The impact of knowledge, attitudes and beliefs on the engagement of primary and community-based healthcare professionals in cancer care: a literature review

Jiwa, Moyez; McManus, Alexandra

doi:10.1185/03007995.2013.838154

Cited by 15 publications

(16 citation statements)

References 37 publications

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“…A patients' hypothetical willingness to discuss anxiety and depression (if experiencing it) does not necessarily reflect whether psychological assistance is needed, offered to, and accepted by, cancer patients . GPs with established patient relationships are uniquely placed to provide emotional support , in accordance with the preference of the majority of patients in this study. However, low rates of GP utilization during active cancer treatment and slow transition back to GP care suggests that opportunities for patients to discuss emotional issues with a GP during active treatment may be limited.…”

Section: Discussionmentioning

confidence: 96%

A cross-sectional study of radiation oncology outpatients' concern about, preferences for, and perceived barriers to discussing anxiety and depression

et al. 2015

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Section: Discussionmentioning

confidence: 96%

A cross-sectional study of radiation oncology outpatients' concern about, preferences for, and perceived barriers to discussing anxiety and depression

et al. 2015

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“…; Jiwa et al . ). Despite having a preference for their specialists to manage their advanced cancer care, patients also perceived that their GP could play a role as an advocate.…”

Section: Discussionmentioning

confidence: 97%

“…The role of general practitioners (GPs), family doctors or primary care physicians in providing care during cancer treatment varies (Jiwa et al . ). Both patients and specialists have been reported to be unsure about the roles that GPs could play following a cancer diagnosis and question whether GPs have the expertise required to manage patients and provide advice (Hall et al .…”

Section: Introductionmentioning

confidence: 97%

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Patients' perspectives on the role of their general practitioner after receiving an advanced cancer diagnosis

Halkett

Jiwa

Lobb

2014

Eur J Cancer Care (Engl)

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The aim of this study was to explore patients' perspectives on the role of their general practitioner (GP) after an advanced cancer diagnosis. A qualitative research approach was used. Semi-structured interviews were conducted and data were analysed using a constant comparative methodology. Participants were eligible if they were diagnosed with advanced cancer and referred for palliative radiotherapy. Data saturation was achieved after 21 interviews. Key themes included (1) obtaining diagnosis and referral for advanced cancer treatment; (2) preference for specialist oncology care; (3) a preference for GP to act as an advocate; and (4) obtaining ongoing routine care from their GP. GP involvement in the patients' management was dependent on: time since diagnosis, GP's involvement in diagnosis and referral, doctor/patient relationship, additional chronic conditions requiring management, frequency of seeing oncologist and specialist recommendation to involve GP. Patients want GPs to have varying levels of involvement following an advanced cancer diagnosis. Not all communication between GPs and patients was positive suggesting communication skills training may be a priority. Patients wished to maintain continunity of care for their non-cancer related issues and healthcare of their family members. Future research needs to focus on working with GPs to increase their role in the management of advanced cancer.

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“…Data from our study suggests that focusing on knowledge alone may not be sufficient. A recent literature review reported that two other factors are also likely to be important in the context of a cancer diagnosis, namely, attitudes and beliefs [24,25]. These issues were not evaluated in this study.…”

Section: Discussionmentioning

confidence: 99%

Supporting Patients Treated for Prostate Cancer: A Video Vignette Study With an Email-Based Educational Program in General Practice

Jiwa¹,

Halkett²,

Meng³

et al. 2014

J Med Internet Res

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BackgroundMen who have been treated for prostate cancer in Australia can consult their general practitioner (GP) for advice about symptoms or side effects at any time following treatment. However, there is no evidence that such men are consistently advised by GPs and patients experience substantial unmet need for reassurance and advice.ObjectiveThe intent of the study was to evaluate a brief, email-based educational program for GPs to manage standardized patients presenting with symptoms or side effects months or years after prostate cancer treatment.MethodsGPs viewed six pairs of video vignettes of actor-patients depicting men who had been treated for prostate cancer. The actor-patients presented problems that were attributable to the treatment of cancer. In Phase 1, GPs indicated their diagnosis and stated if they would prescribe, refer, or order tests based on that diagnosis. These responses were compared to the management decisions for those vignettes as recommended by a team of experts in prostate cancer. After Phase 1, all the GPs were invited to participate in an email-based education program (Spaced Education) focused on prostate cancer. Participants received feedback and could compare their progress and their performance with other participants in the study. In Phase 2, all GPs, regardless of whether they had completed the program, were invited to view another set of six video vignettes with men presenting similar problems to Phase 1. They again offered a diagnosis and stated if they would prescribe, refer, or order tests based on that diagnosis.ResultsIn total, 64 general practitioners participated in the project, 57 GPs participated in Phase 1, and 45 in Phase 2. The Phase 1 education program was completed by 38 of the 57 (59%) participants. There were no significant differences in demographics between those who completed the program and those who did not. Factors determining whether management of cases was consistent with expert opinion were number of sessions worked per week (OR 0.78, 95% CI 0.67-0.90), site of clinical practice (remote practice, OR 2.25, 95% CI 1.01-5.03), number of patients seen per week (150 patients or more per week, OR 10.66, 95% CI 3.40-33.48), and type of case viewed. Completion of the Spaced Education did impact whether patient management was consistent with expert opinion (not completed, OR 0.88, 95% CI 0.5-1.56).ConclusionsThe management of standardized patients by GPs was particularly unlikely to be consistent with expert opinion in the management of impotence and bony metastasis. There was no evidence from this standardized patient study that Spaced Education had an impact on the management of patients in this context. However, the program was not completed by all participants. Practitioners with a greater clinical load were more likely to manage cases as per expert opinion.

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The impact of knowledge, attitudes and beliefs on the engagement of primary and community-based healthcare professionals in cancer care: a literature review

Abstract: Knowledge, attitudes, and beliefs influence PCP engagement in cancer care. It is important to develop shared understandings of these terms because the knowledge, attitudes, and beliefs of PCPs, specialists, patients, and their families can influence the effectiveness of treatment plans.

Cited by 15 publications

References 37 publications

A cross-sectional study of radiation oncology outpatients' concern about, preferences for, and perceived barriers to discussing anxiety and depression

A cross-sectional study of radiation oncology outpatients' concern about, preferences for, and perceived barriers to discussing anxiety and depression

Patients' perspectives on the role of their general practitioner after receiving an advanced cancer diagnosis

Supporting Patients Treated for Prostate Cancer: A Video Vignette Study With an Email-Based Educational Program in General Practice

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