Skip to main content
Top
Published in: Supportive Care in Cancer 12/2014

01-12-2014 | Original Article

Patient navigation moderates emotion and information demands of cancer treatment: a qualitative analysis

Authors: Sally J. Rousseau, Sharon G. Humiston, Amy Yosha, Paul C. Winters, Starlene Loader, Vi Luong, Bonnie Schwartzbauer, Kevin Fiscella

Published in: Supportive Care in Cancer | Issue 12/2014

Login to get access

Abstract

Purpose

Patient navigation is increasingly employed to guide patients through cancer treatment. We assessed the elements of navigation that promoted patients’ involvement in treatment among patients with breast and colorectal cancer that participated in a navigation study.

Methods

We conducted qualitative analysis of 28 audiotaped and transcribed semi-structured interviews of navigated and unnavigated cancer patients.

Results

Themes included feeling emotionally and cognitively overwhelmed and desire for a strong patient-navigator partnership. Both participants who were navigated and those who were not felt that navigation did or could help address their emotional, informational, and communicational needs. The benefits of logistical support were cited less often.

Conclusions

Findings underscore the salience of personal relationships between patients and navigators in meeting patients’ emotional and informational needs.
Literature
2.
go back to reference Shepherd HL, Tattersall MH, Butow PN (2008) Physician-identified factors affecting patient participation in reaching treatment decisions. J Clin Oncol 26(10):1724–1731PubMedCrossRef Shepherd HL, Tattersall MH, Butow PN (2008) Physician-identified factors affecting patient participation in reaching treatment decisions. J Clin Oncol 26(10):1724–1731PubMedCrossRef
3.
go back to reference Jean-Pierre P et al (2010) Race/ethnicity-based concerns over understanding cancer diagnosis and treatment plan. J Natl Med Assoc 102(3):184–189PubMedCentralPubMed Jean-Pierre P et al (2010) Race/ethnicity-based concerns over understanding cancer diagnosis and treatment plan. J Natl Med Assoc 102(3):184–189PubMedCentralPubMed
6.
go back to reference Freeman HP, Rodriguez RL (2011) History and principles of patient navigation. Cancer 117(S15):3537–3540CrossRef Freeman HP, Rodriguez RL (2011) History and principles of patient navigation. Cancer 117(S15):3537–3540CrossRef
7.
go back to reference Basu M et al (2013) The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center. Cancer 119(14):2524–2531PubMedCrossRef Basu M et al (2013) The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center. Cancer 119(14):2524–2531PubMedCrossRef
8.
9.
go back to reference Fiscella K et al (2012) Patient navigation for breast and colorectal cancer treatment: a randomized trial. Cancer Epidemiol Biomark Prev 21(10):1673–1681CrossRef Fiscella K et al (2012) Patient navigation for breast and colorectal cancer treatment: a randomized trial. Cancer Epidemiol Biomark Prev 21(10):1673–1681CrossRef
10.
go back to reference Hendren S et al (2010) Study protocol: a randomized controlled trial of patient navigation-activation to reduce cancer health disparities. BMC Cancer 10:551PubMedCentralPubMedCrossRef Hendren S et al (2010) Study protocol: a randomized controlled trial of patient navigation-activation to reduce cancer health disparities. BMC Cancer 10:551PubMedCentralPubMedCrossRef
11.
go back to reference Hibbard JH et al (2004) Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res 39(4 Pt 1):1005–1026PubMedCentralPubMedCrossRef Hibbard JH et al (2004) Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res 39(4 Pt 1):1005–1026PubMedCentralPubMedCrossRef
12.
go back to reference Greene J, Hibbard JH (2012) Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med 27(5):520–526PubMedCentralPubMedCrossRef Greene J, Hibbard JH (2012) Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med 27(5):520–526PubMedCentralPubMedCrossRef
13.
go back to reference Calhoun EA et al (2010) A national patient navigator training program. Health Promot Pract 11(2):205–215PubMedCrossRef Calhoun EA et al (2010) A national patient navigator training program. Health Promot Pract 11(2):205–215PubMedCrossRef
15.
go back to reference Sandelowski M, Barroso J (2003) Classifying the findings in qualitative studies. Qual Health Res 13(7):905–923PubMedCrossRef Sandelowski M, Barroso J (2003) Classifying the findings in qualitative studies. Qual Health Res 13(7):905–923PubMedCrossRef
17.
go back to reference van’t Spijker A, Trijsburg RW, Duivenvoorden HJ (1997) Psychological sequelae of cancer diagnosis: a meta-analytical review of 58 studies after 1980. Psychosom Med 59(3):280–293CrossRef van’t Spijker A, Trijsburg RW, Duivenvoorden HJ (1997) Psychological sequelae of cancer diagnosis: a meta-analytical review of 58 studies after 1980. Psychosom Med 59(3):280–293CrossRef
18.
go back to reference Sultan S et al (2004) Impact of functional support on health-related quality of life in patients with colorectal cancer. Cancer 101(12):2737–2743PubMedCrossRef Sultan S et al (2004) Impact of functional support on health-related quality of life in patients with colorectal cancer. Cancer 101(12):2737–2743PubMedCrossRef
19.
go back to reference Kang SH, Bloom JR (1993) Social support and cancer screening among older black Americans. J Natl Cancer Inst 85(9):737–742PubMedCrossRef Kang SH, Bloom JR (1993) Social support and cancer screening among older black Americans. J Natl Cancer Inst 85(9):737–742PubMedCrossRef
