PMID- 31338642
OWN - NLM
STAT- MEDLINE
DCOM- 20200601
LR  - 20210110
IS  - 1433-7339 (Electronic)
IS  - 0941-4355 (Print)
IS  - 0941-4355 (Linking)
VI  - 28
IP  - 4
DP  - 2020 Apr
TI  - Promoting integrated care in prostate cancer through online prostate 
      cancer-specific holistic needs assessment: a feasibility study in primary care.
PG  - 1817-1827
LID - 10.1007/s00520-019-04967-y [doi]
AB  - PURPOSE: This study assessed the feasibility of implementing a novel model of 
      integrated prostate cancer care involving an online prostate cancer-specific 
      holistic needs assessment (sHNA) and shared digital communication between 
      patients and their healthcare professionals (HCPs). The sHNA produces a 
      semi-automated care plan that is finalised in consultation between the patient 
      and their practice nurse. METHODS: Men living with and beyond prostate cancer 
      were invited to participate in a 9-month non-randomised cluster controlled 
      feasibility study. The intervention group was asked to complete the sHNA on three 
      occasions. Data were collected using Patient Reported Outcome Measures (PROMs) at 
      baseline, 10 and 24 weeks, and 9 months. Outcomes included recruitment, 
      retention, acceptability, and engagement with the sHNA and PROMs. RESULTS: 
      Fourteen general practices (8 intervention and 6 control), and 41 men (29 
      intervention and 12 control) participated. Initial patient engagement with the 
      sHNA was high, with all but one receiving practice nurse-led follow-up and an 
      individualised care plan. The sHNA proved useful in identifying 'red flag' 
      symptoms, and helping practice nurses decide when to seek further medical care 
      for the patients. There was a high level of acceptability for patients and HCPs. 
      However, integration of care did not occur as intended because of problems 
      linking hospital and general practice IT systems. CONCLUSION: While the study 
      demonstrated the feasibility of implementing the sHNA, it did not meet the a 
      priori progression criteria; as such, undertaking a definitive randomised 
      controlled trial is not appropriate until the identified methodological and 
      technical issues have been addressed.
FAU - Clarke, Amy L
AU  - Clarke AL
AD  - University of Warwick, Coventry, UK.
FAU - Roscoe, Julia
AU  - Roscoe J
AD  - University of Warwick, Coventry, UK.
FAU - Appleton, Rebecca
AU  - Appleton R
AD  - University of Warwick, Coventry, UK.
FAU - Parashar, Deepak
AU  - Parashar D
AD  - Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick, 
      Coventry, UK.
AD  - The Alan Turing Institute, London, UK.
AD  - Warwick Cancer Research Centre, University of Warwick, Coventry, UK.
FAU - Muthuswamy, Radha
AU  - Muthuswamy R
AD  - Prostate Cancer UK Information Technology Consultant, London, UK.
FAU - Khan, Omar
AU  - Khan O
AD  - University of Warwick, Coventry, UK.
FAU - Dale, Jeremy
AU  - Dale J
AD  - University of Warwick, Coventry, UK.
FAU - Nanton, Veronica
AU  - Nanton V
AD  - University of Warwick, Coventry, UK. V.nanton@warwick.ac.uk.
LA  - eng
GR  - PB-PG -0214-33092/Research for Patient Benefit Programme/
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Multicenter Study
DEP - 20190723
PL  - Germany
TA  - Support Care Cancer
JT  - Supportive care in cancer : official journal of the Multinational Association of 
      Supportive Care in Cancer
JID - 9302957
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Delivery of Health Care, Integrated/*methods/*organization & 
      administration/standards
MH  - Feasibility Studies
MH  - Health Personnel/organization & administration/standards
MH  - Health Promotion/methods
MH  - *Holistic Health/standards
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Needs Assessment
MH  - Online Systems
MH  - Patient Care Planning/organization & administration/standards
MH  - Patient-Centered Care/methods/organization & administration/standards
MH  - *Primary Health Care/methods/organization & administration/standards
MH  - Professional-Patient Relations
MH  - Prostatic Neoplasms/*therapy
MH  - Quality of Life
MH  - Referral and Consultation/organization & administration/standards
MH  - *Telemedicine/methods/organization & administration/standards
PMC - PMC7036062
OTO - NOTNLM
OT  - Cancer follow-up
OT  - Digital health
OT  - Holistic needs assessment
OT  - Primary care
OT  - Survivorship
COIS- This paper presents independent research funded by the National Institute for 
      Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme 
      (Grant Reference Number PB-PG -0214-33092). The views expressed are those of the 
      author(s) and not necessarily those of the NHS, the NIHR or the Department of 
      Health. The funder was not involved with the design of the study, data 
      collection, analysis, interpretation of data, or in the writing of the 
      manuscript. The authors declare no other conflicts of interests.
EDAT- 2019/07/25 06:00
MHDA- 2020/06/02 06:00
PMCR- 2019/07/23
CRDT- 2019/07/25 06:00
PHST- 2019/03/05 00:00 [received]
PHST- 2019/06/26 00:00 [accepted]
PHST- 2019/07/25 06:00 [pubmed]
PHST- 2020/06/02 06:00 [medline]
PHST- 2019/07/25 06:00 [entrez]
PHST- 2019/07/23 00:00 [pmc-release]
AID - 10.1007/s00520-019-04967-y [pii]
AID - 4967 [pii]
AID - 10.1007/s00520-019-04967-y [doi]
PST - ppublish
SO  - Support Care Cancer. 2020 Apr;28(4):1817-1827. doi: 10.1007/s00520-019-04967-y. 
      Epub 2019 Jul 23.