Survivorship care planning, quality of life, and confidence to transition to survivorship: A randomized controlled trial with women ending treatment for breast cancer
| Autor: | Edwin D. Boudreaux, Beth A. Keating, Samantha Creamer, Erin L. O'Hea, Tina Harralson, Candace R. Crocker, Kathryn Edmiston, Julie M. Flahive, Shannon R. Williamson |
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| Rok vydání: | 2021 |
| Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Breast Neoplasms Survivorship Article law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Breast cancer Randomized controlled trial Electronic health record law Survivorship curve Humans Medicine Applied Psychology Self-efficacy 030504 nursing business.industry medicine.disease Psychiatry and Mental health Oncology 030220 oncology & carcinogenesis Family medicine Quality of Life Female 0305 other medical science business |
| Zdroj: | J Psychosoc Oncol |
| ISSN: | 1540-7586 0734-7332 |
| DOI: | 10.1080/07347332.2021.1936336 |
| Popis: | PURPOSE: The Polaris Oncology Survivorship Transition (POST) system is a computer-based program that integrates information from the electronic health record, oncology team, and the patient to produce a personalized Survivorship Care Plan. The purpose of this study was to compare the POST to treatment as usual on confidence, quality of life, and interest in mental health referrals in women ending treatment for breast cancer. SAMPLE: Two hundred women (100 POST, 100 treatment as usual) ending treatment for breast cancer were enrolled in a randomized controlled trial. DESIGN: Women randomized to the POST condition received a personalized care plan during a baseline/intervention appointment. At enrollment and baseline/intervention, a number of outcomes were examined in this study, including confidence to enter survivorship measured by the Confidence in Survivorship Index (CSI) and Quality of Life (QOL). One, three, and six month follow up assessments were also conducted. FINDINGS: Treatment groups did not differ in terms of QOL scores at any time points. Mean CSI scores were statistically different between POST and treatment as usual at baseline for the total CSI score and both subscales, but only for confidence in knowledge about prevention and treatment at the 1-month follow-up. All significant differences were in favor of the POST intervention as mean CSI scores were higher for participants who received the POST intervention as opposed to treatment as usual. These findings disappeared at the 3 and 6 month follow up assessments. Finally, patients who received the POST intervention were twice as likely to request mental health/social services referrals compared to women who received treatment as usual. IMPLICATIONS: Oncologists may use the POST to build personalized care plans for women ending treatment for cancer, which may enhance patients’ confidence in the short term as well as encourage use of mental health resources. |
| Databáze: | OpenAIRE |
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