Developing a national implementation strategy to accelerate uptake of evidence-based family caregiver support in U.S. cancer centers.

Autor: Odom JN; School of Nursing, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.; Division of Geriatrics, Gerontology, and Palliative Care, UAB Department of Medicine, Birmingham, Alabama, USA.; UAB Center for Palliative and Supportive Care, Birmingham, Alabama, USA., Young HM; Betty Irene Moore School of Nursing, University of California, Davis, Davis, California, USA., Sterba K; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA., Sannes TS; UMass Memorial Cancer Center, Worcester, Massachusetts, USA., Reinhard S; AARP Public Policy Institute, Washington, District of Columbia, USA., Nightingale CL; Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA., Meier D; Mount Sinai Medical Center, New York, New York, USA., Gray TF; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA., Ferrell B; City of Hope, Duarte, California, USA., Fernandez ME; Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston School of Public Health, Houston, Texas, USA., Donovan H; Schools of Nursing and Medicine, and the National Rehabilitation Research & Training Center on Family Support, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Curry K; School of Nursing, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA., Currie ER; School of Nursing, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA., Bryant T; Viva Health, Inc., Birmingham, Alabama, USA., Bakitas MA; School of Nursing, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.; Division of Geriatrics, Gerontology, and Palliative Care, UAB Department of Medicine, Birmingham, Alabama, USA.; UAB Center for Palliative and Supportive Care, Birmingham, Alabama, USA., Applebaum AJ; Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2024 Jan; Vol. 33 (1), pp. e6221. Date of Electronic Publication: 2023 Sep 25.
DOI: 10.1002/pon.6221
Abstrakt: Objective: Characterize key factors and training needs of U.S. cancer centers in implementing family caregiver support services.
Methods: Sequential explanatory mixed methods design consisting of: (1) a national survey of clinicians and administrators from Commission-on-Cancer-accredited cancer centers (N = 238) on factors and training needed for establishing new caregiver programs and (2) qualitative interviews with a subsample of survey respondents (N = 30) to elicit feedback on survey findings and the outline of an implementation strategy to facilitate implementation of evidence-based family caregiver support (the Caregiver Support Accelerator). Survey data was tabulated using descriptive statistics and transcribed interviews were analyzed using thematic analysis.
Results: Top factors for developing new caregiver programs were that the program be: consistent with the cancer center's mission and strategic plan (87%), supported by clinic leadership (86.5%) and providers and staff (85.7%), and low cost or cost effective (84.9%). Top training needs were how to: train staff to implement programs (72.3%), obtain program materials (63.0%), and evaluate program outcomes (62.6%). Only 3.8% reported that no training was needed. Qualitative interviews yielded four main themes: (1) gaining leadership, clinician, and staff buy-in and support is essential; (2) cost and clinician burden are major factors to program implementation; (3) training should help with adapting and marketing programs to local context and culture; and (4) the Accelerator strategy is comprehensive and would benefit from key organizational partnerships and policy standards.
Conclusion: Findings will be used to inform and refine the Accelerator implementation strategy to facilitate the adoption and growth of evidence-based cancer caregiver support in U.S. cancer centers.
(© 2023 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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