Factors influencing implementation of a survivorship care plan-a quantitative process evaluation of the ROGY Care trial

被引:12
作者
de Rooij, Belle H. [1 ,2 ]
Ezendam, Nicole P. M. [1 ,2 ]
Nicolaije, Kim A. H. [1 ,2 ]
Vos, M. Caroline [3 ,4 ]
Pijnenborg, Johanna M. A. [3 ,4 ]
Boll, Dorry [5 ]
Kruitwagen, Roy F. P. M. [6 ,7 ]
van de Poll-Franse, Lonneke V. [1 ,2 ,8 ]
机构
[1] Tilburg Univ, CoRPS Ctr Res Psychol Somat Dis, Dept Med & Clin Psychol, Tilburg, Netherlands
[2] Netherlands Comprehens Canc Org, Utrecht, Netherlands
[3] Elisabeth TweeSteden Hosp, Dept Obstet & Gynecol, Gynecol Canc Ctr South, Tilburg, Netherlands
[4] Elisabeth TweeSteden Hosp, Dept Obstet & Gynecol, Gynecol Canc Ctr South, Waalwijk, Netherlands
[5] Catharina Hosp, Dept Obstet & Gynecol, Eindhoven, Netherlands
[6] Maastricht Univ, Med Ctr, Dept Gynecol, Maastricht, Netherlands
[7] Maastricht Univ, Med Ctr, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands
[8] Netherlands Canc Inst, Div Psychosocial Res & Epidemiol, Amsterdam, Netherlands
关键词
Survivorship care plan; Implementation; Information provision; Gynecologic cancer; CANCER-TREATMENT SUMMARIES; PATIENT-REPORTED OUTCOMES; INFORMATION PROVISION; HEALTH; IMPACT; INSTRUCTIONS; SATISFACTION; BARRIERS;
D O I
10.1007/s11764-016-0562-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that influence SCP receipt. Between 2011 and 2015, a pragmatic cluster randomized-controlled-trial was conducted on the effects of automatically generated SCPs. Endometrial (N = 117) and ovarian (N = 61) cancer patients were allocated to 'SCP care', as provided by their SCP care providers (N = 10). Associations between SCP receipt (self-reported SCP receipt and actually generated SCPs), patient-factors (socio-demographic-, clinical-, and personality factors), and care provider factors (profession and a-priori motivation regarding SCP provision) were tested in univariate analysis. The odds ratios of factors influencing self-reported SCP receipt were estimated with a multivariate regression model. Of all patients in the SCP care arm (N = 178), SCPs were generated by the care provider for 90 % of the patients and 70 % of the patients reported that they had received an SCP. Patients with older age, ovarian cancer, type D (distressed) personality, and patients that completed the questionnaire a longer period of time after the SCP consult were more likely to report no SCP receipt. SCP receipt was influenced by patient- but not care-provider factors. Certain patient groups were less likely to report SCP receipt. Whether all patients are in need of an SCP, requires further investigation. If they do, more efforts need to be made towards the implementation of SCPs.
引用
收藏
页码:64 / 73
页数:10
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