Jesus G Ulloa1, Marian Hemmelgarn2, Lori Viveros3, Patience Odele4, Nancy R Feldman5, Patricia A Ganz6, Melinda Maggard-Gibbons7. 1. Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA. Electronic address: julloa@mednet.ucla.edu. 2. Department of Surgery, Olive View-UCLA Medical Center, Sylmar, CA. 3. Department of Surgery, Olive View-UCLA Medical Center, Sylmar, CA; Jonsson Comprehensive Cancer Center, David Geffen School of Medicine, University of California, Los Angeles, CA. 4. Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA. 5. Department of Hematology and Oncology, Olive View-UCLA Medical Center, Sylmar, CA. 6. Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA; Center for Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center, Los Angeles, CA. 7. Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA; Department of Surgery, Olive View-UCLA Medical Center, Sylmar, CA.
Abstract
BACKGROUND: Low-income, minority women with breast cancer experience a range of barriers to receiving survivorship information. Our objective was to test a novel, patient-centered intervention aimed at improving communication about survivorship care. METHODS: We developed a wallet card to provide oncologic and follow-up care survivorship information to breast cancer patients. We used a prospective, pre-post design to assess the intervention at a safety net hospital. The intervention was given by a patient navigator or community health worker. RESULTS: Patient knowledge (n = 130) of personal cancer history improved from baseline pretest to 1 week after the intervention for stage (66-93%; P < .05), treatment (79-92%; P < .05), and symptoms of recurrence (48-89%; P < .05), which was retained at 3 months. The intervention reduced the number of patients who were unsure when their mammogram was due (15-5% at 1 week and 6% at 3 months; P < .05). Nearly 90% reported they would be likely to share their survivorship card with their providers. CONCLUSION: A patient-centered survivorship card improved short-term recall of key survivorship care knowledge and seems to be effective at reducing communication barriers for this population. Further studies are warranted to assess long-term retention and the impact on receipt of appropriate survivorship follow-up care. Published by Elsevier Inc.
BACKGROUND: Low-income, minority women with breast cancer experience a range of barriers to receiving survivorship information. Our objective was to test a novel, patient-centered intervention aimed at improving communication about survivorship care. METHODS: We developed a wallet card to provide oncologic and follow-up care survivorship information to breast cancerpatients. We used a prospective, pre-post design to assess the intervention at a safety net hospital. The intervention was given by a patient navigator or community health worker. RESULTS:Patient knowledge (n = 130) of personal cancer history improved from baseline pretest to 1 week after the intervention for stage (66-93%; P < .05), treatment (79-92%; P < .05), and symptoms of recurrence (48-89%; P < .05), which was retained at 3 months. The intervention reduced the number of patients who were unsure when their mammogram was due (15-5% at 1 week and 6% at 3 months; P < .05). Nearly 90% reported they would be likely to share their survivorship card with their providers. CONCLUSION: A patient-centered survivorship card improved short-term recall of key survivorship care knowledge and seems to be effective at reducing communication barriers for this population. Further studies are warranted to assess long-term retention and the impact on receipt of appropriate survivorship follow-up care. Published by Elsevier Inc.
Authors: Mary Ann Burg; Ellen D S Lopez; Amy Dailey; Mary Elspeth Keller; Brendan Prendergast Journal: J Gen Intern Med Date: 2009-11 Impact factor: 5.128
Authors: Clara N Lee; Yuchiao Chang; Nesochi Adimorah; Jeff K Belkora; Beverly Moy; Ann H Partridge; David W Ollila; Karen R Sepucha Journal: J Am Coll Surg Date: 2011-11-06 Impact factor: 6.113
Authors: Patricia A Ganz; Katherine A Desmond; Beth Leedham; Julia H Rowland; Beth E Meyerowitz; Thomas R Belin Journal: J Natl Cancer Inst Date: 2002-01-02 Impact factor: 13.506
Authors: Patricia A Ganz; Lorna Kwan; Annette L Stanton; Janice L Krupnick; Julia H Rowland; Beth E Meyerowitz; Julienne E Bower; Thomas R Belin Journal: J Natl Cancer Inst Date: 2004-03-03 Impact factor: 13.506
Authors: James L Khatcheressian; Patricia Hurley; Elissa Bantug; Laura J Esserman; Eva Grunfeld; Francine Halberg; Alexander Hantel; N Lynn Henry; Hyman B Muss; Thomas J Smith; Victor G Vogel; Antonio C Wolff; Mark R Somerfield; Nancy E Davidson Journal: J Clin Oncol Date: 2012-11-05 Impact factor: 44.544
Authors: Jean A McDougall; Linda S Cook; Mei-Tzu C Tang; Hannah M Linden; Beti Thompson; Christopher I Li Journal: Cancer Epidemiol Biomarkers Prev Date: 2020-10-22 Impact factor: 4.090