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Leena T, Jenna P, Carme C, Leeni L, Helena LK, Sònia M, Minna S, Virpi S, Heli V. Digital skills of health care professionals in cancer care: A systematic review. Digit Health 2024; 10:20552076241240907. [PMID: 38528966 PMCID: PMC10962045 DOI: 10.1177/20552076241240907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 03/05/2024] [Indexed: 03/27/2024] Open
Abstract
Background The digital transformation of healthcare enables new ways of working in cancer care directing attention on the digital skills of healthcare professionals. This systematic review aims to identify existing evidence about digital skills among health care professionals in cancer care to identify the needs for future education and research. Methods Database searches were conducted in PubMed, CINAHL, Web of Science, Scopus, Cochrane and ERIC to identify studies until March 2023. The inclusion criteria were digital skills of health care professionals in cancer care as described by themselves, other health care professionals, patients or significant others. The CASP tool was used for quality assessment of the studies. Data was analysed following inductive content analysis. Results The search produced 4563 records, of which 24 studies were included (12 qualitative, 10 quantitative, 1 mixed methods design and 1 strategy paper). Four main categories were identified describing HCPs' required skills, existing skills and development areas of digital skills in cancer care: Skills for information technology, Skills for ethical practice, Skills for creating a human-oriented relationship and Skills for digital education and support. In development areas, one more main category, Skills for implementing digital health, was identified. Conclusion The digital skills of health care professionals in cancer care are multifaceted and fundamental for quality cancer care. The skills need to be assessed to provide education based on actual learning needs. The review findings can be used for education and research in this field.
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Affiliation(s)
- Tuominen Leena
- Department of Nursing Science, University of Turku, Turku, Finland
- Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland
| | - Poraharju Jenna
- Department of Nursing Science, University of Turku, Turku, Finland
- Intensive Care Unit, Helsinki University Hospital, Helsinki, Finland
| | - Carrion Carme
- Research of Faculty of Health Sciences Studies, Open University of Catalonia (Universitat Oberta de Catalunya, UOC), Barcelona, Spain
| | - Lehtiö Leeni
- Turku University Library, University of Turku, Turku, Finland
| | - Leino-Kilpi Helena
- Department of Nursing Science, University of Turku, Turku, Finland
- Turku University Hospital, Turku, Finland
| | - Moretó Sònia
- Open University of Catalonia (Universitat Oberta de Catalunya, UOC), Barcelona, Spain
| | - Stolt Minna
- Department of Nursing Science, University of Turku, Turku, Finland
- Satakunta Wellbeing Services Country, Pori, Finland
| | - Sulosaari Virpi
- Turku University of Applied Sciences, Health and Well-being, Master School, Advancing Supportive Cancer and Palliative Care (CARE)—Research Group, European Oncology Nursing Society, Turku, Finland
| | - Virtanen Heli
- Department of Nursing Science, University of Turku, Turku, Finland
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Serpentini S, Guandalini B, Tosin G, Ronconi L, Cristaldi G, Amatulli R, Deledda G, Riccardi S, Sommacal S, Iannopollo L, Calvo V, Merluzzi TV. Assessment of self-efficacy for caregiving in oncology: Italian validation of the caregiver inventory (CGI-I). BMC Palliat Care 2021; 20:166. [PMID: 34670541 PMCID: PMC8529803 DOI: 10.1186/s12904-021-00849-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 09/21/2021] [Indexed: 11/15/2022] Open
Abstract
Background The Caregiver Inventory (CGI), a measure of self-efficacy for caregiving that takes into account aspects of caregiving that are neglected by current measures of caregiving, was translated into Italian and validated. Methods Ninety-one caregivers from a variety of locations in Italy completed the CGI-Italian (CGI-I) as well as the Hospital Anxiety and Depression Scale (HADS) and the Family Strain Questionnaire - Short Form (FSQ-SF). Results A confirmatory factor analysis based on the original CGI factor structure resulted in an adequate fit of the CGI-I using standard fit indices. Thus, the original factor structure was validated in the CGI-I: Managing Medical Information (α = 0.87), Caring for Care Recipient (α = 0.68), Caring for Oneself (α = 0.78), and Managing Difficult Interactions/Emotions (α = 0.55). The CGI-I total score was inversely related to anxiety (HADS, r = − 0.35, p = <.05), and depression (HADS, r = − 0.45, p = <.05). In addition, the CGI-I was inversely related to caregiver stress (FSQ-SF, r = − 0.39, p = <.05). Care of Oneself and Managing Difficult Interactions/Emotions emerged as the strongest and most robust negative relationships with anxiety, depression, and caregiver stress, which replicated, with similar constructs, findings from the original CGI. Conclusions The results of this study established the CGI-I as a reliable and valid measure of self-efficacy for caregiving. This study also confirms the importance of self-care and managing difficult communication in the process of successfully navigating the demands of caregiving and in constructing interventions for caregivers who need support. Supplementary Information The online version contains supplementary material available at 10.1186/s12904-021-00849-5.
