Access to Care: Using eHealth to Limit Location-Based Barriers for Patients With Cancer

Baldwin-Medsker, Abigail; Holland, Jennifer E.; Rodríguez, Elizabeth

doi:10.1188/20.cjon.s1.16-23

Cited by 12 publications

(8 citation statements)

References 31 publications

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“…In addition, lower socioeconomic status can also be a risk factor for poor access to care because of lack of mobility and other factors. 12 Telehealth has the potential to bridge some of these disparities; however, many patients may need support because of insufficient access to broadband, lack of technologic devices, or lack of familiarity with technology.…”

Section: Discussionmentioning

confidence: 99%

“…10 Thus, following the publication of ASCO's interim statement on telemedicine, its subsequent Road to Recovery Strategy identified a need within the ASCO membership for more detailed oncology-based standards. 11 This need also predates the COVID-19 pandemic, as 20% of the US population lives and works in rural areas, whereas only 3% of oncologists practice in these areas 12 and greater travel requirements have been associated with impact on diagnosis, as well as decreased treatment options and a lower likelihood of receiving care. 13,14 These ASCO Standards and Practice Recommendations (Standards) were created in response to this need and include an endorsement of existing general guidelines for telehealth implementation, including the American Medical Association (AMA) Telehealth Implementation Playbook, 15 which is a comprehensive resource for the implementation of telehealth, and the American Telemedicine Association's (ATA's) Quick-Start Guide.…”

Section: Additional Resourcesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Telehealth in Oncology: ASCO Standards and Practice Recommendations

Zoň¹,

Kennedy

Adelson

et al. 2021

JCO Oncology Practice

100

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PURPOSE To provide standards and practice recommendations specific to telehealth in oncology. METHODS A systematic review of the literature on telehealth in oncology was performed, including the use of technologies and telecommunications systems, and other electronic methods of care delivery and sharing of information with patients. The evidence base was combined with the opinion of the ASCO Telehealth Expert Panel to develop telehealth standards and guidance. Public comments were solicited and considered in preparation of the final manuscript. RESULTS The Expert Panel determined that general guidance on implementing telehealth across general and specialty settings has been published previously and these resources are endorsed. A systematic search for studies on topics specific to oncology resulted in the inclusion of two clinical practice guidelines, 12 systematic reviews, and six primary studies. STANDARDS AND GUIDANCE Standards and guidance are provided for which patients in oncology can be seen via telehealth, establishment of the doctor-physician relationship, role of allied health professionals, role of advanced practice providers, multidisciplinary cancer conferences, and teletrials in oncology. Additional information is available at www.asco.org/standards .

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Section: Discussionmentioning

confidence: 99%

Section: Additional Resourcesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Telehealth in Oncology: ASCO Standards and Practice Recommendations

Zoň¹,

Kennedy

Adelson

et al. 2021

JCO Oncology Practice

100

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“…Moreover, the OC intervention covers a broad range of RSH topics (i.e., contraception, fertility potential, pelvic health) and potential action steps (e.g., type of healthcare professional to talk to about the concern), making it wellsuited to meeting the varied needs of BGC survivors and their partners. Finally, the intervention is designed for virtual delivery, which could increase reach and improve access for young couples [88,94] and was preferred by couples in the formative research phase [35].…”

Section: Discussionmentioning

confidence: 99%

Opening the Conversation: study protocol for a Phase III trial to evaluate a couple-based intervention to reduce reproductive and sexual distress among young adult breast and gynecologic cancer survivor couples

Gorman

Lyons

Harvey

et al. 2022

Trials

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Background Reproductive and sexual health (RSH) concerns are common and distressing for young adults diagnosed with breast and gynecologic cancer and their partners. This study evaluates the efficacy of a virtual couple-based intervention called Opening the Conversation (OC). The OC intervention is grounded in theory and evidence-based practice and was adapted to improve coping and communication specifically in relation to RSH concerns after cancer. Methods This Phase III trial is conducted in a fully remote setting and enrolls young adult couples (current age 18–44 years) with a history of breast or gynecologic cancer (stage 1–4, diagnosed under age 40) within the past 6 months to 5 years. Eligible dyads are recruited from across the USA. The target sample size is 100 couples. Dyads are randomly assigned to receive either the 5-session OC intervention or a 4-session active control intervention (Side by Side). The primary outcomes are change in reproductive distress and sexual distress. Secondary outcomes include communication about reproductive concerns, communication about sexual concerns, depressive symptoms, sexual function, relationship quality, relationship intimacy, sexual satisfaction, self-efficacy to communicate about sex and intimacy, and quality of life. An exploratory aim examines whether dyadic coping and communication quality mediate intervention effects on survivors’ and partners’ reproductive distress or sexual distress. Self-report outcome measures are assessed for both groups at baseline (T1), 2 weeks post-treatment (T2), and 3 months post-treatment (T3). Discussion Despite the importance of RSH for quality of life for young adult cancer survivors and their partners, evidence-based interventions that help couples navigate RSH concerns are lacking. This randomized controlled trial will determine the efficacy of a novel couple-based intervention to reduce distress related to RSH concerns for younger couples after breast or gynecologic cancer, in comparison to an active control intervention. Trial registration ClinicalTrials.gov NCT04806724. Registered on Mar 19, 2021.

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“…Some participants talked about conducting virtual training to reach participants in remote locations and help reduce their sense of isolation. Previous literature has acknowledged the value of technology in reaching remote patients (Baldwin-Medsker et al, 2020;Sudhakara et al, 2019); this study suggests similar benefits may apply in reaching remote healthcare staff with professional development opportunities.…”

Section: While Using Similar Technology To Their Hospital-based Count...mentioning

confidence: 53%

Nursing professional development in ambulatory care: what is it?

Fritz¹

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Nursing professional development (NPD) practitioners play an important role in ensuring the quality and safety of nursing care and in guiding nurses through practice transitions. In recent years, an increasing number of NPD practitioners have been employed in ambulatory care settings, yet little is known about how the ambulatory practice setting affects or is affected by NPD practice. The aim of this descriptive phenomenology was to describe how the NPD role is experienced in the ambulatory care setting. Nine NPD practitioners working in ambulatory care were interviewed. Data were analyzed using Priest's method for descriptive phenomenology. Three themes emerged: Features of the ambulatory care setting that affect NPD practice; same, but different; and these are my people. The findings provide a rich description of NPD practice in ambulatory care, with implications for NPD practitioners in ambulatory care and the organizations that employ them. Results from this project will be used to design future research on optimizing NPD practice to improve nursing care in ambulatory settings

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Access to Care: Using eHealth to Limit Location-Based Barriers for Patients With Cancer

Cited by 12 publications

References 31 publications

Telehealth in Oncology: ASCO Standards and Practice Recommendations

Telehealth in Oncology: ASCO Standards and Practice Recommendations

Opening the Conversation: study protocol for a Phase III trial to evaluate a couple-based intervention to reduce reproductive and sexual distress among young adult breast and gynecologic cancer survivor couples

Nursing professional development in ambulatory care: what is it?

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