Piloting a Patient Tool to Aid Palliative Care Referrals during Advanced Lung Cancer Treatment.

Autor: McLouth LE; Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, Kentucky, USA; Center for Health Equity Transformation, University of Kentucky, Lexington, Kentucky, USA; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA. Electronic address: Laurie.mclouth@uky.edu., Stapleton JL; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA; Department of Health, Behavior, and Society, College of Public Health, University of Kentucky, Lexington, Kentucky, USA., Bursac V; Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, Kentucky, USA; Center for Health Equity Transformation, University of Kentucky, Lexington, Kentucky, USA., Zelaya CM; Department of Communication, University of Maryland, Baltimore, Maryland, USA., Shelton BJ; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA; Department of Internal Medicine, Division of Cancer Biostatistics, College of Medicine, University of Kentucky, Lexington, Kentucky, USA., Thakur K; Department of Internal Medicine, Gastroenterology, College of Medicine, University of Kentucky, Lexington, Kentucky, USA., Hands I; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA., Blu C; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA., Chih MY; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA; Department of Health and Clinical Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky, USA., McFarlin JM; Department of Neurology, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Jazyk: angličtina
Zdroj: Journal of pain and symptom management [J Pain Symptom Manage] 2024 Apr; Vol. 67 (4), pp. 337-345.e2. Date of Electronic Publication: 2024 Jan 14.
DOI: 10.1016/j.jpainsymman.2024.01.013
Abstrakt: Context: Patient misperceptions are a strong barrier to early palliative care discussions and referrals during advanced lung cancer treatment.
Objectives: We developed and tested the acceptability of a web-based patient-facing palliative care education and screening tool intended for use in a planned multilevel intervention (i.e., patient, clinician, system-level targets).
Methods: We elicited feedback from advanced lung cancer patients (n = 6), oncology and palliative care clinicians (n = 4), and a clinic administrator (n = 1) on the perceived relevance of the intervention. We then tested the prototype of a patient-facing tool for patient acceptability and preliminary effects on patient palliative care knowledge and motivation.
Results: Partners agreed that the intervention-clinician palliative care education and an electronic health record-integrated patient tool-is relevant and their feedback informed development of the patient prototype. Advanced stage lung cancer patients (n = 20; age 60 ± 9.8; 40% male; 70% with a technical degree or less) reviewed and rated the prototype on a five-point scale for acceptability (4.48 ± 0.55), appropriateness (4.37 ± 0.62), and feasibility (4.43 ± 0.59). After using the prototype, 75% were interested in using palliative care and 80% were more motivated to talk to their oncologist about it. Of patients who had or were at risk of having misperceptions about palliative care (e.g., conflating it with hospice), 100% no longer held the misperceptions after using the prototype.
Conclusion: The palliative care education and screening tool is acceptable to patients and may address misperceptions and motivate palliative care discussions during treatment.
(Copyright © 2024 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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