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Affiliation(s)
- S Serpentini
- Veneto Institute of Oncology IOV - IRCCS, Padua, Italy
| | - B Guandalini
- Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA) University of Padua, Padua, Italy
| | - G Tosin
- Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA) University of Padua, Padua, Italy
| | - L Ronconi
- Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA) University of Padua, Padua, Italy
| | - G Cristaldi
- Veneto Institute of Oncology IOV - IRCCS, Padua, Italy
| | - R Amatulli
- Veneto Institute of Oncology IOV - IRCCS, Padua, Italy
| | - G Deledda
- Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy
| | - S Riccardi
- Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
| | - S Sommacal
- Veneto Institute of Oncology IOV - IRCCS, Padua, Italy
| | - L Iannopollo
- Veneto Institute of Oncology IOV - IRCCS, Padua, Italy
| | - V Calvo
- Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA) University of Padua, Padua, Italy
| | - T V Merluzzi
- Department of Psychology, University of Notre Dame, Notre Dame, IN, 46556, USA.
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Kristjansdottir OB, Vågan A, Svavarsdóttir MH, Børve HB, Hvinden K, Duprez V, Van Hecke A, Heyn L, Strømme H, Stenberg U. Training interventions for healthcare providers offering group-based patient education. A scoping review. PATIENT EDUCATION AND COUNSELING 2021; 104:1030-1048. [PMID: 33583649 DOI: 10.1016/j.pec.2020.12.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 11/18/2020] [Accepted: 12/13/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVES To provide overview of research on training interventions for healthcare providers aimed at promoting competencies in delivering group-based patient education. METHODS A systematic literature search identified relevant studies. Data was extracted on training details, study design, outcomes and experiences. Results were summarized and qualitative data analyzed using content analysis. RESULTS Twenty-seven studies exploring various training interventions were included. Ten studies used qualitative methods, eight quantitative and nine mixed methods. Use of a comparison group, validated instruments and follow-up measures was rare. Healthcare providers' reactions to training were mostly positive. Several studies indicated positive short-term effects on self-efficacy and knowledge. Results on observed skills and patient outcomes were inconclusive. Results on healthcare providers' experience of delivery of group-based patient education following training were categorized into 1) Benefits of training interventions, 2) Barriers to implementation and 3) Delivery support. CONCLUSIONS Further evaluation of training for healthcare providers delivering group-based patient education is needed before conclusions on training efficacy can be drawn. The results indicate an expanding research field still in maturation. PRACTICE IMPLICATIONS Efficacy studies evaluating theoretically grounded training with clear attention on group facilitation and follow-up support are needed. Inclusion of validated instruments and long-term outcomes is encouraged.
