Outcomes of cancer survivorship education and training for primary care providers: a systematic review

Purpose To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes. Methods PubMed, Embase, and CINAHL databases were searched between January 2005 and September 2020. The Quality of Cancer Survivorship Care Framework...

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Vydáno v:Journal of cancer survivorship Ročník 16; číslo 2; s. 279 - 302
Hlavní autoři: Chan, Raymond J., Agbejule, Oluwaseyifunmi Andi, Yates, Patsy M., Emery, Jon, Jefford, Michael, Koczwara, Bogda, Hart, Nicolas H., Crichton, Megan, Nekhlyudov, Larissa
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Springer US 01.04.2022
Springer Nature B.V
Témata:
Cancer
Cancer Survivors
Conferences
Education
Educational Status
Health care
Health Informatics
Health Promotion and Disease Prevention
Humans
Medicine
Medicine & Public Health
Neoplasms - therapy
Oncology
Patients
Primary care
Primary Care Medicine
Primary Health Care
Public Health
Quality of Life Research
Review
Seminars
Survival
Survivor
Survivorship
Systematic review
Evaluation
Survivorship
Education
Theory
Primary care
Cancer
ISSN:1932-2259, 1932-2267, 1932-2267
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Shrnutí:Purpose To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes. Methods PubMed, Embase, and CINAHL databases were searched between January 2005 and September 2020. The Quality of Cancer Survivorship Care Framework and Kirkpatrick’s 4-level evaluation model were used to summarize program content and outcomes, respectively. Data extraction and critical appraisal were conducted by two authors. Results Twenty-one studies were included, describing self-directed online courses ( n =4), presentations ( n =2), workshops and training sessions ( n =6), placement programs ( n =3), a live webinar, a fellowship program, a referral program, a survivorship conference, a dual in-person workshop and webinar, and an in-person seminar and online webinar series. Eight studies described the use of a learner framework or theory to guide program development. All 21 programs were generally beneficial to PCP learners (e.g., increased confidence, knowledge, behavior change); however, methodological bias suggests caution in accepting claims. Three studies reported positive outcomes at the patient level (i.e., satisfaction with care) and organizational level (i.e., increased screening referrals, changes to institution practice standards). Conclusions A range of cancer survivorship PCP education programs exist. Evidence for clinical effectiveness was rarely reported. Future educational programs should be tailored to PCPs, utilize an evidence-based survivorship framework, and evaluate patient- and system-level outcomes. Implications for Cancer Survivors PCPs have an important role in addressing the diverse health care needs of cancer survivors. Improving the content, approach, and evaluation of PCP-focused cancer survivorship education programs could have a positive impact on health outcomes among cancer survivors.
Bibliografie:ObjectType-Article-1
ObjectType-Evidence Based Healthcare-3
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
ObjectType-Review-3
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ObjectType-Undefined-4
ISSN:1932-2259
1932-2267
1932-2267
DOI:10.1007/s11764-021-01018-6