Amsterdam UMC, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam UMC, Department of Gastroenterology, University of Amsterdam, Amsterdam, The Netherlands.
J Cancer Surviv. 2020 Feb;14(1):59-71. doi: 10.1007/s11764-019-00797-3. Epub 2019 Nov 19.
To perform a process evaluation of a tailored work-related support intervention for patients diagnosed with gastrointestinal cancer.
The intervention comprised three tailored psychosocial work-related support meetings. To outline the process evaluation of this intervention, we used six key components: recruitment, context, reach, dose delivered, dose received and fidelity. Data were collected using questionnaires, checklists and research logbooks and were analysed both quantitatively and qualitatively.
In total, 16 hospitals, 33 nurses and 7 oncological occupational physicians (OOPs) participated. Analysis of the six key components revealed that the inclusion rate of eligible patients was 47%. Thirty-eight intervention patients were included: 35 actually had a first meeting, 32 had a second and 17 had a third. For 31 patients (89%), the first meeting was face to face, as per protocol. However, in only 32% of the cases referred to support type A (oncological nurse) and 13% of the cases referred to support type B (OOP), the first meeting was before the start of the treatment, as per protocol. The average duration of the support type A meetings was around the pre-established 30 min; for the OOPs, the average was 50 min. Protocol was easy to follow according to the healthcare professionals. Overall, the patients considered the intervention useful.
This study has shown that the strategy of tailored work-related support is appreciated by both patients and healthcare professionals and applicable in clinical practice.
The intervention was appreciated by patients; however, whether the timing of the work-related support was adequate (i.e. before treatment was started) requires further research.
NTR5022.
对胃肠道癌患者的定制工作相关支持干预进行过程评估。
干预措施包括三次定制的心理社会工作相关支持会议。为了概述这种干预的过程评估，我们使用了六个关键组成部分：招募、背景、范围、提供的剂量、接受的剂量和保真度。使用问卷、清单和研究日志本收集数据，并进行定量和定性分析。
共有 16 家医院、33 名护士和 7 名肿瘤学职业医生（OOP）参与。对六个关键组成部分的分析表明，合格患者的纳入率为 47%。有 38 名干预患者被纳入：35 名患者实际上进行了第一次会议，32 名患者进行了第二次会议，17 名患者进行了第三次会议。对于 31 名患者（89%），根据协议，第一次会议是面对面的。然而，在转诊支持类型 A（肿瘤护士）的病例中，只有 32%和转诊支持类型 B（OOP）的病例中，只有 13%符合协议，即第一次会议在治疗开始前进行。支持类型 A 会议的平均持续时间约为预先设定的 30 分钟；对于 OOPs，平均为 50 分钟。根据医疗保健专业人员的说法，协议很容易遵循。总的来说，患者认为干预措施很有用。
本研究表明，定制工作相关支持策略受到患者和医疗保健专业人员的赞赏，并适用于临床实践。
患者对干预措施表示赞赏；然而，工作相关支持的时间是否足够（即治疗开始前）需要进一步研究。
NTR5022。