20.
go back to reference Bloom JR (2008) Improving the health and well-being of cancer survivors: past as prologue. Psycho-Oncology 17(6):525–532PubMedCrossRef Bloom JR (2008) Improving the health and well-being of cancer survivors: past as prologue. Psycho-Oncology 17(6):525–532PubMedCrossRef
21.
go back to reference Love RR et al (1989) Side effects and emotional distress during cancer chemotherapy. Cancer 63(3):604–612PubMedCrossRef Love RR et al (1989) Side effects and emotional distress during cancer chemotherapy. Cancer 63(3):604–612PubMedCrossRef
22.
go back to reference Mazor KM et al (2013) Patients’ and family members’ views on patient-centered communication during cancer care. Psycho-Oncology 22(11):2487–2495PubMedCrossRef Mazor KM et al (2013) Patients’ and family members’ views on patient-centered communication during cancer care. Psycho-Oncology 22(11):2487–2495PubMedCrossRef
23.
go back to reference Schwabe L et al (2012) Stress effects on memory: an update and integration. Neurosci Biobehav Rev 36(7):1740–1749PubMedCrossRef Schwabe L et al (2012) Stress effects on memory: an update and integration. Neurosci Biobehav Rev 36(7):1740–1749PubMedCrossRef
24.
go back to reference Jim HSL et al (2012) Meta-analysis of cognitive functioning in breast cancer survivors previously treated with standard-dose chemotherapy. J Clin Oncol 30(29):3578–3587PubMedCentralPubMedCrossRef Jim HSL et al (2012) Meta-analysis of cognitive functioning in breast cancer survivors previously treated with standard-dose chemotherapy. J Clin Oncol 30(29):3578–3587PubMedCentralPubMedCrossRef
25.
go back to reference Woodard GR, Edouard L (1992) Reaching out: a community initiative for disadvantaged pregnant women. Can J Public Health 83(3):188–190PubMed Woodard GR, Edouard L (1992) Reaching out: a community initiative for disadvantaged pregnant women. Can J Public Health 83(3):188–190PubMed
26.
go back to reference Eng E, Smith J (1995) Natural helping functions of lay health advisors in breast cancer education. Breast Cancer Res Treat 35(1):23–29PubMedCrossRef Eng E, Smith J (1995) Natural helping functions of lay health advisors in breast cancer education. Breast Cancer Res Treat 35(1):23–29PubMedCrossRef
27.
go back to reference Brownstein JN et al (1992) Breast and cervical cancer screening in minority populations: a model for using lay health educators. J Cancer Educ 7(4):321–326PubMedCrossRef Brownstein JN et al (1992) Breast and cervical cancer screening in minority populations: a model for using lay health educators. J Cancer Educ 7(4):321–326PubMedCrossRef
28.
go back to reference Nguyen TU et al (2011) A qualitative assessment of community-based breast health navigation services for Southeast Asian women in southern California: recommendations for developing a navigator training curriculum. Am J Public Health 101(1):87–93PubMedCentralPubMedCrossRef Nguyen TU et al (2011) A qualitative assessment of community-based breast health navigation services for Southeast Asian women in southern California: recommendations for developing a navigator training curriculum. Am J Public Health 101(1):87–93PubMedCentralPubMedCrossRef
29.
go back to reference Heisler M et al (2009) Participants’ assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providers. Am J Prev Med 37(6 Suppl 1):S270–S279PubMedCentralPubMedCrossRef Heisler M et al (2009) Participants’ assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providers. Am J Prev Med 37(6 Suppl 1):S270–S279PubMedCentralPubMedCrossRef
30.
go back to reference Madore S et al (2014) Feasibility of a psychosocial and patient navigation intervention to improve access to treatment among underserved breast cancer patients. Support Care Cancer Madore S et al (2014) Feasibility of a psychosocial and patient navigation intervention to improve access to treatment among underserved breast cancer patients. Support Care Cancer
31.
go back to reference Wagner EH et al (2013) Nurse navigators in early cancer care: a randomized, controlled trial. J Clin Oncol 32:12–18PubMedCrossRef Wagner EH et al (2013) Nurse navigators in early cancer care: a randomized, controlled trial. J Clin Oncol 32:12–18PubMedCrossRef
32.
go back to reference Bickell NA et al (2014) Do community-based patient assistance programs affect the treatment and well-being of patients with breast cancer? J Oncol Pract 10(1):48–54PubMedCrossRef Bickell NA et al (2014) Do community-based patient assistance programs affect the treatment and well-being of patients with breast cancer? J Oncol Pract 10(1):48–54PubMedCrossRef
33.
go back to reference Matsuda A et al (2014) Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: a systematic review and meta-analysis of randomized controlled trials. Qual Life Res 23(1):21–30PubMedCentralPubMedCrossRef Matsuda A et al (2014) Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: a systematic review and meta-analysis of randomized controlled trials. Qual Life Res 23(1):21–30PubMedCentralPubMedCrossRef
34.
Metadata
Title
Patient navigation moderates emotion and information demands of cancer treatment: a qualitative analysis
Authors
Sally J. Rousseau
Sharon G. Humiston
Amy Yosha
Paul C. Winters
Starlene Loader
Vi Luong
Bonnie Schwartzbauer
Kevin Fiscella
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 12/2014
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2295-z

Other articles of this Issue 12/2014

Supportive Care in Cancer 12/2014 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine