Abstract
Main Objective: Continuously support and coordination of psychosocial care to patients, added to usual care in whole cancer trajectories will better support patient self-efficacy, than will usual care.
Participants: Patients in the diagnostic period of colorectal cancer.
Methods: In a randomized controlled trial, 280 Danish patients will be assigned to one of two groups. 1) Usual care: Patient-centered and performed by nurses and secretaries, who can answer department specific questions. They work in separate relevant hospital units. 2) Usual care plus intervention: An additional offer of one or two nurse navigators to follow patients throughout the whole cancer trajectory. Nurse navigators offers a family-centered approach targeting patient selfefficacy
by assessment of distress and unmet needs, and intelligent integration of psychosocial care activities from hospitals, primary care, spiritual and social care, not-for-profit organizations, and families. Data is collected with questionnaires. The primary outcome measure is change in patients’ self-efficacy for cancer. Secondary outcomes are unmet needs, continuity of care, health related
quality of life and nurse navigation time spent. The adjustment of the intervention after pilot test is reported.
Conclusion: The study will be performed in primarily low and middle-income areas in Denmark, and as the intervention is complex, the underlying evidence based theories will serve for good guesses of causal processes. If positive results, we will be able to further advise the clinic in their efforts to reach a goal of optimal support in cancer trajectories.
Participants: Patients in the diagnostic period of colorectal cancer.
Methods: In a randomized controlled trial, 280 Danish patients will be assigned to one of two groups. 1) Usual care: Patient-centered and performed by nurses and secretaries, who can answer department specific questions. They work in separate relevant hospital units. 2) Usual care plus intervention: An additional offer of one or two nurse navigators to follow patients throughout the whole cancer trajectory. Nurse navigators offers a family-centered approach targeting patient selfefficacy
by assessment of distress and unmet needs, and intelligent integration of psychosocial care activities from hospitals, primary care, spiritual and social care, not-for-profit organizations, and families. Data is collected with questionnaires. The primary outcome measure is change in patients’ self-efficacy for cancer. Secondary outcomes are unmet needs, continuity of care, health related
quality of life and nurse navigation time spent. The adjustment of the intervention after pilot test is reported.
Conclusion: The study will be performed in primarily low and middle-income areas in Denmark, and as the intervention is complex, the underlying evidence based theories will serve for good guesses of causal processes. If positive results, we will be able to further advise the clinic in their efforts to reach a goal of optimal support in cancer trajectories.
| Original language | English |
|---|---|
| Article number | 1815 |
| Journal | Clinics In Oncology |
| Volume | 6 |
| Issue number | 1 |
| Number of pages | 7 |
| ISSN | 2474-1663 |
| Publication status | Published - 24. Jun 2021 |