None listed
Conditions
Brief summary
This study will evaluate the effect of providing feedback to clinics on experiences of psychosocial care in cancer patients, in improving the quality of psychsocial care provided to patients. Who is it for? You may be eligible to join this study if you are aged 18 and above, have a confirmed diagnosis of cancer (any type) and attending a cancer clinic or receiving treatment as an outpatient. Study details All cancer clinics will start in the control arm to collect 8 weeks of data. The intervention will then commence for a period of 12 months. Clinics will receive monthly feedback reporting patient experiences of care over the previous data collection period and asked to set targets for improvement. Clinics that fail to demonstrate improvements after a 3 month period of intervention will receive additional support through visits from the cancer services director to devise more intensive strategies for improvement. Patient experiences of care, quality of life and levels of anxiety and depression will be assessed using questionnaires before, during and after the intervention period. If effective, this approach will be able to be utilised by clinics to obtain regular feedback from patients regarding their experiences of care and to determine priorities for quality improvement. Ultimately, we expect this will result in better quality of care, and improved psychosocial outcomes for cancer patients.
Interventions
A systems-based approach will be used with the aim of improving the quality of psychosocial care provided to cancer patients. Using a multiple baseline design, cancer clinics will receive online or written monthly feedback over a 12 month period from the research team on patient experiences of care over the previous month and asked to set targets for improvement. The feedback will be data on patient's experiences of care across a number of psychosocial domains. For example, the proportion of pat
A systems-based approach will be used with the aim of improving the quality of psychosocial care provided to cancer patients. Using a multiple baseline design, cancer clinics will receive online or written monthly feedback over a 12 month period from the research team on patient experiences of care over the previous month and asked to set targets for improvement. The feedback will be data on patient's experiences of care across a number of psychosocial domains. For example, the proportion of patients who report that they were asked about pain or fatigue at their last visit. If this proportion is considered sub-optimal (ie, below 75%), the clinic will be asked to set a performance target over the next data collection period (eg an improvement from 70% to 75%). A stepped approach will be used whereby the intervention will "step-up" if improvements are not detected after a period of 3 months. Written/electronic feedback will be supplied as the first step, with visits from a cancer services director to the clinic to discuss feedback and devise strategies to improve care as needed.
Sponsors
Rob Sanson-Fisher
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Aged 18 or over, attending a participating cancer clinic for an outpatient clinic appointment or to receive treatment as an outpatient, have a confirmed diagnosis of cancer (any type), English-speaking, able to provide informed consent
Exclusion criteria
Unable to provide informed consent, under 18 years of age, no confirmed diagnosis of cancer, unable to complete a survey in English, too unwell on day of recruitment.
Outcome results
None listed