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5. Empowering Lung Cancer Survivors in Post-Treatment Survivorship Care Using Participatory Action Research.

Author

Filchner, Kelly, Zoucha, Rick, Such Lockhart, Joan, and Denlinger, Crystal S.

Subjects
*TREATMENT of lung tumors, *SERVICES for caregivers, *CAREGIVER attitudes, *ONCOLOGY nursing, *SPECIALTY hospitals, *FOCUS groups, *WORK, *HEALTH status indicators, *SOCIAL stigma, *CANCER patients, *ONCOLOGY, *PATIENTS' attitudes, *EXPERIENCE, *CANCER treatment, *ETHNOLOGY research, *EXPERIENTIAL learning, *HEALTH attitudes, *INTERPROFESSIONAL relations, *ACTION research, *QUALITY of life, *QUESTIONNAIRES, *DESCRIPTIVE statistics, *NEEDS assessment, *VALUES (Ethics), *JUDGMENT sampling, *STATISTICAL sampling, *THEMATIC analysis, *HEALTH promotion, *CANCER patient medical care
Abstract

PURPOSE: To explore the experiences of lung cancer survivors (LCSs) and their informal and professional caregivers with post-treatment care and to empower them to implement action-based study findings. PARTICIPANTS & SETTING: Participants were recruited using purposeful and snowball sampling from patients at a National Cancer Institute--designated cancer center in the northeastern United States. METHODOLOGIC APPROACH: This study used a participatory action research (PAR) four-phase design. Phase 1 was a focused ethnography; phase 2 consisted of a core group of participants deciding on an action, which was implemented in phase 3; and phase 4 consisted of an evaluation of the action. FINDINGS: The study found 28 categories, eight patterns, and three themes. The themes were the need for resources and education, involvement in mentoring and advocacy, and the value of living versus surviving. The action was creating two flyers focused on resources and advocacy for post-treatment support for LCSs. All participants agreed with the themes and action. Tobacco management and smoking-related stigma for LCSs were the only topics of dissent. IMPLICATIONS FOR NURSING: Oncology nurses can use PAR to empower survivors in their post-treatment care. Future PAR cycles should focus on creating support groups and alleviating stigma for LCSs and their caregivers. [ABSTRACT FROM AUTHOR]

Published
2023
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7. Prospective Comparison of Geriatric Assessment and Provider's Assessment of Older Adults With Metastatic Breast Cancer in the Community

Author

Seedor, Rino S, Meeker, Caitlin R, Lewis, Bianca, Handorf, Elizabeth A, Filchner, Kelly A, Varadarajan, Ramya, Hensold, Jack, Padmanabhan, Aruna, Negin, Benjamin, Blankstein, Kenneth, Chawla, Neha R, Song, Wei Frank, Epstein, Jessica, Winn, Jennifer, Goldstein, Lori J, Dotan, Efrat, Seedor, Rino S, Meeker, Caitlin R, Lewis, Bianca, Handorf, Elizabeth A, Filchner, Kelly A, Varadarajan, Ramya, Hensold, Jack, Padmanabhan, Aruna, Negin, Benjamin, Blankstein, Kenneth, Chawla, Neha R, Song, Wei Frank, Epstein, Jessica, Winn, Jennifer, Goldstein, Lori J, and Dotan, Efrat

Abstract

Background: Geriatric assessment (GA) is recommended for evaluating fitness of an older adult with cancer. Our objective was to prospectively evaluate the gaps that exist in the assessment of older adults with metastatic breast cancer (OA-MBC) in community practices (CP). Methods: Self-administered GA was compared to provider's assessment (PA) of patients living with MBC aged ≥65 years treated in CP Providers were blinded to the GA results until PA was completed. McNemar's test was used to detect differences between PA and GA. Results: One hundred patients were enrolled across 9 CP (median age 73.9). Geriatric assessment detected a total of 356 abnormalities in 96 patients; of which, 223 required interventions. African American and widowed/single patients were more likely to have abnormalities identified by GA. On average, across 100 patients, PA did not detect 25.5% of GA-detected abnormalities, mostly in functional status, social support, nutrition, and cognition. These differences were less pronounced among providers with more clinical experience. Patients with abnormal Timed Up and Go tests more likely had additional abnormalities in other domains, and more abnormalities that were not identified by PA. Providers were "surprised" by GA results in 33% of cases, mainly with cognitive or social support findings, and reported plans for management change for 39% of patients based on GA findings. Conclusions: Including a GA in the care of OA-MBC in CP is beneficial for the detection of multiple abnormalities not detected by routine PA.

Published
2022

8. Prospective Comparison of Geriatric Assessment and Provider’s Assessment of Older Adults With Metastatic Breast Cancer in the Community

Author

Seedor, Rino S, primary, Meeker, Caitlin R, additional, Lewis, Bianca, additional, Handorf, Elizabeth A, additional, Filchner, Kelly A, additional, Varadarajan, Ramya, additional, Hensold, Jack, additional, Padmanabhan, Aruna, additional, Negin, Benjamin, additional, Blankstein, Kenneth, additional, Chawla, Neha R, additional, Song, Wei (Frank), additional, Epstein, Jessica, additional, Winn, Jennifer, additional, Goldstein, Lori J, additional, and Dotan, Efrat, additional

Published
2022
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11. Lung Cancer Survivor Experiences With Post-Treatment Care: An Integrative Review.

Author

Filchner, Kelly, Zoucha, Rick, Such Lockhart, Joan, and Denlinger, Crystal S.

Subjects
*PATIENT aftercare, *CINAHL database, *ONLINE information services, *MEDICAL information storage & retrieval systems, *HEALTH services accessibility, *SYSTEMATIC reviews, *SELF-management (Psychology), *LUNG tumors, *SOCIAL stigma, *HEALTH status indicators, *CANCER patients, *PATIENTS' attitudes, *CANCER, *PHYSICAL activity, *QUALITY assurance, *HEALTH behavior, *MEDLINE, *HEALTH self-care
Abstract

PROBLEM IDENTIFICATION: Lung cancer survival rates are improving, and survivors may have unmet post-treatment care needs. Oncology nurses' understanding of these needs can guide development of holistic survivorship care. LITERATURE SEARCH: A comprehensive search of CINAHL®, PubMed®, and Embase® databases was performed to explore lung cancer survivor experiences with post-treatment care. DATA EVALUATION: The final sample included 25 studies that were critically appraised for methodologic quality. SYNTHESIS: Eight themes were identified: relationships with healthcare providers, psychosocial issues such as stigma, disparities such as race or gender, guidance about health behaviors, understanding symptoms and physical activity, development of survivorship programs, self-care or self-management, and evaluating survivorship care plans. IMPLICATIONS FOR RESEARCH: Issues, such as race, gender, and stigma, represent barriers to holistic lung cancer survivorship care. Little mention of care coordination emphasizes the need for research in this area. Understanding the interplay of symptom and healthy lifestyle management is needed. [ABSTRACT FROM AUTHOR]

Published
2022
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