Steer Christopher, Rasekaba Tshepo, Owen Kylie, Jayasuriya Darren, Kapur Mira, Young Kim, Webb Nicole, Blackberry Irene
John Richards Centre for Rural Ageing Research, La Trobe Rural Health School, La Trobe University, Albury-Wodonga, VIC 3690, Australia.
Border Medical Oncology and Haematology, Albury-Wodonga, NSW 2640, Australia.
Methods Protoc. 2023 Jul 26;6(4):68. doi: 10.3390/mps6040068.
Geriatric assessment (GA) is fundamental to optimising cancer care in older adults, yet implementing comprehensive GA tools in real-world clinical settings remains a challenge. This study aims to assess the feasibility and acceptability of integrating information from patient-derived photographs (PhotoVoice) into enhanced supportive care (ESC) for older adults with cancer. A feasibility randomised controlled trial will be conducted at a regional cancer care centre in Australia. Participants aged 70 and above will be randomised into two groups: PhotoVoice plus ESC or usual care (ESC) alone. In the PhotoVoice group, participants will provide four photographs for deduction of representations of different aspects of their lives using photo-elicitation techniques. ESC will be conducted for both groups, incorporating PhotoVoice analysis in the intervention group. PhotoVoice may improve patient-centred care outcomes, including enhanced communication, shared decision making, and identification of patient priorities and barriers. Findings will provide insights into implementing PhotoVoice in geriatric assessment and guide future trials in cancer among older adults.
老年评估（GA）对于优化老年癌症患者的护理至关重要，但在实际临床环境中实施全面的GA工具仍然是一项挑战。本研究旨在评估将患者提供的照片信息（照片发声法）整合到老年癌症患者强化支持性护理（ESC）中的可行性和可接受性。将在澳大利亚的一个地区癌症护理中心进行一项可行性随机对照试验。70岁及以上的参与者将被随机分为两组：照片发声法加ESC组或仅接受常规护理（ESC）组。在照片发声法组中，参与者将使用照片启发技术提供四张照片，以推断其生活不同方面的情况。两组都将接受ESC，干预组将纳入照片发声法分析。照片发声法可能会改善以患者为中心的护理结果，包括加强沟通、共同决策以及确定患者的优先事项和障碍。研究结果将为在老年评估中实施照片发声法提供见解，并指导未来针对老年癌症患者的试验。
