002/pon.1528 CrossRefPubMed

14.

Eakin EG, Strycker LA (2001) Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives. Psychooncology 10(2):103–113CrossRefPubMed

15.

Kam LY, Knott VE, Wilson C, Chambers SK (2012) Using the theory of planned behavior to understand health professionals' attitudes and intentions to refer cancer patients for psychosocial support. Psychooncology 21(3):316–323. https://doi.org/10.1002/pon.1897 CrossRefPubMed

16.

Dilworth S, Higgins I, Parker V, Kelly B, Turner J (2014) Patient and health professional's perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review. Psychooncology 23(6):601–612. https://doi.org/10.1002/pon.3474 CrossRefPubMed

17.

Broadstock MJ, Hill D (1997) Evaluation and impact of promotion of a cancer helpline to cancer patients through their specialists. Patient Educ Couns 32(3):141–146CrossRefPubMed

18.

Livingston PM, White VM, Hayman J, Maunsell E, Dunn SM, Hill D (2010) The psychological impact of a specialist referral and telephone intervention on male cancer patients: a randomised controlled trial. Psychooncology 19(6):617–625. https://doi.org/10.1002/pon.1609 CrossRefPubMed

19.

O'Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, Forsetlung L, Bainbridge D, Freemantle N, Davis D, Haynes RB, Harvey E (2007) Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Libr. https://doi.org/10.1002/14651858.CD000409.pub2

20.

Akbari A, Mayhew A, Al-Alawi MA, Grimshaw J, Winkens R, Glidewell E, Pritchard C, Thomas R, Fraser C (2008) Interventions to improve outpatient referrals from primary care to secondary care. Cochrane Database Syst Rev 4. https://doi.org/10.1002/14651858.CD005471.pub2

21.

Roila F (2004) Transferring scientific evidence to oncological practice: a trial on the impact of three different implementation strategies on antiemetic prescriptions. Support Care Cancer 12(6):446–453. https://doi.org/10.1007/s00520-003-0553-6 CrossRefPubMed

22.

Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, Grilli R, Harvey E, Oxman A, O'Brien MA (2001) Changing provider behavior: an overview of systematic reviews of interventions. Med Care 39(8 Suppl 2):II2–I45PubMed

23.

Clinton-McHarg T, Paul C, Boyes A, Rose S, Vallentine P, O’Brien L (2014) Do cancer helplines deliver benefits to people affected by cancer? A systematic review. Patient Educ Couns 97(3):302–309. https://doi.org/10.1016/j.pec.2014.09.004 CrossRefPubMed

24.

Sheffer MA, Baker TB, Fraser DL, Adsit RT, McAfee TA, Fiore MC (2012) Fax referrals, academic detailing, and tobacco quitline use: a randomized trial. Am J Prev Med 42(1):21–28. https://doi.org/10.1016/j.amepre.2011.08.028 CrossRefPubMed

25.

Kirst M, Schwartz R (2015) Promoting a smokers' quitline in Ontario, Canada: an evaluation of an academic detailing approach. Health Promot Int 30(2):310–317. https://doi.org/10.1093/heapro/dat040 CrossRefPubMed

26.

Campbell S, Pieters K, Mullen KA, Reece R, Reid RD (2011) Examining sustainability in a hospital setting: case of smoking cessation. Implement Sci 6:108. https://doi.org/10.1186/1748-5908-6-108 CrossRefPubMedPubMedCentral

Titel: Integrating referral to community-based cancer information and support services in a hospital setting
verfasst von: David J. T. Marco
Anna G. Boltong
Adrian Dabscheck
Georgina Akers
Michelle Pryce
Victoria M. White
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/s00520-017-3890-6

Neu im Fachgebiet Onkologie

25.04.2024 | Nierenkarzinom | Nachrichten

Springer Medizin

Integrating referral to community-based cancer information and support services in a hospital setting

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Onkologie

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Update Onkologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2018

Safety and cost benefit of an ambulatory program for patients with low-risk neutropenic fever at an Australian centre

Oncologists’ responses to patient and caregiver negative emotions and patient perception of quality of communication: results from a multi-ethnic Asian setting

A systematic literature review of the prevalence of and risk factors for supportive care needs among women with gynaecological cancer and their caregivers

A single-center, retrospective analysis to compare the efficacy and safety of filgrastim-sndz to filgrastim for prophylaxis of chemotherapy-induced neutropenia and for neutrophil recovery following autologous stem cell transplantation

Efficacy and safety of 153Sm-EDTMP as treatment of painful bone metastasis: a large single-center study

Impact of body composition on outcome in patients with early breast cancer

Neu im Fachgebiet Onkologie

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Update Onkologie