Employing patient-reported outcome (PRO) measures to support newly diagnosed patients with melanoma: feasibility and acceptability of a holistic needs assessment intervention

Grigorios Kotronoulas, John Connaghan, Jean Grenfell, Girish Gupta, Leigh Smith, Mhairi Simpson, Roma Maguire

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

PURPOSE: Living with a melanoma diagnosis can be challenging. We aimed to assess the feasibility, acceptability, and perceived value of a nurse-led intervention that utilised patient-reported outcome (PRO) measures to identify and address the supportive care needs of newly diagnosed patients with Stage I/II melanoma over the first 4 months post-diagnosis.

METHODS: We conducted an exploratory, repeated-measures, single-arm, feasibility trial. One baseline (4 weeks post-diagnosis; T1) and one follow-up intervention session (4 weeks after wide local excision; T3) took place, two months apart. Patient survey data were collected monthly, at four assessment points (T1-T4), followed by exit interviews.RESULTS: A recruitment rate of 55% (10/18) was achieved. The skin cancer nurse specialist (CNS) performed 19 in-clinic patient assessments within 6 months. One patient missed their follow-up intervention session (90% retention rate). Three participants (30%) were lost to follow-up at T4. Patients endorsed the standardised use of easy-to-use PRO measures as a means to help them shortlist, report and prioritise their needs. The CNS viewed the intervention as a highly structured activity that allowed tailoring support priority needs. A sizeable reduction in information needs was found from T1 to T4 (Standardised Response Mean [SRM] change = -0.99; p < 0.05). From T1 to T2, significant reductions in psychological (SRM change = -1.18; p < 0.001), practical (SRM change = -0.67; p < 0.05) and sexuality needs (SRM change = -0.78; p < 0.05) were observed.
CONCLUSIONS: The intervention appears to be feasible in clinical practice and acceptable to both patients with newly diagnosed melanoma and clinicians. Future research is warranted to test its effectiveness against standard care.

 

LanguageEnglish
Pages59-68
Number of pages10
JournalEuropean Journal of Oncology Nursing
Volume31
Early online date6 Nov 2017
DOIs
Publication statusPublished - 31 Dec 2017

Fingerprint

Needs Assessment
Melanoma
Lost to Follow-Up
Sexuality
Skin Neoplasms
Nurses
Interviews
Psychology
Patient Reported Outcome Measures
Neoplasms
Nurse Specialists

Keywords

  • melanoma
  • supportive care needs
  • patient-reported outcome measures
  • cancer nurse specialist
  • feasibility
  • acceptability

Cite this

@article{71d7ae7fdacb4fd7b6f991355f4ea769,
title = "Employing patient-reported outcome (PRO) measures to support newly diagnosed patients with melanoma: feasibility and acceptability of a holistic needs assessment intervention",
abstract = "PURPOSE: Living with a melanoma diagnosis can be challenging. We aimed to assess the feasibility, acceptability, and perceived value of a nurse-led intervention that utilised patient-reported outcome (PRO) measures to identify and address the supportive care needs of newly diagnosed patients with Stage I/II melanoma over the first 4 months post-diagnosis.METHODS: We conducted an exploratory, repeated-measures, single-arm, feasibility trial. One baseline (4 weeks post-diagnosis; T1) and one follow-up intervention session (4 weeks after wide local excision; T3) took place, two months apart. Patient survey data were collected monthly, at four assessment points (T1-T4), followed by exit interviews.RESULTS: A recruitment rate of 55{\%} (10/18) was achieved. The skin cancer nurse specialist (CNS) performed 19 in-clinic patient assessments within 6 months. One patient missed their follow-up intervention session (90{\%} retention rate). Three participants (30{\%}) were lost to follow-up at T4. Patients endorsed the standardised use of easy-to-use PRO measures as a means to help them shortlist, report and prioritise their needs. The CNS viewed the intervention as a highly structured activity that allowed tailoring support priority needs. A sizeable reduction in information needs was found from T1 to T4 (Standardised Response Mean [SRM] change = -0.99; p < 0.05). From T1 to T2, significant reductions in psychological (SRM change = -1.18; p < 0.001), practical (SRM change = -0.67; p < 0.05) and sexuality needs (SRM change = -0.78; p < 0.05) were observed.CONCLUSIONS: The intervention appears to be feasible in clinical practice and acceptable to both patients with newly diagnosed melanoma and clinicians. Future research is warranted to test its effectiveness against standard care.  ",
keywords = "melanoma, supportive care needs, patient-reported outcome measures, cancer nurse specialist, feasibility, acceptability",
author = "Grigorios Kotronoulas and John Connaghan and Jean Grenfell and Girish Gupta and Leigh Smith and Mhairi Simpson and Roma Maguire",
note = "Copyright {\circledC} 2017 Elsevier Ltd. All rights reserved.",
year = "2017",
month = "12",
day = "31",
doi = "10.1016/j.ejon.2017.10.002",
language = "English",
volume = "31",
pages = "59--68",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",

}

Employing patient-reported outcome (PRO) measures to support newly diagnosed patients with melanoma : feasibility and acceptability of a holistic needs assessment intervention. / Kotronoulas, Grigorios; Connaghan, John; Grenfell, Jean; Gupta, Girish; Smith, Leigh; Simpson, Mhairi; Maguire, Roma.

