Evaluating the Impact of Post-Treatment Self-Management Guidelines for Prostate Cancer Survivors.


Journal

Journal of medical imaging and radiation sciences
ISSN: 1876-7982
Titre abrégé: J Med Imaging Radiat Sci
Pays: United States
ID NLM: 101469694

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 26 09 2018
revised: 30 03 2019
accepted: 30 03 2019
pubmed: 11 6 2019
medline: 25 7 2020
entrez: 11 6 2019
Statut: ppublish

Résumé

With a rising number of prostate cancer survivors, transitioning patients to follow-up care has become more relevant in the current Albertan cancer care landscape and has led to a need for better patient education resources surrounding this topic. In response, the Alberta Provincial Genitourinary Tumour Team and Cancer Control Alberta have developed self-management guidelines to aid patients with prostate cancer during this transition. This study aimed to evaluate the effectiveness and impact of the new provincial self-management guidelines in facilitating transition from active curative external beam radiation treatment to primary community care. This prospective study used convenience sampling to recruit 18 patients with prostate cancer from two major cancer centers in Alberta: Calgary and Edmonton. Participants were given the self-management guidelines within their final week of external beam radiation treatment and a follow-up phone questionnaire 4 weeks later. Participants answered standardized questions regarding the self-management document based on the themes of timeliness, patient-centeredness, safety, effectiveness, and comprehensiveness. A thematic analysis of the results suggested that the majority of patients were satisfied with the document in all domains, but some expressed concern with the clarity of the document. They suggested improvements such as adding a side effect timeline, adding an appendix or symptom index, further simplifying the language, and coordinating delivery of the guidelines with an in-person education session. Overall, our findings supported the effectiveness of the guidelines in providing self-management information. If implemented into practice, these guidelines could have a positive impact on the perception of patients with prostate cancer regarding transitioning to follow-up care.

Sections du résumé

BACKGROUND BACKGROUND
With a rising number of prostate cancer survivors, transitioning patients to follow-up care has become more relevant in the current Albertan cancer care landscape and has led to a need for better patient education resources surrounding this topic. In response, the Alberta Provincial Genitourinary Tumour Team and Cancer Control Alberta have developed self-management guidelines to aid patients with prostate cancer during this transition. This study aimed to evaluate the effectiveness and impact of the new provincial self-management guidelines in facilitating transition from active curative external beam radiation treatment to primary community care.
METHODS METHODS
This prospective study used convenience sampling to recruit 18 patients with prostate cancer from two major cancer centers in Alberta: Calgary and Edmonton. Participants were given the self-management guidelines within their final week of external beam radiation treatment and a follow-up phone questionnaire 4 weeks later. Participants answered standardized questions regarding the self-management document based on the themes of timeliness, patient-centeredness, safety, effectiveness, and comprehensiveness.
RESULTS AND DISCUSSION CONCLUSIONS
A thematic analysis of the results suggested that the majority of patients were satisfied with the document in all domains, but some expressed concern with the clarity of the document. They suggested improvements such as adding a side effect timeline, adding an appendix or symptom index, further simplifying the language, and coordinating delivery of the guidelines with an in-person education session.
CONCLUSION CONCLUSIONS
Overall, our findings supported the effectiveness of the guidelines in providing self-management information. If implemented into practice, these guidelines could have a positive impact on the perception of patients with prostate cancer regarding transitioning to follow-up care.

Identifiants

pubmed: 31178381
pii: S1939-8654(18)30369-2
doi: 10.1016/j.jmir.2019.03.182
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

398-407

Informations de copyright

Copyright © 2019. Published by Elsevier Inc.

Auteurs

Miranda Bowler (M)

Department of Oncology, University of Alberta, Edmonton, Alberta, Canada.

Rebecca Dehek (R)

Department of Oncology, University of Alberta, Edmonton, Alberta, Canada.

Elizabeth Thomas (E)

Department of Oncology, University of Alberta, Edmonton, Alberta, Canada.

Kristi Ngo (K)

Department of Oncology, University of Alberta, Edmonton, Alberta, Canada. Electronic address: kngo@ualberta.ca.

Laura Grose (L)

Department of Oncology, University of Alberta, Edmonton, Alberta, Canada.

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Classifications MeSH