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Oncology nursing forum · Sep 2016
Randomized Controlled TrialUsing Survivorship Care Plans to Enhance Communication and Cancer Care Coordination: Results of a Pilot Study.
- Deborah K Mayer, Allison M Deal, Jeffrey M Crane, Ronald C Chen, Gary N Asher, Laura C Hanson, Stephanie B Wheeler, Adrian Gerstel, Melissa Green, Sarah Birken, and Donald L Rosenstein.
- Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC.
- Oncol Nurs Forum. 2016 Sep 1; 43 (5): 636-45.
Purpose/ObjectivesTo compare a structured cancer survivorship care plan (SCP) transition visit versus an SCP transition visit coupled with a coordinated follow-up visit from the primary care provider (PCP). .DesignPilot randomized, controlled study. .SettingREX Cancer Hospital, a community cancer center in Raleigh, North Carolina. .Sample34 adults completing treatment with curative intent. .MethodsPatients and PCPs completed measures at baseline and at six weeks. Wilcoxon signed rank and rank sum tests were used for comparisons of SCP only versus SCP with PCP follow-up visit, as well as between high- and low-activated patients. .Main Research VariablesConfidence in survivorship information and survivor concerns. .FindingsThe intervention was feasible and acceptable to patients and their PCPs. All patients (N = 34) had less contradictory information about care after SCP receipt. PCPs reported improved confidence in patients, regardless of intervention arm. Highly activated or empowered patients benefited more and had increased confidence and fewer concerns about cancer care. .ConclusionsThe SCP interventions led to increased confidence in survivorship information, but some benefits were greater for highly activated patients. PCPs also had improved confidence in survivorship care after SCP receipt, whether or not they saw the patient in follow-up. A larger study is needed to further explore these findings and the changes over time. .Implications For NursingNurses can be instrumental in facilitating the development and delivery of SCP to survivors and PCPs.
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