None listed
Conditions
Brief summary
Control Phase This study aims to understand the needs, resource and supportive care service use and to understand the current supportive care referral practices of the surgical unit. You may be eligible for this study if you are a male or female age 18 or older in the surgical unit and diagnosed with pancreaticobiliary cancer or carer of the patient who meets this condition. You can also participate if you are a Hepatic Pancreatic and Biliary surgeon/nurse caring for patients diagnosed with pancreatobiliary cancer at Flinders Medical Centre. Study details As a cancer survivor/carer, you will be involved in 1 interview (30-45 minutes). During the interview, you will be asked about your cancer-related needs, resource and supportive care service access. You will also be asked to fill out 2 cancer-related needs surveys (Supportive Care Needs Survey Short Form 34, Distress Thermometer). You will also participate in a phone conversation that is expected to take 15 minutes, 6 months, and 12 months after enrolling in the study. During the phone call, you will be asked to complete the 2 cancer-related needs surveys again. As a staff member, you will be involved in 1 interview that is expected to take 30-45 minutes. During the interview, you will be asked about your typical resource provision and referral to supportive care services in your surgical unit. The information gained will provide a baseline for when we implement changes to clinical care, allowing us to track any changes. Implementation Phase The aim of this study is to determine the effectiveness, feasibility and acceptability of the tailored resource and supportive care navigation tool. You may be eligible for this study if you are a male or female age 18 or older in the surgical unit and diagnosed with pancreaticobiliary cancer or carer of the patient who meets this condition. You can also participate if you are a Hepatic Pancreatic and Biliary surgeon/nurse caring for patients diagnosed with pancreatobiliary cancer at Flinders Medical during the implementation phase of the project. Study details As a cancer survivor, you will be involved in 1 interview (30-45 minutes) to discuss your experiences of the new resource and navigation tool, complete a questionnaire about how acceptable you found the resource and navigation tool, and complete 2 cancer-related surveys (Supportive Care Needs Survey Short Form 34, Distress Thermometer) You will also participate in a phone conversation (approx.15 minutes), 6 and 12 months after enrolling in the study, during which you will repeat the 2 cancer-related surveys. As a staff member, you will be involved in 4 interviews that are expected to take 30-45 minutes to discuss your experiences using the new resource and navigation tool including time spent, barriers and feedback. In this project, we will hope to understand the use of the newly developed resource and navigation tool and the impact on people diagnosed with pancreatobiliary cancer.
Interventions
A co-designed resource and supportive care navigation tool will be embedded in clinical care in Hepatic Pancreatic and Biliary (HPB) Surgical Unit at Flinders Medical Centre. The resource and tool will be co-designed by cancer survivors, carers, allied health staff and the research team. The use and delivery of the resource and supportive care navigation tool will also be decided during the co-design process. The co-design process will commence in August 2024 and expected completion is December
A co-designed resource and supportive care navigation tool will be embedded in clinical care in Hepatic Pancreatic and Biliary (HPB) Surgical Unit at Flinders Medical Centre. The resource and tool will be co-designed by cancer survivors, carers, allied health staff and the research team. The use and delivery of the resource and supportive care navigation tool will also be decided during the co-design process. The co-design process will commence in August 2024 and expected completion is December 2025. Participation in the co-design of the information resource and supportive care navigation tool is predicted to involve up to 5 focus group/workshop sessions lasting 1-1.5 hours each over a 5-6 month period. Participants will be asked to provide input regarding identification of survivor/carer information needs (information topics etc.), existing resources including FMC, Flinders University health precinct and SA specific resources, mapping of existing resources to needs identified, identification of preferred resource types (print vs online etc.), and development of new information resources (images, colours, font, layout etc. and satisfaction and usability testing. Cancer survivor participants will also be asked their opinions and preferences regarding how service referrals are made and the timing of the use of the supportive care navigation tool. Surgeons/nurses who will be using the tool will be asked their preferences regarding tool format and referral processes, timing of use and frequency of use. The resource will be offered to all patients at diagnosis or soon after, and the navigation tool will be used during nursing/surgical consultations to monitor and identify unmet needs, and with patient involvement, facilitate the referral to appropriate supportive care services offered by the hospital, the local university health clinics, and the patient’s general practitioner as appropriate. The supportive care navigation tool will be used during multiple consultations (frequency decided by clinicians and patients), to monitor changing needs and ensure appropriate and timely supportive care referrals. The tool will include a needs screening component (Distress Thermometer + Checklist) and a service referral component to supportive care services such as nutrition, exercise physiology, psycho-oncology, physiotherapy, legal and social work. Pancreatic cancer survivor involved in the co-design process will be current or recent (6 month post diagnosis) patients of the Flinders Medical Centre Hepatic Pancreatic and Biliary (HPB) Surgical Unit. Some may have ceased active care with the Hepatic Pancreatic and Biliary (HPB) Surgical Unit. All cancer survivors involved in the co-design process will be provided a copy of the co-designed resource and navigation tool, but they will not be eligible to participate in the implementation trial (i.e. navigation tool used in clinical care). The implementation (trial) of the resource and navigation tool will involve 8 months of active recruitment and tool use in the surgical unit, and then 6 month and 12 month participant follow up post enrolment. During the 8 month effectiveness implementation trial, the resource will be offered to all patients and the navigation tool use offered to all patients, and consecutive patients diagnosed with pancreatobiliary cancer (who received the resource and tool as part of care) will be approached and invited to participate in the research project. Adherence to the intervention will be monitored as part of the feasibility data collection process via interviews with nurses and surgeons, and also via a log sheet recording resource provision and navigation tool use provided, and reasons for patients resource ad navigation tool decline.
Sponsors
Flinders Medical Centre
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
Control Group (2 participant groups) 1. Participants are required to be current patients in the surgical unit and to have been diagnosed with pancreatobiliary cancer (18yrs+) (confirmed during multidisciplinary team meetings). The carers (18years+) of these patients can also be participants. 2. Hepatic Pancreatic and Biliary surgeons/nurses caring for patients diagnosed with pancreatobiliary cancer at FMC during the implementation phase of the project. Implementation Intervention (2 participant groups) 1. Participants are required to be current patients in the surgical unit and to have been diagnosed with pancreatobiliary cancer (18years+) (confirmed during multidisciplinary team meeting) who have experienced the resource and navigation tool. The carers (18yrs+) of these patients can also be participants. 2. Hepatic Pancreatic and Biliary surgeons/nurses caring for patients diagnosed with pancreatobiliary cancer at FMC during the implementation phase of the project.
Exclusion criteria
Nil
Outcome results
None listed