Slaghmuylder Yaël, Pype Peter, Van Hecke Ann, Lauwerier Emelien
InterProfessional Collaboration in Education, Research and Practice (IPC-ERP), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Patient Educ Couns. 2023 Mar;108:107618. doi: 10.1016/j.pec.2022.107618. Epub 2022 Dec 27.
Pain is prevalent among breast cancer survivors and can persist for years, impeding quality of life. Both prevention and pain treatment are important. However, this requires an interdisciplinary approach and complex models of care. We report on the design and implementation of an intervention that follows a step-wise care model, aimed at timely and adequate pain follow-up among breast cancer survivors.
We used intervention mapping to guide our planning process. The intervention was developed in co-design with relevant stakeholders, such as breast cancer survivors and healthcare providers.
An e-learning training was developed aimed at changing healthcare providers' knowledge, beliefs, and interprofessional behaviour regarding pain follow-up. Second, guides were produced to empower patients in talking about pain and stimulate referral to other disciplines.
To achieve change in pain follow-up, multiple levels should be addressed. Additionally, the implementation and adoption of an intervention opposes challenges. Intervention mapping can serve as a theory-based and data-driven approach for decision-making during planning.
This study can inform others about how to prepare for the development and implementation of an intervention. The developed intervention can also be adapted according to the target population and context, and used for other cancer populations.
疼痛在乳腺癌幸存者中普遍存在，且可能持续数年，影响生活质量。预防和疼痛治疗都很重要。然而，这需要跨学科方法和复杂的护理模式。我们报告了一种遵循逐步护理模式的干预措施的设计与实施情况，该措施旨在对乳腺癌幸存者进行及时且充分的疼痛随访。
我们使用干预映射来指导规划过程。该干预措施是与乳腺癌幸存者和医疗服务提供者等相关利益攸关方共同设计开发的。
开发了一个电子学习培训，旨在改变医疗服务提供者在疼痛随访方面的知识、信念和跨专业行为。其次，制作了指南，以增强患者谈论疼痛的能力，并促进向其他学科的转诊。
要在疼痛随访方面实现改变，应涉及多个层面。此外，干预措施的实施和采用面临挑战。干预映射可作为规划过程中基于理论和数据驱动的决策方法。
本研究可为他人提供关于如何为干预措施的开发和实施做准备的信息。所开发的干预措施也可根据目标人群和具体情况进行调整，并用于其他癌症人群。
