Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi© Programme

Bana, Marika; Ribi, Karin; Kropf-Staub, Susanne; Näf, Ernst; Schramm, Monique Sailer; Zürcher-Florin, Sabin; Peters, Solange; Eicher, Manuela

doi:10.1016/j.ejon.2019.101714

Cited by 9 publications

(15 citation statements)

References 37 publications

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“…Usually, SMS is an educational intervention that is part of an ongoing process to facilitate patient self-management behavior. Examples of SMS projects are Improving Patient Experience and Health Outcomes Collaborative (iPEHOC) [ 68 ], Symptom Management Improves your LifE [ 69 ], OncoKompas [ 67 ], and the Symptom Navi Program [ 70 , 71 ]. However, current evidence on SMS remains inconclusive to date [ 72 ].…”

Section: Epro-symptom Monitoringmentioning

confidence: 99%

“…Another example is the Symptom Navi Program, which describes implementation of a nurse-led intervention. It is especially developed to guide patients in self-management applying the principles of SMS, based on behavior change theories [ 70 , 71 ]. The integration of the Symptom Navi Program as an eHealth intervention is currently investigated.…”

Section: Epro-symptom Monitoringmentioning

confidence: 99%

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A Narrative Review on the Collection and Use of Electronic Patient-Reported Outcomes in Cancer Survivorship Care with Emphasis on Symptom Monitoring

et al. 2022

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Electronic patient-reported outcome (ePRO) applications promise great added value for improving symptom management and health-related quality of life. The aim of this narrative review is to describe the collection and use of ePROs for cancer survivorship care, with an emphasis on ePRO-symptom monitoring. It offers many different perspectives from research settings, while current implementation in routine care is ongoing. ePRO collection optimizes survivorship care by providing insight into the patients’ well-being and prioritizing their unmet needs during the whole trajectory from diagnosis to end-of-life. ePRO-symptom monitoring can contribute to timely health risk detection and subsequently allow earlier intervention. Detection is optimized by automatically generated alerts that vary from simple to complex and multilayered. Using ePRO-symptoms during in-hospital consultation enhances the patients’ conversation with the health care provider before making informed decisions about treatments, other interventions, or self-management. ePRO(-symptoms) entail specific implementation issues and complementary ethics considerations. The latter is due to privacy concerns, digital divide, and scarcity of adequately representative data for particular groups of patients.

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Section: Epro-symptom Monitoringmentioning

confidence: 99%

Section: Epro-symptom Monitoringmentioning

confidence: 99%

A Narrative Review on the Collection and Use of Electronic Patient-Reported Outcomes in Cancer Survivorship Care with Emphasis on Symptom Monitoring

et al. 2022

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“…21 To address the lack of standardized approaches to nurse-led SMS in Switzerland, we began developing the Symptom Navi Program (SNP) in 2011 by collaborating with healthcare professionals and patients diagnosed with cancer. 22 The SNP complements usual nursing care and consists of written information leaflets called Symptom Navi Flyers (SN-Flyers), nurse-led semistructured consultations using the SN-Flyers, and a training manual to standardize SNP implementation. 23 Best practices recommend testing feasibility and effectiveness of complex interventions, like the SNP, prior to widespread implementation.…”

Section: E688mentioning

confidence: 99%

Pilot Testing of a Nurse-Led Basic Symptom Self-management Support for Patients Receiving First-Line Systemic Outpatient Anticancer Treatment

