Oncology providers’ evaluation of the use of an automatically generated cancer survivorship care plan

Longitudinal results from the ROGY Care trial

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

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Purpose
Previous studies have merely investigated oncology providers’ a priori attitudes toward SCPs. The purpose of the current study was to longitudinally evaluate oncology providers’ expectations and actual experiences with the use of an automatically generated Survivorship Care Plan (SCP) in daily clinical practice.
Methods
Between April 2011 and October 2012, the participating oncology providers (i.e., gynecologists, gynecologic oncologists, oncology nurses) provided usual care or SCP care to 222 endometrial and 85 ovarian cancer patients included in the Registrationsystem Oncological GYnecology (ROGY) Care trial. All (n = 43) oncology providers in both arms were requested to complete a questionnaire before and after patient inclusion regarding their expectations and evaluation of SCP care.
Results
Before patient inclusion, 38 (88 %; 21 SCP, 17 usual care), and after patient inclusion, 35 (83 %; 20 SCP, 15 usual care) oncology providers returned the questionnaire. After patient inclusion, oncology providers were generally satisfied with the SCP (M = 7.1, SD = 1.3, with 1 = not at all–10 = very much) and motivated to keep using the SCP (M = 7.9, SD = 1.5). Most providers (64 %) encountered barriers. Twenty-five percent felt they used more time for consultations (M = 7.3 min, SD = 4.6). However, self-reported consultation time did not differ between before (M = 21.8 min, SD = 11.6) and after patient inclusion (M = 18.7, SD = 10.6; p = 0.22) or between SCP care (M = 18.5, SD = 10.3) and usual care (M = 22.0, SD = 12.2; p = 0.21).
Conclusions
Oncology providers using the SCP were generally satisfied and motivated to keep using the SCP. However, the findings of the current study suggest that even when the SCP can be generated automatically, oncology providers still have difficulties with finding the time to discuss the SCP with their patients.
Implications for Cancer Survivors
If SCP care is indeed effective, overcoming the perceived barriers is needed before large-scale implementation in order for cancer survivors to fully benefit from the potential advantages of SCPs.
Keywords: Survivorship Care Plan, Cancer survivors, Oncology providers, Barriers, Implementation, ROGY Care
Original languageEnglish
Pages (from-to)248-259
JournalJournal of Cancer Survivorship
Volume8
Issue number2
DOIs
Publication statusPublished - 2014

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Gynecology
Survival Rate
Neoplasms
Survivors
Ovarian Neoplasms
Nurses

Cite this

@article{6a556771a3d44f208ebdc6d0a4aeeb27,
title = "Oncology providers’ evaluation of the use of an automatically generated cancer survivorship care plan: Longitudinal results from the ROGY Care trial",
abstract = "PurposePrevious studies have merely investigated oncology providers’ a priori attitudes toward SCPs. The purpose of the current study was to longitudinally evaluate oncology providers’ expectations and actual experiences with the use of an automatically generated Survivorship Care Plan (SCP) in daily clinical practice.MethodsBetween April 2011 and October 2012, the participating oncology providers (i.e., gynecologists, gynecologic oncologists, oncology nurses) provided usual care or SCP care to 222 endometrial and 85 ovarian cancer patients included in the Registrationsystem Oncological GYnecology (ROGY) Care trial. All (n = 43) oncology providers in both arms were requested to complete a questionnaire before and after patient inclusion regarding their expectations and evaluation of SCP care.ResultsBefore patient inclusion, 38 (88 {\%}; 21 SCP, 17 usual care), and after patient inclusion, 35 (83 {\%}; 20 SCP, 15 usual care) oncology providers returned the questionnaire. After patient inclusion, oncology providers were generally satisfied with the SCP (M = 7.1, SD = 1.3, with 1 = not at all–10 = very much) and motivated to keep using the SCP (M = 7.9, SD = 1.5). Most providers (64 {\%}) encountered barriers. Twenty-five percent felt they used more time for consultations (M = 7.3 min, SD = 4.6). However, self-reported consultation time did not differ between before (M = 21.8 min, SD = 11.6) and after patient inclusion (M = 18.7, SD = 10.6; p = 0.22) or between SCP care (M = 18.5, SD = 10.3) and usual care (M = 22.0, SD = 12.2; p = 0.21).ConclusionsOncology providers using the SCP were generally satisfied and motivated to keep using the SCP. However, the findings of the current study suggest that even when the SCP can be generated automatically, oncology providers still have difficulties with finding the time to discuss the SCP with their patients.Implications for Cancer SurvivorsIf SCP care is indeed effective, overcoming the perceived barriers is needed before large-scale implementation in order for cancer survivors to fully benefit from the potential advantages of SCPs.Keywords: Survivorship Care Plan, Cancer survivors, Oncology providers, Barriers, Implementation, ROGY Care",
author = "K.A.H. Nicolaije and N.P.M. Ezendam and M.C. Vos and J.M.A. Pijnenborg and {van de Poll-Franse}, L.V. and R. Kruitwagen",
year = "2014",
doi = "10.1007/s11764-013-0327-1",
language = "English",
volume = "8",
pages = "248--259",
journal = "Journal of Cancer Survivorship",
issn = "1932-2259",
publisher = "Springer New York",
number = "2",

}

Oncology providers’ evaluation of the use of an automatically generated cancer survivorship care plan : Longitudinal results from the ROGY Care trial. / Nicolaije, K.A.H.; Ezendam, N.P.M.; Vos, M.C.; Pijnenborg, J.M.A.; van de Poll-Franse, L.V.; Kruitwagen, R.

