دورية أكاديمية
Pairing Project ECHO and patient navigation as an innovative approach to improving the health and wellness of cancer survivors in rural settings.
| العنوان: | Pairing Project ECHO and patient navigation as an innovative approach to improving the health and wellness of cancer survivors in rural settings. |
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| المؤلفون: | Rohan E; Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Kuiper N; ICF, Atlanta, Georgia, USA., Bowen SA; ICF, Atlanta, Georgia, USA., Mast DK; ICF, Atlanta, Georgia, USA., House M; ICF, Atlanta, Georgia, USA., French C; Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Tharpe FS; Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Henley SJ; Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Wanliss E; Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Puckett M; Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. |
| المصدر: | The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2022 Sep; Vol. 38 (4), pp. 855-864. Date of Electronic Publication: 2022 May 25. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Country of Publication: England NLM ID: 8508122 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1748-0361 (Electronic) Linking ISSN: 0890765X NLM ISO Abbreviation: J Rural Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [Oxford, Eng.] : Blackwell Original Publication: [Burlington, Vt.?] : Journal of Rural Health, c1985- |
| مواضيع طبية MeSH: | Cancer Survivors* , Neoplasms*/therapy , Patient Navigation*, Humans ; Pilot Projects ; Rural Population |
| مستخلص: | Purpose: We conducted a 12-month pilot study of 2 complementary strategies for improving rural cancer survivorship outcomes: (1) Project ECHO, a telementoring model to increase knowledge and skills about cancer survivorship among multidisciplinary health care provider teams in rural areas and (2) patient navigation (PN) services to connect rural cancer survivors with resources for enhancing health and wellness. Methods: We recruited 4 CDC-funded National Comprehensive Cancer Control Program sites to implement Project ECHO and PN interventions for a defined rural population in each of their jurisdictions. Sites received ongoing technical assistance and a stipend to support implementation. We conducted a mixed-methods evaluation consisting of quantitative performance monitoring data and qualitative interviews with site staff to assess implementation. Findings: Site teams delivered 21 cancer survivorship ECHO sessions to rural providers resulting in 329 participant encounters. Almost all (93%) ECHO participants reported enhanced knowledge of cancer survivorship issues, and 80% reported intent to apply learnings to their practices. Site teams engaged 16 patient navigators who navigated 164 cancer survivors during the study period. Successful implementation required strong partnerships, clear avenues for recruitment of rural providers and cancer survivors, and activities tailored to local needs. Fostering ongoing relationships among sites through community of practice calls also enhanced implementation. Conclusions: Sites successfully implemented a novel approach for enhancing care for cancer survivors in rural communities. Pairing Project ECHO to address structural barriers and PN to address individual factors affecting survivorship may help bridge the health equity gap experienced by cancer survivors in rural communities. (© 2022 National Rural Health Association. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.) |
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| معلومات مُعتمدة: | CC999999 United States ImCDC Intramural CDC HHS; Contract 00HCUCCG-2020-40375 United States CC CDC HHS |
| فهرسة مساهمة: | Keywords: cancer survivors; health care needs; patient navigation; rural health; telementoring |
| تواريخ الأحداث: | Date Created: 20220525 Date Completed: 20220923 Latest Revision: 20240326 |
| رمز التحديث: | 20240326 |
| مُعرف محوري في PubMed: | PMC10961889 |
| DOI: | 10.1111/jrh.12682 |
| PMID: | 35611881 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1748-0361 |
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| DOI: | 10.1111/jrh.12682 |