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Promoting integrated care in prostate cancer through online prostate cancer-specific holistic needs assessment : a feasibility study in primary care
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Clarke, Amy L., Roscoe, Julia, Appleton, Rebecca, Parashar, Deepak, Muthuswamy, Radha, Khan, Omar, Dale, Jeremy and Nanton, Veronica (2020) Promoting integrated care in prostate cancer through online prostate cancer-specific holistic needs assessment : a feasibility study in primary care. Supportive Care In Cancer, 28 . pp. 1817-1827. doi:10.1007/s00520-019-04967-y ISSN 0941-4355.
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Official URL: https://doi.org/10.1007/s00520-019-04967-y
Abstract
Purpose
This study assessed the feasibility of implementing a novel model of integrated prostate cancer care involving an online prostate cancer-specific holistic needs assessment (sHNA) and shared digital communication between patients and their healthcare professionals (HCPs). The sHNA produces a semi-automated care plan that is finalised in consultation between the patient and their practice nurse.
Methods
Men living with and beyond prostate cancer were invited to participate in a 9-month non-randomised cluster controlled feasibility study. The intervention group was asked to complete the sHNA on three occasions. Data were collected using Patient Reported Outcome Measures (PROMs) at baseline, 10 and 24 weeks, and 9 months. Outcomes included recruitment, retention, acceptability, and engagement with the sHNA and PROMs.
Results
Fourteen general practices (8 intervention and 6 control), and 41 men (29 intervention and 12 control) participated. Initial patient engagement with the sHNA was high, with all but one receiving practice nurse-led follow-up and an individualised care plan. The sHNA proved useful in identifying ‘red flag’ symptoms, and helping practice nurses decide when to seek further medical care for the patients. There was a high level of acceptability for patients and HCPs. However, integration of care did not occur as intended because of problems linking hospital and general practice IT systems.
Conclusion
While the study demonstrated the feasibility of implementing the sHNA, it did not meet the a priori progression criteria; as such, undertaking a definitive randomised controlled trial is not appropriate until the identified methodological and technical issues have been addressed.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine R Medicine > RT Nursing |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Prostate -- Cancer , Prostate -- Cancer -- Care, Holistic nursing , Telecommunication in medicine, Helplines | ||||||||
| Journal or Publication Title: | Supportive Care In Cancer | ||||||||
| Publisher: | Springer | ||||||||
| ISSN: | 0941-4355 | ||||||||
| Official Date: | April 2020 | ||||||||
| Dates: |
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| Volume: | 28 | ||||||||
| Page Range: | pp. 1817-1827 | ||||||||
| DOI: | 10.1007/s00520-019-04967-y | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 22 November 2019 | ||||||||
| Date of first compliant Open Access: | 27 November 2019 | ||||||||
| RIOXX Funder/Project Grant: |
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| Is Part Of: | 1 |
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