In: Journal of Cancer Survivorship, Vol. 8, No. 2, 2014, p. 248-259.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Oncology providers’ evaluation of the use of an automatically generated cancer survivorship care plan

T2 - Longitudinal results from the ROGY Care trial

AU - Nicolaije, K.A.H.

AU - Ezendam, N.P.M.

AU - Vos, M.C.

AU - Pijnenborg, J.M.A.

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

AU - Kruitwagen, R.

PY - 2014

Y1 - 2014

N2 - PurposePrevious studies have merely investigated oncology providers’ a priori attitudes toward SCPs. The purpose of the current study was to longitudinally evaluate oncology providers’ expectations and actual experiences with the use of an automatically generated Survivorship Care Plan (SCP) in daily clinical practice.MethodsBetween April 2011 and October 2012, the participating oncology providers (i.e., gynecologists, gynecologic oncologists, oncology nurses) provided usual care or SCP care to 222 endometrial and 85 ovarian cancer patients included in the Registrationsystem Oncological GYnecology (ROGY) Care trial. All (n = 43) oncology providers in both arms were requested to complete a questionnaire before and after patient inclusion regarding their expectations and evaluation of SCP care.ResultsBefore patient inclusion, 38 (88 %; 21 SCP, 17 usual care), and after patient inclusion, 35 (83 %; 20 SCP, 15 usual care) oncology providers returned the questionnaire. After patient inclusion, oncology providers were generally satisfied with the SCP (M = 7.1, SD = 1.3, with 1 = not at all–10 = very much) and motivated to keep using the SCP (M = 7.9, SD = 1.5). Most providers (64 %) encountered barriers. Twenty-five percent felt they used more time for consultations (M = 7.3 min, SD = 4.6). However, self-reported consultation time did not differ between before (M = 21.8 min, SD = 11.6) and after patient inclusion (M = 18.7, SD = 10.6; p = 0.22) or between SCP care (M = 18.5, SD = 10.3) and usual care (M = 22.0, SD = 12.2; p = 0.21).ConclusionsOncology providers using the SCP were generally satisfied and motivated to keep using the SCP. However, the findings of the current study suggest that even when the SCP can be generated automatically, oncology providers still have difficulties with finding the time to discuss the SCP with their patients.Implications for Cancer SurvivorsIf SCP care is indeed effective, overcoming the perceived barriers is needed before large-scale implementation in order for cancer survivors to fully benefit from the potential advantages of SCPs.Keywords: Survivorship Care Plan, Cancer survivors, Oncology providers, Barriers, Implementation, ROGY Care

AB - PurposePrevious studies have merely investigated oncology providers’ a priori attitudes toward SCPs. The purpose of the current study was to longitudinally evaluate oncology providers’ expectations and actual experiences with the use of an automatically generated Survivorship Care Plan (SCP) in daily clinical practice.MethodsBetween April 2011 and October 2012, the participating oncology providers (i.e., gynecologists, gynecologic oncologists, oncology nurses) provided usual care or SCP care to 222 endometrial and 85 ovarian cancer patients included in the Registrationsystem Oncological GYnecology (ROGY) Care trial. All (n = 43) oncology providers in both arms were requested to complete a questionnaire before and after patient inclusion regarding their expectations and evaluation of SCP care.ResultsBefore patient inclusion, 38 (88 %; 21 SCP, 17 usual care), and after patient inclusion, 35 (83 %; 20 SCP, 15 usual care) oncology providers returned the questionnaire. After patient inclusion, oncology providers were generally satisfied with the SCP (M = 7.1, SD = 1.3, with 1 = not at all–10 = very much) and motivated to keep using the SCP (M = 7.9, SD = 1.5). Most providers (64 %) encountered barriers. Twenty-five percent felt they used more time for consultations (M = 7.3 min, SD = 4.6). However, self-reported consultation time did not differ between before (M = 21.8 min, SD = 11.6) and after patient inclusion (M = 18.7, SD = 10.6; p = 0.22) or between SCP care (M = 18.5, SD = 10.3) and usual care (M = 22.0, SD = 12.2; p = 0.21).ConclusionsOncology providers using the SCP were generally satisfied and motivated to keep using the SCP. However, the findings of the current study suggest that even when the SCP can be generated automatically, oncology providers still have difficulties with finding the time to discuss the SCP with their patients.Implications for Cancer SurvivorsIf SCP care is indeed effective, overcoming the perceived barriers is needed before large-scale implementation in order for cancer survivors to fully benefit from the potential advantages of SCPs.Keywords: Survivorship Care Plan, Cancer survivors, Oncology providers, Barriers, Implementation, ROGY Care

U2 - 10.1007/s11764-013-0327-1

DO - 10.1007/s11764-013-0327-1

M3 - Article

VL - 8

SP - 248

EP - 259

JO - Journal of Cancer Survivorship

JF - Journal of Cancer Survivorship

SN - 1932-2259

IS - 2

ER -