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Improving breast cancer survivors' knowledge using a patient-centered intervention.
Ulloa, Jesus G; Hemmelgarn, Marian; Viveros, Lori; Odele, Patience; Feldman, Nancy R; Ganz, Patricia A; Maggard-Gibbons, Melinda.
Afiliación
  • Ulloa JG; Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA. Electronic address: julloa@mednet.ucla.edu.
  • Hemmelgarn M; Department of Surgery, Olive View-UCLA Medical Center, Sylmar, CA.
  • Viveros L; Department of Surgery, Olive View-UCLA Medical Center, Sylmar, CA; Jonsson Comprehensive Cancer Center, David Geffen School of Medicine, University of California, Los Angeles, CA.
  • Odele P; Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA.
  • Feldman NR; Department of Hematology and Oncology, Olive View-UCLA Medical Center, Sylmar, CA.
  • Ganz PA; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA; Center for Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center, Los Angeles, CA.
  • Maggard-Gibbons M; Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA; Department of Surgery, Olive View-UCLA Medical Center, Sylmar, CA.
Surgery ; 158(3): 669-75, 2015 Sep.
Article en En | MEDLINE | ID: mdl-26032819
BACKGROUND: Low-income, minority women with breast cancer experience a range of barriers to receiving survivorship information. Our objective was to test a novel, patient-centered intervention aimed at improving communication about survivorship care. METHODS: We developed a wallet card to provide oncologic and follow-up care survivorship information to breast cancer patients. We used a prospective, pre-post design to assess the intervention at a safety net hospital. The intervention was given by a patient navigator or community health worker. RESULTS: Patient knowledge (n = 130) of personal cancer history improved from baseline pretest to 1 week after the intervention for stage (66-93%; P < .05), treatment (79-92%; P < .05), and symptoms of recurrence (48-89%; P < .05), which was retained at 3 months. The intervention reduced the number of patients who were unsure when their mammogram was due (15-5% at 1 week and 6% at 3 months; P < .05). Nearly 90% reported they would be likely to share their survivorship card with their providers. CONCLUSION: A patient-centered survivorship card improved short-term recall of key survivorship care knowledge and seems to be effective at reducing communication barriers for this population. Further studies are warranted to assess long-term retention and the impact on receipt of appropriate survivorship follow-up care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Sobrevivientes / Continuidad de la Atención al Paciente Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Surgery Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Sobrevivientes / Continuidad de la Atención al Paciente Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Surgery Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos