Mark C Hornbrook1, Martha D Cobb2, Nancy J Tallman3, Janice Colwell4, Ruth McCorkle5, Elizabeth Ercolano5, Marcia Grant6, Virginia Sun6, Christopher S Wendel7,8, Judith H Hibbard9, Robert S Krouse10,11. 1. Kaiser Permanente Center for Health Research, Portland, OR, USA. 2. College of Nursing, University of Arizona, Tucson, AZ, USA. 3. Wound Ostomy Continence Nurse, Private Practice, Tucson, AZ, USA. 4. School of Medicine, University of Chicago, Chicago, IL, USA. 5. School of Nursing, Yale University, New Haven, CT, USA. 6. City of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA. 7. College of Medicine, University of Arizona, Tucson, AZ, USA. 8. Southern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA. 9. Health Policy Research Group, University of Oregon, Eugene, OR, USA. 10. School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. 11. CMC Veterans Affairs Medical Center, Philadelphia, PA, USA.
Abstract
OBJECTIVE: To measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse-led, small-group, behavior skills-training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care. METHODS: The intervention was a 5-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model. Faculty included Wound, Ostomy, and Continence Nurses (WOCNs) using an ostomy care curriculum. A gender-matched peer-in-time buddy was assigned to each ostomy survivor. The 4-session survivor curriculum included the following: self-management practice and solving immediate ostomy concerns; social well-being; healthy lifestyle; and a booster session. The single family caregiver session was coled by a WOCN and an ostomy peer staff member and covered relevant caregiver and ostomate support issues. Each cohort required 8 weeks to complete the intervention. Nonlabor inputs included ostomy supplies, teaching materials, automobile mileage for WOCNs, mailing, and meeting space rental. Intervention personnel were employed by the University of Arizona. Labor expenses included salaries and fringe benefits. RESULTS: The total incremental expense per intervention cohort of 4 survivors was $7246 or $1812 per patient. CONCLUSIONS: A WOCN-led group self-help ostomy survivorship intervention provided affordable, effective, care to cancer survivors with ostomies.
OBJECTIVE: To measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse-led, small-group, behavior skills-training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care. METHODS: The intervention was a 5-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model. Faculty included Wound, Ostomy, and Continence Nurses (WOCNs) using an ostomy care curriculum. A gender-matched peer-in-time buddy was assigned to each ostomy survivor. The 4-session survivor curriculum included the following: self-management practice and solving immediate ostomy concerns; social well-being; healthy lifestyle; and a booster session. The single family caregiver session was coled by a WOCN and an ostomy peer staff member and covered relevant caregiver and ostomate support issues. Each cohort required 8 weeks to complete the intervention. Nonlabor inputs included ostomy supplies, teaching materials, automobile mileage for WOCNs, mailing, and meeting space rental. Intervention personnel were employed by the University of Arizona. Labor expenses included salaries and fringe benefits. RESULTS: The total incremental expense per intervention cohort of 4 survivors was $7246 or $1812 per patient. CONCLUSIONS: A WOCN-led group self-help ostomy survivorship intervention provided affordable, effective, care to cancer survivors with ostomies.
Keywords:
Chronic Care Model; bladder cancer; cancer survivorship; colorectal cancer; costs; oncology; ostomy; self-care; social support; wound and ostomy care nursing
Authors: Virginia Sun; Marcia Grant; Carmit K McMullen; Andrea Altschuler; M Jane Mohler; Mark C Hornbrook; Lisa J Herrinton; Carol M Baldwin; Robert S Krouse Journal: J Wound Ostomy Continence Nurs Date: 2013 Jan-Feb Impact factor: 1.741
Authors: Andrea Altschuler; Michelle Ramirez; Marcia Grant; Christopher Wendel; Mark C Hornbrook; Lisa Herrinton; Robert S Krouse Journal: J Wound Ostomy Continence Nurs Date: 2009 May-Jun Impact factor: 1.741
Authors: Robert S Krouse; Marcia Grant; Christopher S Wendel; M Jane Mohler; Susan M Rawl; Carol M Baldwin; Stephen Joel Coons; Ruth McCorkle; Clifford Y Ko; C Max Schmidt Journal: Dis Colon Rectum Date: 2007-12 Impact factor: 4.585
Authors: Robert S Krouse; Marcia Grant; Ruth McCorkle; Christopher S Wendel; Martha D Cobb; Nancy J Tallman; Elizabeth Ercolano; Virginia Sun; Judith H Hibbard; Mark C Hornbrook Journal: Psychooncology Date: 2016-01-25 Impact factor: 3.894
Authors: Robert S Krouse; Lisa J Herrinton; Marcia Grant; Christopher S Wendel; Sylvan B Green; M Jane Mohler; Carol M Baldwin; Carmit K McMullen; Susan M Rawl; Eric Matayoshi; Stephen Joel Coons; Mark C Hornbrook Journal: J Clin Oncol Date: 2009-08-31 Impact factor: 44.544