Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study)
Introduction Self-management interventions show promising results on symptom outcomes and self-management behaviours. The Symptom Navi© Programme (SN©P) is a nurse-led intervention supporting patients’ symptom self-management during anticancer treatment. It consists of written patient information (S...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e027942.full |
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| author | Marika Bana Karin Ribi Susanne Kropf-Staub Sabin Zürcher-Florin Ernst Näf Tanja Manser Lukas Bütikofer Solange Peters Manuela Eicher |
| author_facet | Marika Bana Karin Ribi Susanne Kropf-Staub Sabin Zürcher-Florin Ernst Näf Tanja Manser Lukas Bütikofer Solange Peters Manuela Eicher |
| author_sort | Marika Bana |
| collection | DOAJ |
| description | Introduction Self-management interventions show promising results on symptom outcomes and self-management behaviours. The Symptom Navi© Programme (SN©P) is a nurse-led intervention supporting patients’ symptom self-management during anticancer treatment. It consists of written patient information (Symptom Navi© Flyers (SN©Flyers)), semistructured consultations and a training manual for nurses.Methods and analysis This pilot study will evaluate the implementation of the SN©P based on the Reach Effectiveness—Adoption Implementation Maintenance framework at Swiss outpatient cancer centres. We will use a cluster-randomised design and randomise the nine participating centres to the intervention or usual care group. We expect to include 140 adult cancer patients receiving first-line systemic anticancer treatment. Trained nurses at the intervention clusters will provide at least two semistructured consultations with the involvement of SN©Flyers. Outcomes include patients’ accrual and retention rates, patient-reported interference of symptoms with daily functions, symptom burden, perceived self-efficacy, quality of nursing care, nurse-reported facilitators and barriers of adopting the programme, nurses’ fidelity of providing the intervention as intended, and patients’ safety (patients timely reporting of severe symptoms). We will use validated questionnaires for patient-reported outcomes, focus group interviews with nurses and individual interviews with oncologists. Linear mixed models will be used to analyse patient-reported outcomes. Focus group and individual interviews will be analysed by thematic analysis.Ethics and dissemination The Symptom Navi© Pilot Study has been reviewed and approved by Swiss Ethic Committee Bern (KEK-BE: 2017–00020). Results of the study will be disseminated in peer-reviewed journal and at scientific conferences.Trial registration number NCT03649984; Pre-results. |
| format | Article |
| id | doaj-art-ea31c9b44a6a45ccbc4a434e720d0a72 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ea31c9b44a6a45ccbc4a434e720d0a722024-11-28T20:05:12ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-027942Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study)Marika Bana0Karin Ribi1Susanne Kropf-Staub2Sabin Zürcher-Florin3Ernst Näf4Tanja Manser5Lukas Bütikofer6Solange Peters7Manuela Eicher81 HedS-FR School of Health Sciences, University of Applied Science and Arts Western Switzerland, Fribourg, Switzerland1 Careum School of Health, part of the Kalaidos University of Applied Sciences, Zurich, Switzerland4 Fachentwicklung Pflege, Lindenhofgruppe, Bern, Switzerland4 Fachentwicklung Pflege, Lindenhofgruppe, Bern, Switzerland5 Department of Practice Development in Nursing, Solothurner Spitaler AG, Solothurn, Switzerland3 FHNW School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Olten, SwitzerlandCTU Bern, University of Bern, Bern, SwitzerlandDepartment of Oncology CHUV-UNIL, University Hospital Lausanne, Lausanne, SwitzerlandDepartment of Oncology, Lausanne University Hospital, Lausanne, SwitzerlandIntroduction Self-management interventions show promising results on symptom outcomes and self-management behaviours. The Symptom Navi© Programme (SN©P) is a nurse-led intervention supporting patients’ symptom self-management during anticancer treatment. It consists of written patient information (Symptom Navi© Flyers (SN©Flyers)), semistructured consultations and a training manual for nurses.Methods and analysis This pilot study will evaluate the implementation of the SN©P based on the Reach Effectiveness—Adoption Implementation Maintenance framework at Swiss outpatient cancer centres. We will use a cluster-randomised design and randomise the nine participating centres to the intervention or usual care group. We expect to include 140 adult cancer patients receiving first-line systemic anticancer treatment. Trained nurses at the intervention clusters will provide at least two semistructured consultations with the involvement of SN©Flyers. Outcomes include patients’ accrual and retention rates, patient-reported interference of symptoms with daily functions, symptom burden, perceived self-efficacy, quality of nursing care, nurse-reported facilitators and barriers of adopting the programme, nurses’ fidelity of providing the intervention as intended, and patients’ safety (patients timely reporting of severe symptoms). We will use validated questionnaires for patient-reported outcomes, focus group interviews with nurses and individual interviews with oncologists. Linear mixed models will be used to analyse patient-reported outcomes. Focus group and individual interviews will be analysed by thematic analysis.Ethics and dissemination The Symptom Navi© Pilot Study has been reviewed and approved by Swiss Ethic Committee Bern (KEK-BE: 2017–00020). Results of the study will be disseminated in peer-reviewed journal and at scientific conferences.Trial registration number NCT03649984; Pre-results.https://bmjopen.bmj.com/content/9/7/e027942.full |
| spellingShingle | Marika Bana Karin Ribi Susanne Kropf-Staub Sabin Zürcher-Florin Ernst Näf Tanja Manser Lukas Bütikofer Solange Peters Manuela Eicher Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study) BMJ Open |
| title | Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study) |
| title_full | Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study) |
| title_fullStr | Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study) |
| title_full_unstemmed | Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study) |
| title_short | Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study) |
| title_sort | implementation of the symptom navi c programme for cancer patients in the swiss outpatient setting a study protocol for a cluster randomised pilot study symptom navi c pilot study |
| url | https://bmjopen.bmj.com/content/9/7/e027942.full |
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