Improving outcomes for people with progressive cancer: Interrupted time series trial of a needs assessment intervention

Waller, A; Girgis, A; Johnson, C; Lecathelinais, C; Sibbritt, D; Forstner, D; Liauw, W; Currow, DC

Improving outcomes for people with progressive cancer: Interrupted time series trial of a needs assessment intervention

Waller, A Girgis, A Johnson, C Lecathelinais, C Sibbritt, D

Forstner, D Liauw, W Currow, DC

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Publication Type:: Journal Article
Citation:: Journal of Pain and Symptom Management, 2012, 43 (3), pp. 569 - 581
Issue Date:: 2012-03-01

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Field	Value	Language
dc.contributor.author	Waller, A	en_US
dc.contributor.author	Girgis, A	en_US
dc.contributor.author	Johnson, C	en_US
dc.contributor.author	Lecathelinais, C	en_US
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447	en_US
dc.contributor.author	Forstner, D	en_US
dc.contributor.author	Liauw, W	en_US
dc.contributor.author	Currow, DC https://orcid.org/0000-0003-1988-1250	en_US
dc.date.available	2011-04-27	en_US
dc.date.issued	2012-03-01	en_US
dc.identifier.citation	Journal of Pain and Symptom Management, 2012, 43 (3), pp. 569 - 581	en_US
dc.identifier.issn	0885-3924	en_US
dc.identifier.uri	http://hdl.handle.net/10453/22456
dc.description.abstract	Context: Improving the effectiveness of cancer care delivery has become a major focus of research. Objectives: This study assessed the uptake and impact of the Palliative Care Needs Assessment Guidelines and Needs Assessment Tool: Progressive Disease - Cancer (NAT: PD-C) on the outcomes of people with advanced cancer. Methods: Given widely varying survival in people with advanced cancer, an interrupted time series design was used, with data on unmet needs, depression, anxiety, and quality of life collected from 195 patients using telephone interviews every two months, for up to 18 months. Patients completed at least two baseline interviews before health professionals were academically detailed in the use of the Palliative Care Needs Assessment Guidelines and NAT: PD-C. Health professionals completed the NAT: PD-C with patients approximately monthly for the remainder of the study. Changes in patients' outcomes were compared prior to and following the introduction of the NAT: PD-C using general estimating equations. Results: Moderate to high needs across all domains were frequently seen in the preintervention phase. The use of the NAT: PD-C was associated with a significant reduction in health system and information and patient care and support needs. Conclusion: These resources have the potential as an efficient and acceptable strategy for supporting needs-based cancer care. Further work is required to determine their unique contribution to improvements in patient outcomes. © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.	en_US
dc.relation.ispartof	Journal of Pain and Symptom Management	en_US
dc.relation.isbasedon	10.1016/j.jpainsymman.2011.04.020	en_US
dc.subject.classification	Anesthesiology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neoplasms	en_US
dc.subject.mesh	Disease Progression	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Palliative Care	en_US
dc.subject.mesh	Data Interpretation, Statistical	en_US
dc.subject.mesh	Sample Size	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Needs Assessment	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Guidelines as Topic	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Quality Improvement	en_US
dc.title	Improving outcomes for people with progressive cancer: Interrupted time series trial of a needs assessment intervention	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	43	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	43	en_US

Abstract:

Context: Improving the effectiveness of cancer care delivery has become a major focus of research. Objectives: This study assessed the uptake and impact of the Palliative Care Needs Assessment Guidelines and Needs Assessment Tool: Progressive Disease - Cancer (NAT: PD-C) on the outcomes of people with advanced cancer. Methods: Given widely varying survival in people with advanced cancer, an interrupted time series design was used, with data on unmet needs, depression, anxiety, and quality of life collected from 195 patients using telephone interviews every two months, for up to 18 months. Patients completed at least two baseline interviews before health professionals were academically detailed in the use of the Palliative Care Needs Assessment Guidelines and NAT: PD-C. Health professionals completed the NAT: PD-C with patients approximately monthly for the remainder of the study. Changes in patients' outcomes were compared prior to and following the introduction of the NAT: PD-C using general estimating equations. Results: Moderate to high needs across all domains were frequently seen in the preintervention phase. The use of the NAT: PD-C was associated with a significant reduction in health system and information and patient care and support needs. Conclusion: These resources have the potential as an efficient and acceptable strategy for supporting needs-based cancer care. Further work is required to determine their unique contribution to improvements in patient outcomes. © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

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http://hdl.handle.net/10453/22456