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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Abstract 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.
AbstractList 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.
PurposeTo identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes.MethodsPubMed, 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.ResultsTwenty-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).ConclusionsA 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 SurvivorsPCPs 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.
To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes.PURPOSETo identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes.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.METHODSPubMed, 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.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).RESULTSTwenty-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).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.CONCLUSIONSA 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.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.IMPLICATIONS FOR CANCER SURVIVORSPCPs 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.
To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes. 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. 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). 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. 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.
Author Emery, Jon
Hart, Nicolas H.
Nekhlyudov, Larissa
Agbejule, Oluwaseyifunmi Andi
Koczwara, Bogda
Jefford, Michael
Chan, Raymond J.
Crichton, Megan
Yates, Patsy M.
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  organization: Cancer and Palliative Care Outcomes Centre, Queensland University of Technology, School of Nursing, Faculty of Health, Queensland University of Technology, Division of Cancer Services, Princess Alexandra Hospital
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  givenname: Patsy M.
  surname: Yates
  fullname: Yates, Patsy M.
  organization: Cancer and Palliative Care Outcomes Centre, Queensland University of Technology, School of Nursing, Faculty of Health, Queensland University of Technology, Division of Cancer Services, Princess Alexandra Hospital
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  organization: Centre for Cancer Research and Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre
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  surname: Hart
  fullname: Hart, Nicolas H.
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  surname: Crichton
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  fullname: Nekhlyudov, Larissa
  organization: Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33763806$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021
2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Copyright Springer Nature B.V. Apr 2022
Copyright_xml – notice: The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021
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Issue 2
Keywords Evaluation
Survivorship
Education
Theory
Primary care
Cancer
Language English
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Snippet Purpose To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes. Methods...
To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes. PubMed, Embase,...
PurposeTo identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their...
To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes.PURPOSETo...
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StartPage 279
SubjectTerms 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
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