Standardization of Education of Patients With Cancer in a Low- and Middle-Income Country: A Quality Improvement Project Using the <i>Cancer and You</i> Booklet

Habimana, Olivier; Mukeshimana, Vestine; Ahishakiye, Albertine; Makuza, Protais; Hategekimana, Vedaste; Muhayimana, Clemence; Dushimana, Emmanuel; Shyirambere, Cyprien; Haley, Jennifer; Urusaro, Sandra; Kennell-Heiling, Stephanie; Buswell, Lori

doi:10.1200/jgo.19.00118

Cited by 4 publications

(5 citation statements)

References 6 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The acceptability of the booklet in this study was similar to the implementation experience in Rwanda and the prior pilot in Haiti. 4 , 5 Comparing the Haitian and Nigerian studies highlights a key difference in education level: 88% of the Nigerian sample (with a known education level) had a secondary education level or higher in comparison to only 40% (8 of 20) in the Haiti study. The pretest score average was about 50% in Haiti.…”

Section: Discussionmentioning

confidence: 99%

“…When the booklet is paired with nurses teaching patients, patient understanding appears to be reasonable. 4 The social desirability response bias could have influenced patient's answers. 35 Finally, the qualitative analysis is limited by the way responses were recorded.…”

Section: Discussionmentioning

confidence: 99%

“… 1 - 3 The GO booklet has been used in multiple countries, has been translated to more than 20 languages, and more recently was studied formally in a small pilot in Haiti. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implementing Patient-Directed Cancer Education Materials Across Nigeria

Dickerson

Ibeka²,

Inoyo³

et al. 2021

JCO Global Oncology

View full text Add to dashboard Cite

PURPOSE As access to cancer care expands in low-income countries, developing tools to educate patients is paramount. We took a picture booklet, which was initially developed by the nonprofit Global Oncology for Malawi and Rwanda, and adapted it for use in Nigeria. The primary goal was to assess acceptability and provide education. The secondary goals were (1) to describe the collaboration, (2) to assess knowledge gained from the intervention, (3) to assess patient understanding of their therapy intent, and (4) to explore patient's experiences via qualitative analysis. METHODS We piloted the original English booklet at a single site and requested feedback from patients and providers. The booklet was updated; translated into Hausa, Yoruba, Igbo, and Pidgin English; and used at three additional sites. For the three-site cohort, we collected basic demographics, pretest and post-test assessing content in the booklet, and performed a qualitative analysis. RESULTS The original booklet was widely acceptable and recommended by patients at site one (n = 31) and by providers (N = 26) representing all four sites. In the three-site cohort (n = 103), 94% of patients recommended the booklet. An immediate post-test focusing on when patients should present to care showed a statistically significant improvement in one of the seven questions. Fifty-one percent of the patients (n = 103) knew their treatment intent (curative v palliative). Qualitative analysis highlighted that the patient's thoughts on cancer are dominated by negative associations, although curability and modern therapy are also frequently cited. CONCLUSION We adapted an educational booklet to a novel context and had it delivered by local partners. The booklet was widely recommended to future patients. The booklet had an impact on patient's knowledge of cancer treatment, potentially allowing for decreased abandonment.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Implementing Patient-Directed Cancer Education Materials Across Nigeria

Dickerson

Ibeka²,

Inoyo³

et al. 2021

JCO Global Oncology

View full text Add to dashboard Cite

show abstract

“…This study showed that the level of education did not significantly affect the patient's psychological status. Educated women might be more aware of cancer as well as be more able to gain the information needed to cope with their condition and be more satisfied with the treatment [ 39 ]. On the other hand, educated patients might feel overstressed and start to expect the worst the more they know about their cancer and use rumination and self-criticism to cope with cancer resulting in anxiety and depression [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Depression, anxiety and related factors among Syrian breast cancer patients: a cross-sectional study

