Facilitating needs based cancer care for people with a chronic disease: evaluation of an intervention using a multi-centre interrupted time series design

Waller, Amy, Girgis, Afaf, Johnson, Claire, Mitchell, Geoff, Yates, Patsy, Kristjanson, Linda, Tattersall, Martin, Lecathelinais, Christophe, Sibbritt, David, Kelly, Brian, Gorton, Emma and Currow, David (2010) Facilitating needs based cancer care for people with a chronic disease: evaluation of an intervention using a multi-centre interrupted time series design. BMC Palliative Care, 9 . doi:10.1186/1472-684X-9-2


Author Waller, Amy
Girgis, Afaf
Johnson, Claire
Mitchell, Geoff
Yates, Patsy
Kristjanson, Linda
Tattersall, Martin
Lecathelinais, Christophe
Sibbritt, David
Kelly, Brian
Gorton, Emma
Currow, David
Title Facilitating needs based cancer care for people with a chronic disease: evaluation of an intervention using a multi-centre interrupted time series design
Journal name BMC Palliative Care   Check publisher's open access policy
ISSN 1472-684X
Publication date 2010
Sub-type Article (original research)
DOI 10.1186/1472-684X-9-2
Open Access Status DOI
Volume 9
Total pages 6
Place of publication London, United Kingdom
Publisher BioMed
Language eng
Formatted abstract
Background
Palliative care should be provided according to the individual needs of the patient, caregiver and family, so that the type and level of care provided, as well as the setting in which it is delivered, are dependent on the complexity and severity of individual needs, rather than prognosis or diagnosis [1]. This paper presents a study designed to assess the feasibility and efficacy of an intervention to assist in the allocation of palliative care resources according to need, within the context of a population of people with advanced cancer.

Methods/design

People with advanced cancer and their caregivers completed bi-monthly telephone interviews over a period of up to 18 months to assess unmet needs, anxiety and depression, quality of life, satisfaction with care and service utilisation. The intervention, introduced after at least two baseline phone interviews, involved a) training medical, nursing and allied health professionals at each recruitment site on the use of the Palliative Care Needs Assessment Guidelines and the Needs Assessment Tool: Progressive Disease - Cancer (NAT: PD-C); b) health professionals completing the NAT: PD-C with participating patients approximately monthly for the rest of the study period. Changes in outcomes will be compared pre-and post-intervention.

Discussion
The study will determine whether the routine, systematic and regular use of the Guidelines and NAT: PD-C in a range of clinical settings is a feasible and effective strategy for facilitating the timely provision of needs based care.

Trials registration
ISRCTN21699701
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 12 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 27 Nov 2013, 10:05:16 EST by System User on behalf of School of Medicine