How can we better meet the information needs of patients newly diagnosed with brain tumours?
Langbecker, Danette H., Janda, Monika, Yates, Patsy, Biggs, Vivien, & Walker, David (2008) How can we better meet the information needs of patients newly diagnosed with brain tumours? In International Psycho-Oncology Society 10th World Congress : Advancing Culturally Diverse Approaches in Psycho-Oncology and Palliative Care, 11-13 June 2008, Madrid. (Unpublished)
Purpose In the Australian health care system, patients with brain tumours face a range of challenges in obtaining and understanding information, caused by complex medical care and often fragmented, multiple treatment sites and staff. Health professionals involved with these patients may be the most relevant source for understanding how information exchange can be improved. This study aims to explore information exchange as a component of care, and identify the most suitable interventions for improving information delivery. Methods Health care professionals involved with patients diagnosed with a brain tumour were interviewed using structured group concept mapping techniques. To identify elements of ideal brain tumour care and perceived relationships, data was analysed using qualitative and quantitative methods (thematic analysis, similarity matrices, multidimensional scaling, cluster analysis and pattern matching). Results Health care professionals proposed 647 existing or potential elements of care to assist patients newly diagnosed with a brain tumour. Thematic analysis enabled grouping of elements into 13 categories (eg access issues, finance, support groups) and selection of 42 elements for participant activities. Participants related these 42 elements to each other in a sorting activity, and rated each with regard to importance, feasibility and current provision. Similarity matrices, multidimensional scaling and cluster analysis of this data reduced these to eight clusters (tools for health professionals, psychological support, specialist services, multidisciplinary care, family support, information, communication, and practical services). Perceived relationships between clusters and average ratings were then displayed in two- and three-dimensional maps. Sixteen elements were identified with the most potential to improve care. For example, a care coordinator to follow patients and oversee their care was rated most highly for importance, and above average for feasibility. Conclusion This research has identified suitable intervention targets for improving information exchange between health professionals and patients with a brain tumour. Research Implications Interventions towards the targets identified could be more likely to be successfully implemented given their high importance and feasibility ratings by health professionals. Clinical Implications Provision of a care coordinator could have the greatest impact on information exchange between health professionals and patients with a brain tumour.
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|Item Type:||Conference Item (Other)|
|Additional Information:||Abstract of a paper presented at the International Psycho-Oncology Society 10th World Congress, 11-13/06/2008, Madrid, Spain. Acknowledgement of Research Funding Queensland University of Technology Faculty Based Award.|
|Keywords:||Cancer patients, Ibnformation needs, Brain Tumours|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Cancer Therapy (excl. Chemotherapy and Radiation Therapy) (111204)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2008 [please consult the authors]|
|Deposited On:||12 May 2009 10:18|
|Last Modified:||11 Aug 2011 04:08|
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