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Advancing Patient-Centered Cancer Survivorship Care: Evaluation of a Dissemination Project

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Abstract

Care coordination among primary care providers and oncologists continues to be a challenge in cancer survivorship care. The Advancing Patient-Centered Cancer Survivorship Care Toolkit (“Toolkit”) was developed to provide a “workshop in a box” for comprehensive cancer control (CCC) stakeholders to advance patient-centered cancer survivorship care in their region. The Toolkit was disseminated through an e-learning module, established webpages, an online forum, and social media. Toolkit dissemination was evaluated using the RE-AIM framework. For effectiveness, e-learning module and workshop participants were surveyed to assess changes in confidence in learning objectives. The Toolkit Web page received over 10,000 impressions. E-learning module participants (n = 212) reported statistically significant improvement (p < 0.001) between the pre- (M = 3.42, SD = 0.85) and post-test (M = 4.18, SD = 0.60) mean scores on self-confidence to describe patient-reported priorities for cancer survivorship care. Among virtual workshop trainees (n = 121), 28 participants completed paired pre- and post-workshop surveys. Among those with matched responses, there were statistically significant improvements from pre- to post-workshop self-reported knowledge on what patients want in cancer survivorship care (M = 2.5, SD = 1.0, vs. M = 3.3, SD = 1.0; p = 0.001); confidence in describing critical components of patient-centered cancer survivorship care (M = 3.1, SD = 1.2, vs. M = 4.2, SD = 0.5; p < 0.001); and confidence in describing patient priorities for cancer survivorship care (M = 3.0, SD = 1.1, vs. M = 4.1, SD = 0.6; p < 0.001). Provision of technical assistance resources in a variety of formats can successfully build capacity of healthcare providers and comprehensive cancer coalition stakeholders to feel more prepared to deliver patient-centered, coordinated cancer survivorship care.

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Data Availability

Data reported here is available upon reasonable request to the corresponding author.

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Not applicable.

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Acknowledgements

We would like to thank the following members on the Community Advisory Board: Larissa Nekhlyudov, Megan Slocum, Ysabel Duron, Patrice Bowles, Katie Bathje, and Benoit Blondeau. In addition, we would like to express our gratitude to the Comprehensive Cancer Control coordinators who assisted in this project: Dao Duong, Joseph Astorino, and Liza Fues. Thank you to Sarah Adler for administrative support.

Funding

This project is funded through a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington PCORI Engagement Award (EADI #12744) and the Centers for Disease Control and Prevention (CDC) Cooperative Agreement ##NU58DP006461-03. The views expressed in this manuscript are not necessarily the views of those of PCORI or the CDC.

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Authors and Affiliations

  1. School of Medicine and Health Sciences, George Washington University, 800 22nd Street NW, Suite 8000, Washington, D.C, 20052, USA

    Sylvia Shirima, Ruta Brazinskaite & Mandi L. Pratt-Chapman

  2. Milken Institute School of Public Health, George Washington University, Washington, DC, USA

    Sylvia Shirima

  3. American College of Surgeons’ Commission On Cancer, Chicago, IL, USA

    Maureen Killackey

  4. GW Cancer Center Community Advisory Board, Washington, DC, USA

    Maureen Killackey, Beth I. Sieloff & Cindy Cisneros

  5. Inter-Tribal Council of Michigan, Sault Ste. Marie, MI, USA

    Beth I. Sieloff

Authors
  1. Sylvia Shirima
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  2. Ruta Brazinskaite
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  3. Maureen Killackey
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  4. Beth I. Sieloff
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  5. Cindy Cisneros
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  6. Mandi L. Pratt-Chapman
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Contributions

Conceptualization: MPC. Data collection: SS. Data analysis: SS, RB. Initial draft: SS. Writing, revision, approval of submission: all authors.

Corresponding author

Correspondence to Mandi L. Pratt-Chapman.

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The authors declare no competing interests.

Ethics Approval

The study was approved by the George Washington Institutional Review Board, IRB #NCR191301.

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This is a program evaluation. No consent was sought from participants.

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Shirima, S., Brazinskaite, R., Killackey, M. et al. Advancing Patient-Centered Cancer Survivorship Care: Evaluation of a Dissemination Project. J Canc Educ 38, 448–454 (2023). https://doi.org/10.1007/s13187-022-02138-y

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  • DOI: https://doi.org/10.1007/s13187-022-02138-y

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