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Is early integration of palliative home care in oncology treatment feasible and acceptable for advanced cancer patients and their health care providers? A phase 2 mixed-methods study.
- Source :
- BMC Palliative Care; 11/23/2020, Vol. 19 Issue 1, pN.PAG-N.PAG, 1p
- Publication Year :
- 2020
-
Abstract
- Background: To support the early integration of palliative home care (PHC) in cancer treatment, we developed the EPHECT intervention and pilot tested it with 30 advanced cancer patients in Belgium using a pre post design with no control group. We aim to determine the feasibility, acceptability and perceived effectiveness of the EPHECT intervention. Methods: Interviews with patients (n = 16 of which 11 dyadic with family caregivers), oncologists and GPs (n = 11) and a focus group with the PHC team. We further analyzed the study materials and logbooks of the PHC team (n = 8). Preliminary effectiveness was assessed with questionnaires EORTC QLQ C-30, HADS and FAMCARE and were filled in at baseline and 12, 18 and 24 weeks. Results: In the interviews after the intervention period, patients reported feelings of safety and control and an optimized quality of life. The PHC team could focus on more than symptom management because they were introduced earlier in the trajectory of the patient. Telephone-based contact appeared to be insufficient to support interprofessional collaboration. Furthermore, some family caregivers reported that the nurse of the PHC team was focused little on them. Conclusion: Nurses of PHC teams are able to deliver early palliative care to advanced cancer patients. However, more attention needs to be given to family caregivers as caregiver and client. Furthermore, the home visits by the PHC team have to be further evaluated and adapted. Lastly, professionals have to find a more efficient way to discuss future care. [ABSTRACT FROM AUTHOR]
- Subjects :
- ATTITUDE (Psychology)
ONCOLOGY nursing
CANCER patient medical care
CANCER patient psychology
PSYCHOLOGY of caregivers
CLINICAL trials
FOCUS groups
HOME care services
INTEGRATED health care delivery
INTERPROFESSIONAL relations
INTERVIEWING
RESEARCH methodology
MEDICAL personnel
ONCOLOGISTS
PALLIATIVE treatment
PATIENT safety
PSYCHOLOGICAL tests
QUALITY of life
QUESTIONNAIRES
PILOT projects
EARLY medical intervention
EVALUATION of human services programs
Subjects
Details
- Language :
- English
- ISSN :
- 1472684X
- Volume :
- 19
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Palliative Care
- Publication Type :
- Academic Journal
- Accession number :
- 147156304
- Full Text :
- https://doi.org/10.1186/s12904-020-00673-3