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Affiliation(s)
- Olöf Birna Kristjansdottir
- The Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway.
| | - André Vågan
- The Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway
| | | | - Hilde Blindheim Børve
- The Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway
| | - Kari Hvinden
- The Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway
| | - Veerle Duprez
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Ann Van Hecke
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Staff Member Nursing Department, Ghent University Hospital, Ghent, Belgium
| | - Lena Heyn
- Faculty of Health and Social Sciences, Department of Nursing and Health Sciences, University of South-Eastern Norway, Drammen, Norway
| | - Hilde Strømme
- University Library, Medical Library, University of Oslo, Oslo, Norway
| | - Una Stenberg
- The Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway; Frambu Competence Center for Rare Diagnoses, Siggerud, Norway
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Male DA, Fergus KD, Stephen JE. Professional Online Support Group Facilitators: Guarantors of Maximal Group Utility. Int J Group Psychother 2017; 67:314-336. [PMID: 38475609 DOI: 10.1080/00207284.2016.1240587] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Synchronous online support groups (OSGs) represent a promising psychosocial resource, as they offer many of the same therapeutic factors as face-to-face groups as well as unique benefits (e.g., anonymity, convenience). Despite their advantages, OSGs also present challenges to participation, including lack of visual cues, disjointed text communication, and rapid pace, which render the presence of a professional facilitator especially important. This study involved an in-depth qualitative analysis of 38 sessions of four time-limited OSGs for informal caregivers (i.e., family) of patients with advanced-stage cancer. Results depict the ways in which four trained facilitators maximized the utility of their respective online groups-namely, by structuring and guiding, actively scanning, and modulating experiencing. These findings expand our limited understanding of the facilitative processes that take place in OSGs and may be clinically informative to professionals with an interest in this relatively novel group modality.
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Parahoo K, McKenna S, Prue G, McSorley O, McCaughan E. Facilitators' delivery of a psychosocial intervention in a controlled trial for men with prostate cancer and their partners: a process evaluation. J Adv Nurs 2017; 73:1620-1631. [DOI: 10.1111/jan.13248] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Kader Parahoo
- Institute of Nursing and Health Research; Ulster University; Coleraine Northern Ireland
| | - Suzanne McKenna
- Institute of Nursing and Health Research; Ulster University; Newtownabbey Co.Antrim Northern Ireland
| | - Gillian Prue
- School of Nursing and Midwifery, Queen's University Belfast; Medical Biology Centre; Belfast Northern Ireland
| | - Oonagh McSorley
- Northern Ireland Cancer Registry; Queen's University Belfast; Northern Ireland
| | - Eilis McCaughan
- Institute of Nursing and Health Research; Ulster University; Coleraine Northern Ireland
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6
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The effect of an online support group on patients׳ treatment decisions for localized prostate cancer: An online survey. Urol Oncol 2017; 35:37.e19-37.e28. [DOI: 10.1016/j.urolonc.2016.09.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 07/14/2016] [Accepted: 09/27/2016] [Indexed: 11/23/2022]
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Walshe C, Roberts D, Appleton L, Calman L, Large P, Lloyd-Williams M, Grande G. Coping Well with Advanced Cancer: A Serial Qualitative Interview Study with Patients and Family Carers. PLoS One 2017; 12:e0169071. [PMID: 28107352 PMCID: PMC5249149 DOI: 10.1371/journal.pone.0169071] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Accepted: 12/12/2016] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVES To understand successful strategies used by people to cope well when living with advanced cancer; to explore how professionals can support effective coping strategies; to understand how to support development of effective coping strategies for patients and family carers. DESIGN Qualitative serial (4-12 week intervals) interview study with people with advanced cancer and their informal carers followed by focus groups. The iterative design had a novel focus on positive coping strategies. Interview analysis focused on patients and carers as individuals and pairs, exploring multiple dimensions of their coping experiences. Focus group analysis explored strategies for intervention development. PARTICIPANTS 26 people with advanced (stage 3-4) breast, prostate, lung or colorectal cancer, or in receipt of palliative care, and 24 paired nominated informal/family carers. SETTING Participants recruited through outpatient clinics at two tertiary cancer centres in Merseyside and Manchester, UK, between June 2012 and July 2013. RESULTS 45 patient and 41 carer interviews were conducted plus 4 focus groups (16 participants). People with advanced cancer and their informal/family carers develop coping strategies which enable effective management of psychological wellbeing. People draw from pre-diagnosis coping strategies, but these develop through responding to the experience of living with advanced cancer. Strategies include being realistic, indulgence, support, and learning from others, which enabled participants to regain a sense of wellbeing after emotional challenge. Learning from peers emerged as particularly important in promoting psychological wellbeing through the development of effective 'everyday', non-clinical coping strategies. CONCLUSIONS Our findings challenge current models of providing psychological support for those with advanced cancer which focus on professional intervention. It is important to recognise, enable and support peoples' own resources and coping strategies. Peer support may have potential, and could be a patient-centred, cost effective way of managing the needs of a growing population of those living with advanced cancer.
