Development, Feasibility, and Acceptability of an Oncologist Group Peer Support Program From ASCO's Clinician Well-Being Task Force.

Autor:	Hlubocky FJ; Department of Medicine, Section Hematology/Oncology, Maclean Center for Clinical Medical Ethics, Supportive Oncology Program, University of Chicago Medicine, Chicago, IL., McFarland DC; Department of Psychiatry, Wilmot Cancer Center, University of Rochester, Rochester, NY., Back AL; Department of Medicine/Oncology, University of Washington, Seattle, WA., Friese CR; Health Management and Policy, University of Michigan School of Nursing, Ann Arbor, MI., Lyckholm L; Department of Medicine, Section of Hematology/Oncology, WVU Cancer Institute, West Virginia University, Morgantown, WV., Gallagher CM; Section of Integrated Ethics in Cancer Care, University of Texas MD Anderson Cancer Center, Houston, TX., McGinnis M; American Society of Clinical Oncology, Alexandria, VA., Spence R; American Society of Clinical Oncology, Alexandria, VA., Lynch L; American Society of Clinical Oncology, Alexandria, VA., Tomkins J; American Society of Clinical Oncology, Alexandria, VA., Shanafelt T; VA Palo Alto Health Care System, Stanford University, Palo Alto, CA., Srivastava P; Kaiser Permanente, Northern California (NCAL), Oakland, CA.
Jazyk:	angličtina
Zdroj:	JCO oncology practice [JCO Oncol Pract] 2023 Aug; Vol. 19 (8), pp. 669-675. Date of Electronic Publication: 2023 Jun 16.
DOI:	10.1200/OP.23.00068
Abstrakt:	Purpose: The COVID-19 pandemic has had deleterious effects on oncologist professional and personal well-being, the optimal delivery of quality cancer care, and the future cancer care workforce, with many departing the field. Hence, the identification of evidence-based approaches to sustain oncologists is essential to promote well-being. Materials and Methods: We developed a brief, oncologist-centered, virtual group peer support program and tested its feasibility, acceptability, and preliminary impact on well-being. Trained facilitators provided support to peers on the basis of burnout research in oncology with available resources to enhance oncologist resilience. Peers completed pre- and postsurvey assessment of well-being and satisfaction. Results: From April to May 2022, 11 of 15 (73%) oncologists participated in its entirety: mean age 51.1 years (range, 33-70), 55% female, 81.8% Ca, 82% medical oncologists, 63.6% trained ≥15 years, average 30.3 patients/wk (range, 5-60), and 90.9% employed in hospital/health system practice. There was a statistically significant difference in pre- and postintervention well-being (7.0 ± 3.6 v 8.2 ± 3.0, P = .03) with high satisfaction with postgroup experience (9.1 ± 2.5). These quantitative improvements were affirmed by qualitative feedback. These themes included (1) an enhanced understanding of burnout in oncology, (2) shared experience in practice of oncology, and (3) fostering connections with diverse colleagues. Future recommendations proposed included (1) restructuring group format and (2) tailoring groups according to practice setting (academic v community). Conclusion: Preliminary results suggest that a brief, innovative oncologist-tailored group peer support program is feasible, acceptable, and beneficial for enhancing well-being dimensions including burnout, engagement, and satisfaction. Additional study is required to refine program components (optimal timing, format) to support oncologist well-being, now during the pandemic and well into recovery.
Databáze:	MEDLINE
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