Miranda Rose, Smets Tinne, Pivodic Lara, Chambaere Kenneth, Pesut Barbara, Duggleby Wendy, Onwuteaka-Philipsen Bregje D, Gomes Barbara, May Peter, Szczerbińska Katarzyna, Davies Andrew N, Ferraris Davide, Pasman H Roeline, Furlan de Brito Maja, Barańska Ilona, Gangeri Laura, Van den Block Lieve
End-of-Life Care Research Group, Vrije Universiteit Brussel & Universiteit Gent, Laarbeeklaan 103, Brussels 1090, Belgium.
End-of-Life Care Research Group, Vrije Universiteit Brussel & Universiteit Gent, Brussels, Belgium.
Palliat Care Soc Pract. 2024 Oct 17;18:26323524241288873. doi: 10.1177/26323524241288873. eCollection 2024.
Navigation interventions could support, educate and empower older people with cancer and/or their family caregivers by addressing barriers and ensuring timely access to needed services and resources throughout the continuum of supportive, palliative and end-of-life care.
European Union (EU) NAVIGATE is an interdisciplinary and cross-country Horizon Europe-funded project (2022-2027) aiming to evaluate the effectiveness, cost-effectiveness and implementation of a navigation intervention for older people with cancer and their family caregivers in Europe. EU NAVIGATE aims to advance the evidence on cancer patient navigation in Europe.
Adaptation, implementation and evaluation of a navigation intervention with an international pragmatic randomized controlled trial (RCT) and embedded mixed-method process evaluation at its core. A logic model guides dissemination and impact-generating strategies. EU NAVIGATE involves six experienced EU academic partners; one EU national cancer league with their affiliated academic partner; three EU dissemination partners; and a Canadian partner.
We adapted the Canadian Navigation: Connecting, Advocating, Resourcing, and Engaging (Nav-CARE) volunteer programme to healthcare contexts in Belgium, Ireland, Italy, the Netherlands, Poland and Portugal following the new ADAPT guidance. Nav-CARE was developed over the past 15 years and supports people with declining health and their families to improve their quality of life and well-being, foster empowerment and facilitate timely and equitable access to healthcare and social services. In EU NAVIGATE, the navigation intervention is being provided by trained and mentored social workers in Poland and by trained and mentored volunteers in the other five countries. Via a pragmatic RCT with process evaluation, we implement and evaluate the navigation intervention to study its impact on older people with cancer and their family caregivers. We also aim to understand its cost-effectiveness, how to optimally implement it in different countries, and its differential effects in patient subgroups. We will also map existing cancer navigation interventions in Europe, the United States and Canada to position EU NAVIGATE within the field of navigation interventions worldwide.
EU NAVIGATE aims to deliver high-quality evidence on a navigation intervention for older people with cancer in Europe and to develop practice and policy recommendations for sustainable implementation of navigation interventions in Europe and beyond.
导航干预可以通过消除障碍并确保在支持性、姑息性和临终关怀的整个连续过程中及时获得所需服务和资源，来支持、教育癌症老年患者和/或其家庭护理人员，并赋予他们权力。
欧盟（EU）“导航”项目是一个由欧洲地平线计划资助的跨学科、跨国项目（2022 - 2027年），旨在评估针对欧洲癌症老年患者及其家庭护理人员的导航干预的有效性、成本效益和实施情况。欧盟“导航”项目旨在推进欧洲癌症患者导航方面的证据。
以国际实用随机对照试验（RCT）为核心，对导航干预进行调整、实施和评估，并进行嵌入式混合方法过程评估。一个逻辑模型指导传播和产生影响的策略。欧盟“导航”项目涉及六个经验丰富的欧盟学术合作伙伴；一个欧盟国家癌症联盟及其附属学术合作伙伴；三个欧盟传播合作伙伴；以及一个加拿大合作伙伴。
我们按照新的ADAPT指南，将加拿大的“导航：连接、倡导、提供资源和参与”（Nav - CARE）志愿者项目应用于比利时、爱尔兰、意大利、荷兰、波兰和葡萄牙的医疗环境。Nav - CARE项目在过去15年中开发，支持健康状况下降的人群及其家庭提高生活质量和幸福感，增强权能，并促进及时、公平地获得医疗和社会服务。在欧盟“导航”项目中，导航干预由波兰经过培训和指导的社会工作者以及其他五个国家经过培训和指导的志愿者提供。通过一项带有过程评估的实用随机对照试验，我们实施并评估导航干预，以研究其对癌症老年患者及其家庭护理人员的影响。我们还旨在了解其成本效益、如何在不同国家最佳地实施它以及它在患者亚组中的差异效应。我们还将绘制欧洲、美国和加拿大现有的癌症导航干预情况，以将欧盟“导航”项目定位在全球导航干预领域内。
欧盟“导航”项目旨在提供关于欧洲癌症老年患者导航干预的高质量证据，并为在欧洲及其他地区可持续实施导航干预制定实践和政策建议。