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Affiliation(s)
- Catherine Walshe
- International Observatory on End of Life Care, Lancaster University, Bailrigg, Lancaster, United Kingdom
| | - Diane Roberts
- The School of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, United Kingdom
| | - Lynda Appleton
- Clatterbridge Cancer Centre NHS Foundation Trust, Wirral, United Kingdom
| | - Lynn Calman
- Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom
| | - Paul Large
- User representative, Liverpool, United Kingdom
| | - Mari Lloyd-Williams
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom
| | - Gunn Grande
- The School of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, United Kingdom
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8
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Collie K, Prins Hankinson S, Norton M, Dunlop C, Mooney M, Miller G, Giese-Davis J. Online art therapy groups for young adults with cancer. Arts Health 2016. [DOI: 10.1080/17533015.2015.1121882] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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9
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Carter W, Fergus K, Ahmad S, McLeod D, Stephen J. Defining the Role of the Online Therapeutic Facilitator: Principles and Guidelines Developed for Couplelinks, an Online Support Program for Couples Affected by Breast Cancer. JMIR Cancer 2015; 1:e4. [PMID: 28410159 PMCID: PMC5367674 DOI: 10.2196/cancer.3887] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2014] [Revised: 03/17/2015] [Accepted: 03/23/2015] [Indexed: 11/13/2022] Open
Abstract
Development of psychological interventions delivered via the Internet is a rapidly growing field with the potential to make vital services more accessible. However, there is a corresponding need for careful examination of factors that contribute to effectiveness of Internet-delivered interventions, especially given the observed high dropout rates relative to traditional in-person (IP) interventions. Research has found that the involvement of an online therapist in a Web-based intervention reduces treatment dropout. However, the role of such online therapists is seldom well articulated and varies considerably across programs making it difficult to discern processes that are important for online therapist involvement.In this paper, we introduce the concept of "therapeutic facilitation" to describe the role of the online therapist that was developed and further refined in the context of a Web-based, asynchronous psychosocial intervention for couples affected by breast cancer called Couplelinks. Couplelinks is structured into 6 dyadic learning modules designed to be completed on a weekly basis in consultation with a facilitator through regular, asynchronous, online text-based communication.Principles of therapeutic facilitation derived from a combination of theory underlying the intervention and pilot-testing of the first iteration of the program are described. Case examples to illustrate these principles as well as commonly encountered challenges to online facilitation are presented. Guidelines and principles for therapeutic facilitation hold relevance for professionally delivered online programs more broadly, beyond interventions for couples and cancer.
