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Feasibility of delivering survivorship care via lay health educators: A pilot randomized controlled trial among rural cancer survivors.
- Source :
- Journal of Rural Health; Jun2023, Vol. 39 Issue 3, p666-675, 10p
- Publication Year :
- 2023
-
Abstract
- Purpose: We tested the feasibility of survivorship care plan (SCP) delivery with/without a lay health educator (LHE) telephone‐delivered information session among rural cancer survivors, and their effects on health‐related self‐efficacy and knowledge of cancer history. Methods: Randomized trial of cancer survivors from 3 rural oncology clinics featuring either SCP alone (control) or SCP plus LHE‐delivered information session (intervention). Participants completed a questionnaire on health‐related self‐efficacy and knowledge of cancer‐specific medical history. Responses were compared to medical records for accuracy. SCPs were then mailed to participants. Approximately 5 months later, participants completed a follow‐up questionnaire. A subset of participants took part in subsequent qualitative interviews about their study experience. Findings: Of 301 survivors approached, 72 (23.9%) were randomized (mean age 66.4 years; 3.1 years from diagnosis; 62.5% female), and 65 (90.3%) completed the study. Global mental and physical health or self‐efficacy scores did not change significantly from baseline to follow‐up for either group. In exploratory analyses, self‐efficacy increased in participants with inadequate/marginal health literacy in the intervention arm (+0.7, 95% CI = 0.1‐1.2; P =.01). Accuracy of knowledge did not improve but was high at baseline (mean 76.0±14.5%). 60.1% and 48.4% of control and intervention participants, respectively, found SCPs definitely/somewhat useful. Qualitative data (n = 20) suggested that SCPs were helpful to patients when primary and oncology care were less integrated. Conclusions: An LHE‐delivered informational session was feasible but had limited benefit to rural cancer survivors versus delivery of SCP alone but may be of benefit to patients with low health literacy or with less integrated care. [ABSTRACT FROM AUTHOR]
- Subjects :
- PILOT projects
RURAL hospitals
SPECIALTY hospitals
CONFIDENCE intervals
RURAL conditions
HEALTH status indicators
MEDICAL care
INTERVIEWING
CANCER survivors
MEDICAL protocols
CANCER patients
HELPLINES
SELF-efficacy
HEALTH literacy
RANDOMIZED controlled trials
CANCER treatment
COMPARATIVE studies
QUALITATIVE research
PRE-tests & post-tests
RESEARCH funding
QUESTIONNAIRES
MEDICAL records
DESCRIPTIVE statistics
STATISTICAL sampling
EDUCATIONAL outcomes
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 0890765X
- Volume :
- 39
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Rural Health
- Publication Type :
- Academic Journal
- Accession number :
- 164437868
- Full Text :
- https://doi.org/10.1111/jrh.12736