et al. 2022

View full text Add to dashboard Cite

Introduction Breast cancer represents a traumatic experience with a psychological burden. The prevalence of psychological distress (which include depression and anxiety) among breast cancer patients is estimated to be 15 to 54%, but studies have shown that applying some psychological treatments has contributed to decreasing depression and anxiety. So, it is crucial to diagnose and treat patients with the appropriate means. After reviewing the literature, no studies discussed depression and anxiety among Syrian breast cancer patients. Methods A cross-sectional study in Al-Bairouni hospital in Damascus, Syria carried out using face-to-face interviews based on a structured questionnaire. All breast cancer patients were included, except who refused to participate, and responses with missing data were excluded. The questionnaire consisted of 2 sections: the first included Socio-demographic characteristics, and the other evaluated patients' depression using PHQ-2 and GAD-2 scales. Data were gathered using the Kobo toolbox app and then entered into an Excel sheet. Results Five hundred patients were interviewed. 35.6% of the patients had a GAD-2 score greater than or equal to 3.00, while 35% had a PHQ-2 score greater than or equal to 3.00. There is a significant negative relationship between the age of the patient and the GAD-2 score and PHQ-2 score, which means the older the patient is, the lower the GAD-2 and PHQ-2 scores are. A multivariable regression model showed that younger (age ≤ 45 years) and being widowed were associated with being positive for further evaluation for generalized anxiety disorder. Similarly, patients younger than 45 are significantly associated with the need for further evaluation for major depressive disorder (MDD). Social status had a stronger association with the need for further assessment for MDD, with divorced women showing the strongest association, followed by widowed and married women compared to single women. Conclusion This study showed high anxiety and depression among breast cancer patients. The patient’s age and social status were significant factors in determining the need for further psychological assessment. In General, Younger patients showed higher levels of depression and anxiety, the size of the tumor did not show significant association with psychological distress.

show abstract

“…Information on the benefits and risks of ICI is critical for patients who have both an autoimmune disease and cancer and who are candidates for ICI treatment. Patient education can facilitate patient-provider communication, improve the tracking and reporting of adverse events, and help patients to feel more involved in and satisfied with their care [8,9]. However, educational resources tailored to the informational needs of this patient population have not yet been developed.…”

Section: Introductionmentioning

confidence: 99%

Learning Needs of Patients with Cancer and a Pre-Existing Autoimmune Disease Who Are Candidates to Receive Immune Checkpoint Inhibitors

Lopez-Olivo,

Kachira,

Buni

et al. 2023

Cancers

View full text Add to dashboard Cite

Patients with pre-existing autoimmune disorders and cancer considering immune checkpoint inhibitors (ICIs) need to receive balanced information about the benefits and risk of developing immune-related adverse events (irAEs) and flare-ups of their autoimmune disease. To assess the learning needs of patients with cancer and pre-existing autoimmune disease regarding ICI treatment, we interviewed 29 patients with autoimmune disease and cancer from a comprehensive cancer center, of whom 20 had received ICI and 9 were candidates to receive ICI at a US Cancer Center. In-depth semi-structured interviews were conducted from August 2021 and January 2022. Interviewee’s opinions and preferences about content and information delivery methods were collected. We recorded and transcribed interviews and analyzed them using thematic analysis. Half of the participants were female, and their median (SD) age was 62.9 (±10.9) years. The identified health information needs included the following: (1) information on irAEs and autoimmune disease flare-ups; (2) benefits of ICI; (3) ICI mechanism in the context of autoimmune disease; (4) management of flare-ups; (5) reasons for stopping or modifying cancer or autoimmune disease treatment; (6) likelihood of autoimmune disease progression or organ damage; and (7) lifestyle changes that could help avoid irAEs. Patients who had received ICI and those who had not yet received treatment reported similar needs, although patients who had received ICI had more questions about cancer treatment modifications. Patients also expressed the need to better understand when to contact their provider and how to share information with multiple providers. Most patients wanted to receive information in visual formats for review at home and at their own pace. Patients expressed interest in having educational tools to facilitate shared decision-making with their physicians, and they identified several areas of health information concerning therapy with ICI. They also highlighted the importance of communication among their various providers.

show abstract

Standardization of Education of Patients With Cancer in a Low- and Middle-Income Country: A Quality Improvement Project Using the Cancer and You Booklet

Cited by 4 publications

References 6 publications

Implementing Patient-Directed Cancer Education Materials Across Nigeria

Implementing Patient-Directed Cancer Education Materials Across Nigeria

Depression, anxiety and related factors among Syrian breast cancer patients: a cross-sectional study

Learning Needs of Patients with Cancer and a Pre-Existing Autoimmune Disease Who Are Candidates to Receive Immune Checkpoint Inhibitors

Contact Info

Product

Resources

About