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Affiliation(s)
| | - Karen Fergus
- Department of Psychology, York University, Toronto, ON, Canada.,Patient and Family Support Services, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Saunia Ahmad
- Department of Psychology, York University, Toronto, ON, Canada.,Patient and Family Support Services, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Deborah McLeod
- Psychosocial Oncology Team, Capital District Cancer Care Program, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada
| | - Joanne Stephen
- Psychosocial Oncology, Department of Oncology, Faculty of Medicine, University of Calgary, Calgary, AB, Canada
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10
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Garrett BM, Oliffe JL, Bottorff JL, McKenzie M, Han CS, Ogrodniczuk JS. The value of prostate cancer support groups: a pilot study of primary physicians' perspectives. BMC FAMILY PRACTICE 2014; 15:56. [PMID: 24673983 PMCID: PMC3972516 DOI: 10.1186/1471-2296-15-56] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Accepted: 03/25/2014] [Indexed: 11/10/2022]
Abstract
BACKGROUND In Canada, prostate cancer (PCa) is the most common male cancer, and prostate cancer support groups (PCSGs) have prevailed for more than 20 years providing support to men with PCa and their families. While the format, focus and benefits of attending PCSGs have been reported little is known about primary physicians' (PPs) perceptions of these groups. This article describes Canadian primary physicians' views about face-to-face and web-based PCSGs. METHODS Canadian based primary physicians (n = 140) attending a 2012 Continuing Medical Education Conference participated in a pilot survey questionnaire study. The 56-item questionnaire used in this study included six sets of attitudinal items to measure primary physicians' beliefs about positive and negative influences of PCSGs, reasons for attending PCSGs, the attributes of effective PCSGs, and the value of face-to-face and web-based PCSGs. RESULTS Results showed that PCSGs were positively valued, particularly for information sharing, education and psychosocial support. Poor inclusivity, privacy, and accessibility were identified as potential barriers, and recommendations were made for better marketing and web-based PCSGs to increase engagement with potential attendees. CONCLUSIONS Findings suggest PPs highly valued the role and potential benefits of PCSGs. Information provision and an educational role were perceived as key benefits amid the need to improve local and provincial marketing of PCSGs. The potential for web-based PCSGs to help in the support of PCa patients was also recognized.
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Affiliation(s)
- Bernard M Garrett
- School of Nursing, University of British Columbia, T201, 2211 Wesbrook Mall, V6T 2B5 Vancouver, BC, Canada.
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11
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Glaser SR, Glassman R. Group work with individuals with chronic cancer. SOCIAL WORK IN HEALTH CARE 2014; 53:31-47. [PMID: 24405237 DOI: 10.1080/00981389.2013.827610] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This article discusses the value and importance of support groups for people living with chronic cancer. It is a primer for the professional mental health practitioner interested in leading a support group. Group formation, screening, open versus closed groups, size, co-facilitation, duration and phases-beginning, middle and end will be discussed. Leadership, structure, and group dynamics are explained using case examples to highlight the issues. The effect of the deterioration and death of group members on both the facilitators and the group's members will be explored. The paper ends with a discussion of counter-transference, stress, self-care and resiliency.
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Affiliation(s)
- Susan R Glaser
- a Social Work, Memorial Sloan-Kettering Cancer Center , New York , New York , USA
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12
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Xu Y, Testerman LS, Owen JE, Bantum EO, Thornton AA, Stanton AL. Modeling intention to participate in face-to-face and online lung cancer support groups. Psychooncology 2013; 23:555-61. [DOI: 10.1002/pon.3449] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2013] [Revised: 10/08/2013] [Accepted: 10/21/2013] [Indexed: 01/07/2023]
Affiliation(s)
- Yangmu Xu
- Department of Psychology; Loma Linda University; Loma Linda CA USA
| | | | - Jason E. Owen
- Department of Psychology; Loma Linda University; Loma Linda CA USA
| | - Erin O. Bantum
- Cancer Research Center of Hawaii; University of Hawai'i at Manoa; Honolulu HI USA
| | - Andrea A. Thornton
- Resnick Neuropsychiatric Hospital; University of California; Los Angeles CA USA
| | - Annette L. Stanton
- Psychology & Psychiatry/Biobehavioral Sciences; University of California; Los Angeles CA USA
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13
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Stephen J, Collie K, McLeod D, Rojubally A, Fergus K, Speca M, Turner J, Taylor-Brown J, Sellick S, Burrus K, Elramly M. Talking with text: communication in therapist-led, live chat cancer support groups. Soc Sci Med 2013; 104:178-86. [PMID: 24581076 DOI: 10.1016/j.socscimed.2013.12.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2012] [Revised: 08/15/2013] [Accepted: 12/02/2013] [Indexed: 11/26/2022]
Abstract
CancerChatCanada is a pan-Canadian initiative with a mandate to make professionally led cancer support groups available to more people in Canada. Although online support groups are becoming increasingly popular, little is known about therapist-led, synchronous groups using live chat. The purpose of this study was to generate a rich descriptive account of communication experiences in CancerChatCanada groups and to gain an understanding of processes associated with previously-reported benefits. We used interpretive description to analyze interview segments from 102 patients, survivors and family caregivers who participated in CancerChatCanada groups between 2007 and 2011. The analysis yielded four inter-related process themes (Reaching Out From Home, Feeling Safe, Emotional Release, and Talking With Text) and one outcome theme (Resonance and Kinship). The findings extend previous research about text-only online support groups and provide novel insights into features of facilitated, live chat communication that are valued by group members.
