Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study).

Détails

ID Serval
serval:BIB_B3F3DE9F9737
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study).
Périodique
BMJ open
Auteur(s)
Bana M., Ribi K., Kropf-Staub S., Zürcher-Florin S., Näf E., Manser T., Bütikofer L., Rintelen F., Peters S., Eicher M.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Statut éditorial
Publié
Date de publication
09/07/2019
Peer-reviewed
Oui
Volume
9
Numéro
7
Pages
e027942
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Self-management interventions show promising results on symptom outcomes and self-management behaviours. The Symptom Navi© Programme (SN©P) is a nurse-led intervention supporting patients' symptom self-management during anticancer treatment. It consists of written patient information (Symptom Navi© Flyers (SN©Flyers)), semistructured consultations and a training manual for nurses.
This pilot study will evaluate the implementation of the SN©P based on the Reach Effectiveness-Adoption Implementation Maintenance framework at Swiss outpatient cancer centres. We will use a cluster-randomised design and randomise the nine participating centres to the intervention or usual care group. We expect to include 140 adult cancer patients receiving first-line systemic anticancer treatment. Trained nurses at the intervention clusters will provide at least two semistructured consultations with the involvement of SN©Flyers. Outcomes include patients' accrual and retention rates, patient-reported interference of symptoms with daily functions, symptom burden, perceived self-efficacy, quality of nursing care, nurse-reported facilitators and barriers of adopting the programme, nurses' fidelity of providing the intervention as intended, and patients' safety (patients timely reporting of severe symptoms). We will use validated questionnaires for patient-reported outcomes, focus group interviews with nurses and individual interviews with oncologists. Linear mixed models will be used to analyse patient-reported outcomes. Focus group and individual interviews will be analysed by thematic analysis.
The Symptom Navi© Pilot Study has been reviewed and approved by Swiss Ethic Committee Bern (KEK-BE: 2017-00020). Results of the study will be disseminated in peer-reviewed journal and at scientific conferences.
NCT03649984; Pre-results.
Mots-clé
Nurses/nursing, RE-AIM framework, implementation research, self-efficacy, symptom self-management
Pubmed
Open Access
Oui
Création de la notice
21/07/2019 15:51
Dernière modification de la notice
21/08/2019 6:35
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