Factors influencing implementation of a Survivorship Care Plan: A quantitative process evaluation of the ROGY Care Trial

B.H. de Rooij, N.P.M. Ezendam, K.A.H. Nicolaije, M.C. Vos, J.M.A. Pijnenborg, Dorry Boll, R.F.P.M. Kruitwagen, L.V. van de Poll-Franse

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Abstract

Purpose
The aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that influence SCP receipt.
Methods
Between 2011 and 2015, a pragmatic cluster randomized-controlled-trial was conducted on the effects of automatically generated SCPs. Endometrial (N = 117) and ovarian (N = 61) cancer patients were allocated to ‘SCP care’, as provided by their SCP care providers (N = 10). Associations between SCP receipt (self-reported SCP receipt and actually generated SCPs), patient-factors (socio-demographic-, clinical-, and personality factors), and care provider factors (profession and a-priori motivation regarding SCP provision) were tested in univariate analysis. The odds ratios of factors influencing self-reported SCP receipt were estimated with a multivariate regression model.
Results
Of all patients in the SCP care arm (N = 178), SCPs were generated by the care provider for 90 % of the patients and 70 % of the patients reported that they had received an SCP. Patients with older age, ovarian cancer, type D (distressed) personality, and patients that completed the questionnaire a longer period of time after the SCP consult were more likely to report no SCP receipt.
Conclusions
SCP receipt was influenced by patient- but not care-provider factors.
Implications for cancer survivors
Certain patient groups were less likely to report SCP receipt. Whether all patients are in need of an SCP, requires further investigation. If they do, more efforts need to be made towards the implementation of SCPs.
Original languageEnglish
Pages (from-to)64–73
JournalJournal of Cancer Survivorship
Volume11
Issue number1
DOIs
Publication statusPublished - 2017

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Survival Rate
Ovarian Neoplasms
Neoplasms
Odds Ratio

Cite this

de Rooij, B.H. ; Ezendam, N.P.M. ; Nicolaije, K.A.H. ; Vos, M.C. ; Pijnenborg, J.M.A. ; Boll, Dorry ; Kruitwagen, R.F.P.M. ; van de Poll-Franse, L.V. / Factors influencing implementation of a Survivorship Care Plan : A quantitative process evaluation of the ROGY Care Trial. In: Journal of Cancer Survivorship. 2017 ; Vol. 11, No. 1. pp. 64–73.
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title = "Factors influencing implementation of a Survivorship Care Plan: A quantitative process evaluation of the ROGY Care Trial",
abstract = "PurposeThe aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that influence SCP receipt.MethodsBetween 2011 and 2015, a pragmatic cluster randomized-controlled-trial was conducted on the effects of automatically generated SCPs. Endometrial (N = 117) and ovarian (N = 61) cancer patients were allocated to ‘SCP care’, as provided by their SCP care providers (N = 10). Associations between SCP receipt (self-reported SCP receipt and actually generated SCPs), patient-factors (socio-demographic-, clinical-, and personality factors), and care provider factors (profession and a-priori motivation regarding SCP provision) were tested in univariate analysis. The odds ratios of factors influencing self-reported SCP receipt were estimated with a multivariate regression model.ResultsOf all patients in the SCP care arm (N = 178), SCPs were generated by the care provider for 90 {\%} of the patients and 70 {\%} of the patients reported that they had received an SCP. Patients with older age, ovarian cancer, type D (distressed) personality, and patients that completed the questionnaire a longer period of time after the SCP consult were more likely to report no SCP receipt.ConclusionsSCP receipt was influenced by patient- but not care-provider factors.Implications for cancer survivorsCertain patient groups were less likely to report SCP receipt. Whether all patients are in need of an SCP, requires further investigation. If they do, more efforts need to be made towards the implementation of SCPs.",
author = "{de Rooij}, B.H. and N.P.M. Ezendam and K.A.H. Nicolaije and M.C. Vos and J.M.A. Pijnenborg and Dorry Boll and R.F.P.M. Kruitwagen and {van de Poll-Franse}, L.V.",
year = "2017",
doi = "10.1007/s11764-016-0562-3",
language = "English",
volume = "11",
pages = "64–73",
journal = "Journal of Cancer Survivorship",
issn = "1932-2259",
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Factors influencing implementation of a Survivorship Care Plan : A quantitative process evaluation of the ROGY Care Trial. / de Rooij, B.H.; Ezendam, N.P.M.; Nicolaije, K.A.H.; Vos, M.C.; Pijnenborg, J.M.A.; Boll, Dorry; Kruitwagen, R.F.P.M.; van de Poll-Franse, L.V.