In: European Journal of Oncology Nursing, Vol. 31, 31.12.2017, p. 59-68.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Employing patient-reported outcome (PRO) measures to support newly diagnosed patients with melanoma

T2 - European Journal of Oncology Nursing

AU - Kotronoulas, Grigorios

AU - Connaghan, John

AU - Grenfell, Jean

AU - Gupta, Girish

AU - Smith, Leigh

AU - Simpson, Mhairi

AU - Maguire, Roma

N1 - Copyright © 2017 Elsevier Ltd. All rights reserved.

PY - 2017/12/31

Y1 - 2017/12/31

N2 - PURPOSE: Living with a melanoma diagnosis can be challenging. We aimed to assess the feasibility, acceptability, and perceived value of a nurse-led intervention that utilised patient-reported outcome (PRO) measures to identify and address the supportive care needs of newly diagnosed patients with Stage I/II melanoma over the first 4 months post-diagnosis.METHODS: We conducted an exploratory, repeated-measures, single-arm, feasibility trial. One baseline (4 weeks post-diagnosis; T1) and one follow-up intervention session (4 weeks after wide local excision; T3) took place, two months apart. Patient survey data were collected monthly, at four assessment points (T1-T4), followed by exit interviews.RESULTS: A recruitment rate of 55% (10/18) was achieved. The skin cancer nurse specialist (CNS) performed 19 in-clinic patient assessments within 6 months. One patient missed their follow-up intervention session (90% retention rate). Three participants (30%) were lost to follow-up at T4. Patients endorsed the standardised use of easy-to-use PRO measures as a means to help them shortlist, report and prioritise their needs. The CNS viewed the intervention as a highly structured activity that allowed tailoring support priority needs. A sizeable reduction in information needs was found from T1 to T4 (Standardised Response Mean [SRM] change = -0.99; p < 0.05). From T1 to T2, significant reductions in psychological (SRM change = -1.18; p < 0.001), practical (SRM change = -0.67; p < 0.05) and sexuality needs (SRM change = -0.78; p < 0.05) were observed.CONCLUSIONS: The intervention appears to be feasible in clinical practice and acceptable to both patients with newly diagnosed melanoma and clinicians. Future research is warranted to test its effectiveness against standard care.  

AB - PURPOSE: Living with a melanoma diagnosis can be challenging. We aimed to assess the feasibility, acceptability, and perceived value of a nurse-led intervention that utilised patient-reported outcome (PRO) measures to identify and address the supportive care needs of newly diagnosed patients with Stage I/II melanoma over the first 4 months post-diagnosis.METHODS: We conducted an exploratory, repeated-measures, single-arm, feasibility trial. One baseline (4 weeks post-diagnosis; T1) and one follow-up intervention session (4 weeks after wide local excision; T3) took place, two months apart. Patient survey data were collected monthly, at four assessment points (T1-T4), followed by exit interviews.RESULTS: A recruitment rate of 55% (10/18) was achieved. The skin cancer nurse specialist (CNS) performed 19 in-clinic patient assessments within 6 months. One patient missed their follow-up intervention session (90% retention rate). Three participants (30%) were lost to follow-up at T4. Patients endorsed the standardised use of easy-to-use PRO measures as a means to help them shortlist, report and prioritise their needs. The CNS viewed the intervention as a highly structured activity that allowed tailoring support priority needs. A sizeable reduction in information needs was found from T1 to T4 (Standardised Response Mean [SRM] change = -0.99; p < 0.05). From T1 to T2, significant reductions in psychological (SRM change = -1.18; p < 0.001), practical (SRM change = -0.67; p < 0.05) and sexuality needs (SRM change = -0.78; p < 0.05) were observed.CONCLUSIONS: The intervention appears to be feasible in clinical practice and acceptable to both patients with newly diagnosed melanoma and clinicians. Future research is warranted to test its effectiveness against standard care.  

KW - melanoma

KW - supportive care needs

KW - patient-reported outcome measures

KW - cancer nurse specialist

KW - feasibility

KW - acceptability

UR - http://www.scopus.com/inward/record.url?scp=85046861184&partnerID=8YFLogxK

U2 - 10.1016/j.ejon.2017.10.002

DO - 10.1016/j.ejon.2017.10.002

M3 - Article

VL - 31

SP - 59

EP - 68

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

ER -