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Affiliation(s)
- Joanne Stephen
- BC Cancer Agency, Patient and Family Counselling Services, 13750 96th Ave, Surrey, BC V3T 0C7, Canada.
| | - Kate Collie
- Cross Cancer Institute, 11560 University Avenue, Edmonton, AB T6G 1Z2, Canada.
| | - Deborah McLeod
- QE II Health Sciences Centre, School of Nursing, Dalhousie University, Victoria 11-006, 1278 Tower Rd., Halifax, NS B3H 2Y9, Canada.
| | - Adina Rojubally
- BC Cancer Agency, Patient and Family Counselling Services, 13750 96th Ave, Surrey, BC V3T 0C7, Canada.
| | - Karen Fergus
- Sunnybrook Odette Cancer Center, 2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada.
| | - Michael Speca
- Tom Baker Cancer Centre, Department of Psychosocial Resources, Holy Cross Site, Phase I, 2202 - 2nd Street SW, Calgary, AB T2S 3C1, Canada.
| | - Jill Turner
- Cross Cancer Institute, 11560 University Avenue, Edmonton, AB T6G 1Z2, Canada.
| | - Jill Taylor-Brown
- Patient and Family Support Services, Cancer Care Manitoba, 675 McDermot Ave, Winnipeg, MB R3E 0V9, Canada.
| | - Scott Sellick
- Supportive Care, Thunderbay Regional Health Sciences Center, 980 Oliver Road, Thunder Bay, ON P7B 6V4, Canada.
| | - Kimberly Burrus
- BC Cancer Agency, Patient and Family Counselling Services, 13750 96th Ave, Surrey, BC V3T 0C7, Canada.
| | - Mai Elramly
- BC Cancer Agency, Patient and Family Counselling Services, 13750 96th Ave, Surrey, BC V3T 0C7, Canada.
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Schover LR, Yuan Y, Fellman BM, Odensky E, Lewis PE, Martinetti P. Efficacy trial of an Internet-based intervention for cancer-related female sexual dysfunction. J Natl Compr Canc Netw 2013; 11:1389-97. [PMID: 24225972 PMCID: PMC3831175 DOI: 10.6004/jnccn.2013.0162] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The recent NCCN Guidelines for Survivorship recommend systematic evaluation and multidisciplinary treatment of cancer-related sexual dysfunctions. However, most oncology professionals fail to routinely assess sexual problems and lack expertise to treat them. An Internet-based intervention was designed to educate female patients and their partners about cancer-related sexual problems, describe medical treatment options and how to find expert care, and provide self-help strategies. A randomized trial assessed efficacy of the intervention when used as self-help versus the same Web access and 3 supplemental counseling sessions. Survivors of localized breast or gynecologic cancers completed online questionnaires at baseline, posttreatment, and 3- and 6-month follow-up, including the Female Sexual Function Index (FSFI), the Menopausal Sexual Interest Questionnaire (MSIQ), the Brief Symptom Inventory-18 (BSI-18) to assess emotional distress, and the Quality of Life in Adult Cancer Survivors (QLACS) scale. Program evaluation ratings were completed posttreatment. Fifty-eight women completed baseline questionnaires (mean age, 53 ± 9 years). Drop-out rates were 22% during treatment and 34% at 6-month follow-up. Linear mixed models for each outcome across time showed improvement in total scores on the FSFI, MSIQ, and QLACS (P<.001) and BSI-18 (P=.001). The counseled group improved significantly more on sexuality measures, but changes in emotional distress and quality of life did not differ between groups. Program content and ease of use were rated positively. Research is needed on how best to integrate this intervention into routine clinical practice, and particularly how to improve uptake and adherence.
