Psihogios Alexandra M, Pauly-Hubbard Helen, Schwartz Lisa, Ginsberg Jill P, Hobbie Wendy, Szalda Dava
Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Penn State Hershey Medical School, Hershey, PA, USA.
J Cancer Educ. 2018 Oct;33(5):1075-1081. doi: 10.1007/s13187-017-1208-5.
This study aimed to assess college providers' basic knowledge of the health risks of young adult cancer survivors (YAS) and related care guidelines and to determine whether an educational in-service is an effective platform for increasing college health providers' knowledge about survivorship care at a large university health center. During phase 1, staff from college health centers and office of disabilities in the Philadelphia area (n = 40 staff members from 24 colleges/universities) completed a needs assessment on their experiences with YAS and preferences for education and care coordination. During phase 2, a 1-h educational in-service, informed by results of the survey, was provided to 18 health center medical providers. While most providers indicated that YAS are at risk for chronic health conditions because of cancer treatment, nearly all were unfamiliar with the content of published long-term follow-up guidelines for cancer survivorship. Over half did not have knowledge of cancer survivorship services in their area. All respondents were interested in more education on cancer survivorship care. Attendees of the in-service increased their knowledge of survivorship follow-up guidelines, awareness of local survivorship resources, and comfort with caring for YAS at posttest relative to baseline. The in-service was highly acceptable to providers and feasible to implement. College providers had little baseline knowledge of cancer survivorship guidelines, but were motivated to obtain more information. Through an educational in-service, college health providers may be better equipped to provide acute and longitudinal survivorship care to a vulnerable population who are at risk for inadequate engagement in risk-based follow-up care.
本研究旨在评估高校医疗服务提供者对年轻成年癌症幸存者（YAS）健康风险及相关护理指南的基本知识，并确定在职教育是否是一个有效的平台，以增加大型大学健康中心的高校医疗服务提供者对幸存者护理的知识。在第一阶段，费城地区高校健康中心和残疾办公室的工作人员（来自24所学院/大学的40名工作人员）完成了一项关于他们与YAS的经历以及对教育和护理协调偏好的需求评估。在第二阶段，根据调查结果，为18名健康中心医疗服务提供者提供了1小时的在职教育。虽然大多数提供者表示，由于癌症治疗，YAS有患慢性健康疾病的风险，但几乎所有人都不熟悉已发表的癌症幸存者长期随访指南的内容。超过一半的人不了解所在地区的癌症幸存者服务。所有受访者都对更多关于癌症幸存者护理的教育感兴趣。与基线相比，在职教育的参与者在测试后增加了他们对幸存者随访指南的知识、对当地幸存者资源的认识以及照顾YAS的舒适度。在职教育对提供者来说非常容易接受且实施可行。高校医疗服务提供者对癌症幸存者指南的基线知识很少，但有动力获取更多信息。通过在职教育，高校健康服务提供者可能会更好地为一个弱势群体提供急性和长期幸存者护理，这些弱势群体有参与基于风险的后续护理不足的风险。
