Patient, provider, and nurse preferences of patient reported outcomes (PRO) and side effect management during cancer treatment of underrepresented racial and ethnic minority groups, rural and economically disadvantaged patients: a mixed methods study.

Purpose: The purpose of this study was to evaluate patient, oncologist and nurse perspectives on side effects and patient reported outcomes (PROs) with the question of how to optimize side effect management and PRO tools in this unique population.Methods: This pilot study utilized a mixed method exp...

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Publicado en:Cancer Causes & Control Vol. 33; no. 9; pp. 1193 - 1206
Autores principales: Tawfik, Bernard, Burgess, Ellen, Kosich, Mikaela, Jaffe, Shoshana Adler, Guest, Dolores D., Brown-Glaberman, Ursa, Pankratz, V. Shane, Sussman, Andrew
Formato: Journal Article
Publicado: Springer Nature Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2022
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        10.1007/s10552-022-01605-7
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        atl: Patient, provider, and nurse preferences of patient reported outcomes (PRO) and side effect management during cancer treatment of underrepresented racial and ethnic minority groups, rural and economically disadvantaged patients: a mixed methods study.
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          Tawfik, Bernard
          Burgess, Ellen
          Kosich, Mikaela
          Jaffe, Shoshana Adler
          Guest, Dolores D.
          Brown-Glaberman, Ursa
          Pankratz, V. Shane
          Sussman, Andrew
        affil: University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA
      sug:
      ab: Purpose: The purpose of this study was to evaluate patient, oncologist and nurse perspectives on side effects and patient reported outcomes (PROs) with the question of how to optimize side effect management and PRO tools in this unique population.Methods: This pilot study utilized a mixed method explanatory design. Patients receiving intravenous (IV) chemotherapy from June to August 2020 were surveyed about side effect burden and PRO system preferences. Providers and nurses (PN) completed complementary surveys. Semi-structured phone interviews were conducted among a subset of each group.Results: Of 90 patient surveys collected; 51.1% minority, 35.6% rural, and 40.0% income < $30,000, 48% felt side effect management was a significant issue. All patients reported access to a communication device but 12.2% did not own a cell phone; 68% smart phone, 20% cell phone, 22% landline, 53% computer, and 39% tablet. Patients preferred a response to reported side effects within 0-3 h (73%) while only 29% of the 55 PN surveyed did (p < 0.0001). Interviews reinforced that side effect burden was a significant issue, the varied communication devices, and a PRO system could improve side effect management.Conclusion: In a non-White, rural and low-income patient population, 87.8% of patients reported owning a cell phone. Although all agreed side effect management was a prominent issue, expectations between patients and PN differed substantially. Qualitative data echoed the above and providing concrete suggestions to inform development of a PRO program and side effect mitigation strategies among a diverse patient population.
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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