Development and evaluation of a bladder Cancer specific survivorship care plan by patients and clinical care providers: a multi-methods approach.

Autor: Lee CT; Department of Urology, The Ohio State University, Columbus, OH, USA., Mohamed NE; Department of Urology and Oncological Sciences, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY, 10029, USA. nihal.mohamed@mountsinai.org., Pisipati S; University of Nevada Reno School of Medicine, Reno, NV, USA., Shah QN; Department of Urology and Oncological Sciences, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY, 10029, USA., Agarwal PK; National Cancer Institute, Bethesda, MD, USA., Downs TM; University of Wisconsin, Madison, WI, USA., Droller M; Department of Urology and Oncological Sciences, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY, 10029, USA., Gilbert SM; Moffitt Cancer Center, Tampa, FL, USA., Goltz HH; Social Work Program, University of Houston-Downtown, Houston, TX, USA.; Section of Infectious Diseases, Baylor College of Medicine, Houston, TX, USA., Hall SJ; Smith Institute for Urology, Hofstra School of Medicine/Northwell Health System, Lake Success, NY, USA., Hendawi M; Department of Urology, The Ohio State University, Columbus, OH, USA., Hoffman-Censits J; Sidney Kimmel Cancer Center at John Hopkins, Baltimore, MD, USA., O'Donnell M; University of Iowa, Iowa City, IA, USA., Kaag M; Penn State Health, Hershey, PA, USA., Karsh LI; The Urology Center of Colorado, Denver, CO, USA., Kassouf W; McGill University Health Center, Montreal, Canada., Quale DZ; Bladder Cancer Advocacy Network, Bethesda, MD, USA., Sagalowsky A; University of Texas, Southwestern, Dallas, TX, USA., Steinberg GD; NYU Langone Health, New York, NY, USA., Latini DM; Baylor College of Medicine, Houston, TX, USA.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2020 Jul 24; Vol. 20 (1), pp. 686. Date of Electronic Publication: 2020 Jul 24.
DOI: 10.1186/s12913-020-05533-7
Abstrakt: Background, Context and Purpose: In spite of the mixed evidence for their impact, survivorship Care Plans (SCPs) are recommended to enhance quality of care for cancer survivors. Data on the feasibility of SCPs in bladder cancer (BC) is sparse. Using a mixed-methods approach, this study describes the iterative development, acceptability and feasibility of BC specific SCP (BC-SCP) in clinical settings.
Methods: In Phase I, we developed the BC-SCP. In Phase II, we conducted four focus groups with 19 patients and 15 providers to examine its acceptability and usability challenges. Data analyses using the Atlas.ti program, informed refinement of the BC-SCP. In Phase III, we conducted feasibility testing of the refined BC-SCP with 18 providers from 12 health-centers. An encounter survey was completed after each assessment to examine the feasibility of the BC-SCP. Chi-square and Fisher Exact tests were used for comparative analyses.
Results: During phase I, we observed high patient and provider acceptability of the BC-SCP and substantial engagement in improving its content, design, and structure. In Phase II, providers completed 59 BC-SCPs. Mean time for BC-SCP completion was 12.3 min. Providers reported that BC-SCP content was clear, did not hamper clinic flow and was readily completed with easy-to-access information. Comparative analyses to examine differences in SCP completion time by patient clinico-demographic characteristics and provider type revealed no significant differences.
Conclusions: Our BC-SCP has clinical relevance, and can be used in an active practice setting. However, considerable progress will be necessary to achieve implementation of and sharing the BC-SCP with patients and care providers, particularly within the electronic medical record. In summary, BC-SCPs are essential to improve the follow up care of BC survivors. Clinical resources are required to ensure appropriate implementation of BC-SCPs.
Trial Registration: Study HUM00056082.
Databáze: MEDLINE
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