Evaluating a nurse-led survivorship care package (SurvivorCare) for bowel cancer survivors: study protocol for a randomized controlled trial

Trials

Penelope Schofield³  Dorothy King²  Lahiru Russell²  Jo Phipps-Nelson²  Jane Young⁵  Mei Krishnasamy³  Phyllis Butow¹  Kerryann Lotfi-Jam³  Karla Gough²  Sanchia Aranda⁶  Michael Jefford⁴ 

[1] Centre for Medical Psychology and Evidence-based Decision Making (CeMPED), School of Psychology, University of Sydney, A18, Sydney, NSW 2006, Australia;Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, East Melbourne, VIC 3002, Australia;Department of Nursing, School of Health Sciences, The University of Melbourne, Parkville, VIC 3010, Australia;Faculty of Medicine, Dentistry and Health Services, University of Melbourne, Parkville, VIC 3010, Australia;Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Missenden Road, PO Box M157, Sydney, NSW 2050, Australia;Cancer Institute NSW, PO Box 41, Alexandria, NSW 1435, Australia

关键词: Nurse-led services;    Models of care;    Survivorship;    Colorectal cancer;   

Others  :  1093219
DOI  :  10.1186/1745-6215-14-260

 received in 2013-06-25, accepted in 2013-08-01,  发布年份 2013

【 摘 要 】

Background

Colorectal cancer (CRC) is the most common cancer affecting both men and women in Australia. The illness and related treatments can cause distressing adverse effects, impact on emotional and psychological well-being, and adversely affect social, occupational and relationship functioning for many years after the end of treatment or, in fact, lifelong. Current models of follow-up fail to address the complex needs arising after treatment completion. Strategies to better prepare and support survivors are urgently required. We previously developed a nurse-led supportive care program (SurvivorCare) and tested it in a pilot study involving 10 CRC survivors. The intervention was found to be highly acceptable, appropriate, relevant and useful.

Methods/design

This study is a multisite, randomised controlled trial, designed to assess the impact of the addition of the SurvivorCare intervention to usual post-treatment care, for people with potentially cured CRC. SurvivorCare comprises the provision of survivorship educational materials, a tailored survivorship care plan, an individually tailored nurse-led, face-to-face end of treatment consultation and three subsequent telephone calls. Eligible patients have completed treatment for potentially cured CRC. Other eligibility criteria include stage I to III disease, age greater than 18 years and adequate understanding of English. All consenting patients complete questionnaires at three time points over a six-month period (baseline, two and six months). Measures assess psychological distress, unmet needs and quality of life.

Discussion

This supportive care package has the potential to significantly reduce individual suffering, whilst reducing the burden of follow-up on acute cancer services through enhanced engagement with and utilisation of general practitioners and community based services. If the intervention is successful in achieving the expected health benefits, it could be disseminated readily. All training and supporting materials have been developed and standardised. Furthermore, the intervention could easily be adapted to other cancer or chronic disease settings.

Trial registration

Australian New Zealand Clinical Trial Registry ACTRN12610000207011.

【 授权许可】

   
2013 Jefford et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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