In: Journal of Cancer Survivorship, Vol. 11, No. 1, 2017, p. 64–73.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Factors influencing implementation of a Survivorship Care Plan

T2 - A quantitative process evaluation of the ROGY Care Trial

AU - de Rooij, B.H.

AU - Ezendam, N.P.M.

AU - Nicolaije, K.A.H.

AU - Vos, M.C.

AU - Pijnenborg, J.M.A.

AU - Boll, Dorry

AU - Kruitwagen, R.F.P.M.

AU - van de Poll-Franse, L.V.

PY - 2017

Y1 - 2017

N2 - PurposeThe aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that influence SCP receipt.MethodsBetween 2011 and 2015, a pragmatic cluster randomized-controlled-trial was conducted on the effects of automatically generated SCPs. Endometrial (N = 117) and ovarian (N = 61) cancer patients were allocated to ‘SCP care’, as provided by their SCP care providers (N = 10). Associations between SCP receipt (self-reported SCP receipt and actually generated SCPs), patient-factors (socio-demographic-, clinical-, and personality factors), and care provider factors (profession and a-priori motivation regarding SCP provision) were tested in univariate analysis. The odds ratios of factors influencing self-reported SCP receipt were estimated with a multivariate regression model.ResultsOf all patients in the SCP care arm (N = 178), SCPs were generated by the care provider for 90 % of the patients and 70 % of the patients reported that they had received an SCP. Patients with older age, ovarian cancer, type D (distressed) personality, and patients that completed the questionnaire a longer period of time after the SCP consult were more likely to report no SCP receipt.ConclusionsSCP receipt was influenced by patient- but not care-provider factors.Implications for cancer survivorsCertain patient groups were less likely to report SCP receipt. Whether all patients are in need of an SCP, requires further investigation. If they do, more efforts need to be made towards the implementation of SCPs.

AB - PurposeThe aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that influence SCP receipt.MethodsBetween 2011 and 2015, a pragmatic cluster randomized-controlled-trial was conducted on the effects of automatically generated SCPs. Endometrial (N = 117) and ovarian (N = 61) cancer patients were allocated to ‘SCP care’, as provided by their SCP care providers (N = 10). Associations between SCP receipt (self-reported SCP receipt and actually generated SCPs), patient-factors (socio-demographic-, clinical-, and personality factors), and care provider factors (profession and a-priori motivation regarding SCP provision) were tested in univariate analysis. The odds ratios of factors influencing self-reported SCP receipt were estimated with a multivariate regression model.ResultsOf all patients in the SCP care arm (N = 178), SCPs were generated by the care provider for 90 % of the patients and 70 % of the patients reported that they had received an SCP. Patients with older age, ovarian cancer, type D (distressed) personality, and patients that completed the questionnaire a longer period of time after the SCP consult were more likely to report no SCP receipt.ConclusionsSCP receipt was influenced by patient- but not care-provider factors.Implications for cancer survivorsCertain patient groups were less likely to report SCP receipt. Whether all patients are in need of an SCP, requires further investigation. If they do, more efforts need to be made towards the implementation of SCPs.

U2 - 10.1007/s11764-016-0562-3

DO - 10.1007/s11764-016-0562-3

M3 - Article

VL - 11

SP - 64

EP - 73

JO - Journal of Cancer Survivorship

JF - Journal of Cancer Survivorship

SN - 1932-2259

IS - 1

ER -