37 Background: Delivery of survivorship care plan (SCP) using a multidisciplinary approach is optimal (Hewitt et al., 2006). However, many institutions experience implementation barriers (Dulko et al., 2013). The pilot study aim compared the effectiveness of two SCP delivery methods (extended vs. brief) on self-reported confidence in disease management (breast cancer). Secondary aim evaluated timeliness and patient/provider burden. Methods: Quasi-experimental pre- and post-survey design with control group (brief explanation/ delivery of SCP) and treatment group (comprehensive consultative visit). Pretesting included distress screening and self-efficacy survey. Post-testing included self-efficacy survey, tracking of referral activity, and patient satisfaction. Time study data and process mapping were included. Descriptive data analyses and Mixed ANOVA; significance set p < .05. Results: 73 eligible patients identified (age 61.93 ±11.6 years), 36 completing pre/post testing, and 62% declined consultative visit. At pre-testing, 45% rated distress > 3 [emotional (58%), physical (50%), nutritional (30%)]. Post-testing showed 94% compliance with support service referral(s). 89% felt understanding improved, 66% found SCP helpful, 59% said SCP prepared them for transition, and 77% were satisfied. Time main effect was significant for self-efficacy, Wilks Lambda = .89, F (1,34) = 4.2, p = .048. Follow-up paired-samples t-test showed significant improvement in consultative group, t (21) = -2.56, p = .018. Group differences not significant, but both groups demonstrated positive change (7% consultative; 4% control). Time study data revealed overall time spent per patient was 3.7 hours for consultative group vs. 2.2 hours for control group. New process change to integrative model reduced time by 65%. Conclusions: Both SCP delivery methods demonstrated improved patient confidence in managing disease and positive satisfaction. However, the extended visit did not yield outcomes justifying the increased program cost and resource. The pilot fostered a multidisciplinary approach to SCP delivery and yielded a process for improved timeliness and optimal delivery model.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.