Journal of oncology navigation & survivorship最新文献

{"title":"The Polaris Oncology Survivorship Transition (POST) System: A Patient- and Provider-Driven Cancer Survivorship Planning Program.","authors":"Erin O'Hea,&nbsp;Juliet Wu,&nbsp;Laura Dietzen,&nbsp;Tina Harralson,&nbsp;Edwin D Boudreaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>It is strongly recommended that individuals ending treatment for cancer have a \"survivorship plan,\" and new standards require survivorship planning for accreditation, However, a comprehensive plan is often neglected.</p><p><strong>Objective: </strong>To present the development and field test results of a web-based, breast cancer survivorship care planning system.</p><p><strong>Methods: </strong>The Polaris Oncology Survivorship Transition (POST) blends input from the electronic health record (EHR), oncology care providers (OCPs), and patients to create a survivorship care plan (SCP). The content of the POST program was created with the assistance of end-user input (patients, oncologists, and primary care providers (PCPs)) and the full program was piloted on women ending treatment for breast cancer. This paper presents the pilot study that field-tested the POST In a clinical setting. Patients were recruited from outpatient care clinics and chemotherapy units in a comprehensive care center. The study included 25 women ending treatment for breast cancer in the past year, 4 OCPs, and PCPs. Patients received the POST computeπzed assessment and a tailored SCP.</p><p><strong>Results: </strong>The POST assists providers in crafting efficient and comprehensive SCPs and was rated highly satisfactory by all end-users.</p><p><strong>Discussion: </strong>The POST program can be used as a cancer survivorship planning program to assist OCPs in care planning for their patients ending treatment for breast cancer.</p><p><strong>Conclusion: </strong>This study provides support for Incorporating computerized SCP programs into clinical practice. Use of the POST in clinical practice has the potential to improve survivorship planning.</p>","PeriodicalId":73875,"journal":{"name":"Journal of oncology navigation & survivorship","volume":"7 10","pages":"11-24"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568840/pdf/nihms886243.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35449208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a Theory-based, Non-clinical Patient Navigator Program to Address Barriers in an Urban Cancer Center Setting.","authors":"Linda Fleisher,&nbsp;Suzanne M Miller,&nbsp;Danielle Crookes,&nbsp;Venk Kandadai,&nbsp;Kuang Yi Wen,&nbsp;Rachel E Slamon,&nbsp;Jeanne Chaivous","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cancer patients face a myriad of psychosocial and practical issues. Especially challenging is the time from an initial diagnosis to the onset of treatment and patient navigation services are important to guide patients, especially underserved populations, through this maze of uncertainty. Here we report on the Pennsylvania Patient Navigator Demonstration Project (PaPND) designed to evaluate the acceptability, feasibility, and impact of a culturally and linguistically appropriate non-clinical navigator program. The development of the project, based on behavioral theory and community-based participatory research principles, is described. Forty-four cancer patients from diverse backgrounds participated, which included a baseline assessment, navigation services, and a four week and twelve week follow-up assessment. On average, participants experienced 1.8 barriers with transportation and insurance issues the most common barriers. The majority (56%) of the barriers required more than an hour of the navigator's time to address, with insurance, transportation and caregiver/support issues requiring the most time. Overall patients were fairly satisfied with the navigation services. The findings showed improvement patient's stress-related thoughts, cognition (understanding of their disease), expectancies and beliefs or values/goals, as well as self-efficacy of managing cancer related issues from the baseline to follow-up assessments. The evaluation results suggest that providing and connecting cancer patients to appropriate information to improve their understanding of their diagnosis and recommended treatments needs to be addressed, and where the integration of non-clinical and clinical navigation is essential. In addition, more attention to the assessment of psychosocial issues, such as the patients' emotional worries, and more comprehensive training in these areas would enhance navigation programs.</p>","PeriodicalId":73875,"journal":{"name":"Journal of oncology navigation & survivorship","volume":"3 3","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4222195/pdf/nihms436246.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32802855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}