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Affiliation(s)
| | - Ying Yuan
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | | | - Evan Odensky
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Pamela E. Lewis
- The University of Texas MD Anderson Cancer Center, Houston, TX
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Scientific and Clinical Abstracts From the WOCN® Society's 45th Annual Conference. J Wound Ostomy Continence Nurs 2013. [DOI: 10.1097/won.0b013e31828f9649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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16
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Stephen J, Rojubally A, Macgregor K, McLeod D, Speca M, Taylor-Brown J, Fergus K, Collie K, Turner J, Sellick S, Mackenzie G. Evaluation of CancerChatCanada: a program of online support for Canadians affected by cancer. ACTA ACUST UNITED AC 2013; 20:39-47. [PMID: 23443892 DOI: 10.3747/co.20.1210] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
BACKGROUND Professional-led cancer support groups can improve quality of life and address unmet needs, but most Canadians affected by cancer do not have access to or do not make use of cancer support groups. A collaborative interdisciplinary team developed, operated, and evaluated Internet-based, professional-led, live-chat support groups (osgs) for cancer patients, caregivers, and survivors across Canada. OBJECTIVE Our study aimed to report participant and participation characteristics in the pan-Canadian initiative known as CancerChatCanada, and to understand participant perspectives about the quality of communication and professional facilitation, overall satisfaction, and psychosocial benefits and outcomes. METHODS Participants in osgs provided informed consent. Participant and participation characteristics were gathered from program data collection tools and are described using frequencies, means, and chi-squares. Patient, survivor, and caregiver perspectives were derived from 102 telephone interviews conducted after osg completion and subjected to a directed qualitative content analysis. RESULTS The 55 professional-led osgs enrolled 351 participants from 9 provinces. More than half the participants came from rural or semirural areas, and more than 84% had no received previous cancer support. The attendance rate was 75%, the dropout rate was 26%, and 80% of participants were satisfied or very satisfied. The convenience and privacy of osgs were benefits. Meaningful communication about important and difficult topics, kinship and bonding with others, and improved mood and self-care were perceived outcomes. CONCLUSIONS Our results demonstrate that this collaborative initiative was successful in increasing reach and access, and that pan-Canadian, professional-led osgs provide psychosocial benefit to underserved and burdened cancer patients, survivors, and family caregivers.
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Affiliation(s)
- J Stephen
- BC Cancer Agency, Provincial Psychosocial Oncology Program, Vancouver, BC
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Evaluating a knowledge exchange intervention in cancer survivorship care: a workshop to foster implementation of Online Support Groups. Support Care Cancer 2013; 21:1429-35. [PMID: 23274924 PMCID: PMC3612586 DOI: 10.1007/s00520-012-1686-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Accepted: 12/10/2012] [Indexed: 10/27/2022]
Abstract
PURPOSE The purpose of the research described here is to assess the overall effectiveness of the workshop format as a Knowledge Exchange (KE) strategy in (1) disseminating scientific evidence, clinical experience, and systems information related to professionally led Online Support Groups (OSG) for cancer survivors and (2) facilitating the implementation of this intervention by a select group of end users--decision makers and clinical leads in psychosocial supportive care. METHODS The KE-Decision Support (KE-DS) Model, operationalizing the Health Technology Approach, guided the development of pre- and postworkshop questionnaires, and a follow-up questionnaire administered 5 months after the workshop. Questionnaire results were categorized according to participants' responses to these elements: methods of engagement, evidence (scientific, experiential, systems) and the delivery of this evidence, and external factors at the institutional level, such as administrative support, budgetary issues, etc., that influence decision-maker abilities and strategies. RESULTS Traditional KE strategies such as peer-reviewed journal articles are optimal for disseminating scientific evidence, while face-to-face interactions, such as in a workshop, are best used to disseminate systems-level implementation information, such as fiscal implications, budgetary requirements, and policy relevance, which is not found in journal articles or conferences. An apparent shift in workplace culture signifies the availability of institutional support for high-level staff to engage in KE. CONCLUSIONS As a KE strategy with identified end users, the workshop format is effective in facilitating the implementation of this intervention in participants' institutions.
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