在欧洲六个国家调整、实施和评估针对癌症老年人及其家庭照顾者的导航干预措施:欧洲地平线资助的欧盟 NAVIGATE 项目。

IF 2.7 Q2 HEALTH CARE SCIENCES & SERVICES
Palliative Care and Social Practice Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI:10.1177/26323524241288873
Rose Miranda, Tinne Smets, Lara Pivodic, Kenneth Chambaere, Barbara Pesut, Wendy Duggleby, Bregje D Onwuteaka-Philipsen, Barbara Gomes, Peter May, Katarzyna Szczerbińska, Andrew N Davies, Davide Ferraris, H Roeline Pasman, Maja Furlan de Brito, Ilona Barańska, Laura Gangeri, Lieve Van den Block
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引用次数: 0

摘要

背景:导航干预措施可以为癌症老年人和/或其家庭照顾者提供支持、教育和赋权,消除障碍并确保他们在支持性护理、姑息治疗和临终关怀的整个过程中及时获得所需的服务和资源:欧洲联盟(EU)NAVIGATE 是一个由欧洲地平线资助的跨学科、跨国项目(2022-2027 年),旨在评估为欧洲老年癌症患者及其家庭照顾者提供导航干预的有效性、成本效益和实施情况。EU NAVIGATE 项目旨在推动欧洲癌症患者导航证据的发展:设计:以国际实用随机对照试验(RCT)和嵌入式混合方法过程评估为核心,对导航干预措施进行调整、实施和评估。逻辑模型指导传播和影响生成策略。欧盟导航项目有六个经验丰富的欧盟学术合作伙伴、一个欧盟国家癌症联盟及其附属学术合作伙伴、三个欧盟传播合作伙伴和一个加拿大合作伙伴参与:方法:我们对加拿大的 "导航 "进行了改编:方法:我们根据新的 ADAPT 指南,将加拿大的 "导航:联系、宣传、资源和参与"(Nav-CARE©)志愿者计划调整到比利时、爱尔兰、意大利、荷兰、波兰和葡萄牙的医疗环境中。Nav-CARE是在过去15年中发展起来的,它为健康状况下降的人及其家人提供支持,以提高他们的生活质量和幸福感,增强他们的能力,并促进他们及时、公平地获得医疗保健和社会服务。在欧盟导航项目中,波兰由经过培训和指导的社会工作者提供导航干预,其他五个国家由经过培训和指导的志愿者提供导航干预。通过一项带有过程评估的实用性 RCT,我们实施并评估了导航干预措施,以研究其对老年癌症患者及其家庭照顾者的影响。我们还希望了解其成本效益、如何在不同国家以最佳方式实施以及在患者亚群中的不同效果。我们还将绘制欧洲、美国和加拿大现有癌症导航干预措施的地图,以便将欧盟导航纳入全球导航干预领域:EU NAVIGATE旨在为欧洲老年癌症患者的导航干预提供高质量的证据,并为导航干预在欧洲及其他地区的可持续实施制定实践和政策建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adapting, implementing and evaluating a navigation intervention for older people with cancer and their family caregivers in six countries in Europe: the Horizon Europe-funded EU NAVIGATE project.

Background: Navigation interventions could support, educate and empower older people with cancer and/or their family caregivers by addressing barriers and ensuring timely access to needed services and resources throughout the continuum of supportive, palliative and end-of-life care.

Objectives: European Union (EU) NAVIGATE is an interdisciplinary and cross-country Horizon Europe-funded project (2022-2027) aiming to evaluate the effectiveness, cost-effectiveness and implementation of a navigation intervention for older people with cancer and their family caregivers in Europe. EU NAVIGATE aims to advance the evidence on cancer patient navigation in Europe.

Design: Adaptation, implementation and evaluation of a navigation intervention with an international pragmatic randomized controlled trial (RCT) and embedded mixed-method process evaluation at its core. A logic model guides dissemination and impact-generating strategies. EU NAVIGATE involves six experienced EU academic partners; one EU national cancer league with their affiliated academic partner; three EU dissemination partners; and a Canadian partner.

Methods: We adapted the Canadian Navigation: Connecting, Advocating, Resourcing, and Engaging (Nav-CARE©) volunteer programme to healthcare contexts in Belgium, Ireland, Italy, the Netherlands, Poland and Portugal following the new ADAPT guidance. Nav-CARE was developed over the past 15 years and supports people with declining health and their families to improve their quality of life and well-being, foster empowerment and facilitate timely and equitable access to healthcare and social services. In EU NAVIGATE, the navigation intervention is being provided by trained and mentored social workers in Poland and by trained and mentored volunteers in the other five countries. Via a pragmatic RCT with process evaluation, we implement and evaluate the navigation intervention to study its impact on older people with cancer and their family caregivers. We also aim to understand its cost-effectiveness, how to optimally implement it in different countries, and its differential effects in patient subgroups. We will also map existing cancer navigation interventions in Europe, the United States and Canada to position EU NAVIGATE within the field of navigation interventions worldwide.

Conclusion: EU NAVIGATE aims to deliver high-quality evidence on a navigation intervention for older people with cancer in Europe and to develop practice and policy recommendations for sustainable implementation of navigation interventions in Europe and beyond.

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来源期刊
Palliative Care and Social Practice
Palliative Care and Social Practice Nursing-Advanced and Specialized Nursing
CiteScore
2.90
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0.00%
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37
审稿时长
9 weeks
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