‘We do need to keep some human touch’
            <i>—</i>
            Patient and clinician experiences of ovarian cancer follow‐up and the potential for an electronic patient‐reported outcome pathway: A qualitative interview study

Kennedy, Fiona; Shearsmith, Leanne; Holmes, Marie; Peacock, Rosemary; Lindner, Oana C; Megson, Molly; Velikova, Galina

doi:10.1111/ecc.13557

Cited by 3 publications

(2 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The e lectronic P atient self- R eported outcomes to I mprove cancer M anagement and patient E xperiences (ePRIME) system was composed between 2016 and 2018 following robust information technology and development work [ 27 ]. Qualitative interviews with clinicians and women previously treated for OC were conducted in 2016–2017 to explore their views of current follow-up and the prospect of ePRO follow-up [ 28 ]. The resulting system and pathway (described below) informed by this preliminary work sits in-between PIFU and routine clinic visits [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…Qualitative interviews with clinicians and women previously treated for OC were conducted in 2016–2017 to explore their views of current follow-up and the prospect of ePRO follow-up [ 28 ]. The resulting system and pathway (described below) informed by this preliminary work sits in-between PIFU and routine clinic visits [ 28 ]. The 12-month feasibility study recruited 24 women treated for OC [ 29 ] and showed high compliance with ePRO questionnaires and community bloods, fewer visits, more phone calls (as planned) and high patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘It made me feel part of the team, having my homework to do’ — women and specialist nurse experiences of remote follow-up after ovarian cancer treatment: a qualitative interview study

Kennedy

Shearsmith

Holmes

et al. 2022

Support Care Cancer

Self Cite

View full text Add to dashboard Cite

Purpose Ovarian cancer patients require monitoring for relapse post-treatment, and alternative follow-up pathways are increasing, which require in-depth exploration to ensure acceptability and inform implementation. This study aimed to explore women and specialist nurses’ experiences of participating in a feasibility study of an electronic patient-reported outcome (ePRO) follow-up pathway after ovarian cancer treatment. Methods The feasibility study incorporated an ePRO questionnaire, blood test and telephone consultation with a specialist nurse, instead of face-to-face hospital visits. All women and the nurses involved were invited to take part in nested semi-structured interviews. Interviews were recorded and transcripts analysed using framework analysis. Results Twenty interviews were conducted (16 out of 24 women who took part in the feasibility study and all 4 nurses). Four themes were identified: (1) readiness and motivators, (2) practicalities and logistics, (3) personal impact and (4) future role. An overarching theme highlighted how women strived to seek reassurance and gain confidence. Most women and nurses were positive about the ePRO pathway and would happily continue using it. Conclusion This work provides invaluable insight into the experiences of women on remote ePRO follow-up post-treatment. Important logistic and implementation issues were identified, which should inform future large-scale work to introduce and evaluate remote ePRO methods in cancer follow-up. This work highlights the key factors influencing women’s readiness and acceptability of an ePRO pathway, and how services should be carefully designed to ensure patients feel reassured and confident post-treatment. Furthermore, it highlights that flexibility and patient preference should be considered in remote service delivery. Trial registration ClinicalTrials.gov ID: NCT02847715 (first registered 19 May 2016).

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘It made me feel part of the team, having my homework to do’ — women and specialist nurse experiences of remote follow-up after ovarian cancer treatment: a qualitative interview study

Kennedy

Shearsmith

Holmes

et al. 2022

Support Care Cancer

Self Cite

View full text Add to dashboard Cite

show abstract

‘We do need to keep some human touch’ — Patient and clinician experiences of ovarian cancer follow‐up and the potential for an electronic patient‐reported outcome pathway: A qualitative interview study

Kennedy

Shearsmith

Holmes

et al. 2022

European J Cancer Care

Self Cite

View full text Add to dashboard Cite

Objective: This study aimed to explore experiences of follow-up after treatment and views on an electronic patient-reported outcome (ePRO) pathway among ovarian cancer patients and clinicians.Methods: Semi-structured qualitative interviews were conducted with clinicians and patients previously treated for ovarian cancer. Interviews explored experiences of the current follow-up pathway, patients' needs and views on an ePRO pathway enabling patients to report symptoms online rather than attend clinic-based appointments. Transcripts were analysed using framework analysis.Results: Sixteen patients and 10 clinicians participated from four hospitals in England.Four key themes were identified: transition into follow-up, key features of effective follow-up, issues in follow-up and views of ePRO. Both patients and clinicians saw benefits of an ePRO pathway alongside continued access to specialist support and discussed various practicalities (e.g., frequency, introduction and communication).Technology concerns and feelings of abandonment were highlighted as barriers. The proposed impact on clinical and individual patient outcomes was discussed. Conclusion: Patient and clinician views on follow-up and an ePRO pathway informed key recommendations on the development/introduction of ePRO follow-up. Technology use in healthcare will continue to grow and may offer solutions to facilitate responsive and tailored care. Further research should explore the safety, experiences and acceptability of ePRO follow-up.

show abstract

Electronic patient-reported monitoring of symptoms during follow-up of ovarian cancer patients: a feasibility study

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Ovarian cancer patients require monitoring for relapse. Innovative follow-up methods are increasingly being explored. An electronic patient-reported outcome (ePRO) follow-up pathway was developed for women treated for ovarian cancer. This feasibility study explored patient acceptability and compliance. Methods A single-arm non-blinded prospective feasibility study was undertaken at two hospitals. Participants were women who had completed treatment for ovarian cancer whose clinician was happy for them to be monitored remotely. Automated 3-monthly reminders were sent to participants to complete an ePRO questionnaire and obtain blood tests. Participants were reviewed over the phone by their clinical nurse specialist instead of attending clinic-based follow-up. The primary outcome was compliance (expected ePRO completions/blood tests) across the 12-month study period. Secondary outcomes were recruitment, attrition, resource use, symptom severity/alerts and patient acceptability. Results Twenty-four women consented (50% consent rate), and 13 remained on study at 12 months. Seven women relapsed, 3 chose to withdraw, and 1 withdrew for other clinical reasons. ePRO compliance was high and consistent at 75-82%, although the two hospitals differed. Adherence to the clinical protocol was evident for blood tests and contacts with staff (fewer visits, more phonecalls compared to an earlier audit). End-of-study feedback indicated high patient satisfaction. Conclusions Remote ePRO follow-up for ovarian cancer is feasible and acceptable to patients who are able and willing to participate. However, the low recruitment rate (ineligible + declined) indicate it is not suitable/acceptable to all patients immediately post-treatment. Further large-scale research and implementation work is required, especially in a post-COVID era. Trial registration ClinicalTrials.gov ID: NCT02847715 (first registered 19/05/2016).

show abstract

‘We do need to keep some human touch’ — Patient and clinician experiences of ovarian cancer follow‐up and the potential for an electronic patient‐reported outcome pathway: A qualitative interview study

Cited by 3 publications

References 43 publications

‘It made me feel part of the team, having my homework to do’ — women and specialist nurse experiences of remote follow-up after ovarian cancer treatment: a qualitative interview study

‘It made me feel part of the team, having my homework to do’ — women and specialist nurse experiences of remote follow-up after ovarian cancer treatment: a qualitative interview study

‘We do need to keep some human touch’ — Patient and clinician experiences of ovarian cancer follow‐up and the potential for an electronic patient‐reported outcome pathway: A qualitative interview study

Electronic patient-reported monitoring of symptoms during follow-up of ovarian cancer patients: a feasibility study

Contact Info

Product

Resources

About