et al. 2021

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Behavior change Implementation researchNurse-led interventions Self-efficacySelf-management support Symptom managementBackground: The Symptom Navi Program (SNP) is a nurse-led intervention supporting basic symptom self-management for patients with any cancer diagnosis. The SNP has been accepted by patients and healthcare professionals alike. Objective: The aims of this study were to pilot the SNP and evaluate patient-reported symptom outcomes, nursing support for symptom management, and patient safety. Methods: Using a cluster-randomized design, we randomized centers to the intervention (SNP) or control group (usual care). Adult patients starting first-line systemic cancer treatment were included. The primary outcome was the change in symptom interference with daily functions from treatment onset to 16 weeks. Secondary outcomes included changes in symptom severity, symptom burden, self-efficacy, and perceived symptom management support and patient safety. We used linear and logistic mixed-effects models to pilot-test differences in mean changes between groups. The trial was registered with ClinicalTrials. gov (NCT03649984). Results: Changes in symptom interference with daily functions did not differ (mean difference at 16 weeks: −0.50; 95% confidence interval, −1.38 to 0.38; P = 0.25) between SNP (3 centers, 49 patients) and control (5 centers, 85 patients) as for all other outcomes. No adverse events were reported. Conclusions: Our preliminary findings did not indicate an effect of the SNP on patient-reported symptom outcomes, self-efficacy, or symptom management support. Inadequate power and SNP components (eg, insufficient training, low number of follow-up consultations) may be attributed to the lack of an observed effect. Implications for Practice: The SNP training content and intervention procedures merit reconsideration.

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“…Breast cancer treatments, such as chemotherapy, may cause undesirable side effects for patients, including nausea and vomiting, dry mouth, taste changes, loss of appetite, weight changes, diarrhea, alopecia, infection, and energy loss. These side effects can influence patients’ self-care abilities, causing them to neglect their physiological and psychological welfare [ 1 , 2 ]. Therefore, self-care during cancer therapy is an essential non-pharmacological approach to improving the well-being of patients living with breast cancer [ 2 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…These side effects can influence patients’ self-care abilities, causing them to neglect their physiological and psychological welfare [ 1 , 2 ]. Therefore, self-care during cancer therapy is an essential non-pharmacological approach to improving the well-being of patients living with breast cancer [ 2 , 3 , 4 ]. Furthermore, self-care includes activities that individuals initiate and engage in to maintain their quality of life, health, and well-being [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Self-Care Education Intervention Program (SCEIP) on Activation Level, Psychological Distress, and Treatment-Related Information

et al. 2022

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Self-care education can direct patients to manage their side effects during treatment, reduce psychological distress, and improve self-care information. In this study, the effectiveness of the Self-Care Education Intervention Program (SCEIP) on patient activation levels, psychological distress, and treatment-related concerns in women with breast cancer was assessed by adopting a longitudinal quasi-experimental pre-test and post-test design. The data for 246 women with breast cancer undergoing adjuvant chemotherapy were collected. Pre- and post-interventional assessments were conducted at baseline (T1) and the second (T2), fourth (T3), and sixth (T4) cycles using the 13-item Patient Activation Measure, 14-item Hospital Anxiety and Depression Scale, and 25-item Cancer Treatment Survey. It was found that the SCEIP significantly improved the activation level (p ≤ 0.001), psychological distress (anxiety level (p ≤ 0.001), the depression level (p ≤ 0.001)), and treatment-related concerns (sensory/psychological concerns (p = 0.05); procedural concerns (p ≤ 0.001)). Therefore, the SCEIP could potentially improve patients’ activation level, psychological distress, and treatment-related concerns regarding symptom management during chemotherapy, specifically for Malaysian women with breast cancer.

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Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi© Programme

Cited by 9 publications

References 37 publications

A Narrative Review on the Collection and Use of Electronic Patient-Reported Outcomes in Cancer Survivorship Care with Emphasis on Symptom Monitoring

A Narrative Review on the Collection and Use of Electronic Patient-Reported Outcomes in Cancer Survivorship Care with Emphasis on Symptom Monitoring

Pilot Testing of a Nurse-Led Basic Symptom Self-management Support for Patients Receiving First-Line Systemic Outpatient Anticancer Treatment

Effects of Self-Care Education Intervention Program (SCEIP) on Activation Level, Psychological Distress, and Treatment-Related Information

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