Abstract

Purpose

The Polaris Oncology Survivorship Transition (POST) system is a computer-based program that integrates information from the electronic health record, oncology team, and the patient to produce a personalized Survivorship Care Plan. The purpose of this study was to compare the POST to treatment as usual on confidence, quality of life, and interest in mental health referrals in women ending treatment for breast cancer.

Sample

Two hundred women (100 POST, 100 treatment as usual) ending treatment for breast cancer were enrolled in a randomized controlled trial.

Design

Women randomized to the POST condition received a personalized care plan during a baseline/intervention appointment. At enrollment and baseline/intervention, a number of outcomes were examined in this study, including confidence to enter survivorship measured by the Confidence in Survivorship Index (CSI) and Quality of Life (QOL). One, three, and six month follow up assessments were also conducted.

Findings

Treatment groups did not differ in terms of QOL scores at any time points. Mean CSI scores were statistically different between POST and treatment as usual at baseline for the total CSI score and both subscales, but only for confidence in knowledge about prevention and treatment at the 1-month follow-up. All significant differences were in favor of the POST intervention as mean CSI scores were higher for participants who received the POST intervention as opposed to treatment as usual. These findings disappeared at the 3 and 6 month follow up assessments. Finally, patients who received the POST intervention were twice as likely to request mental health/social services referrals compared to women who received treatment as usual.

Implications

Oncologists may use the POST to build personalized care plans for women ending treatment for cancer, which may enhance patients’ confidence in the short term as well as encourage use of mental health resources.

中文翻译：

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幸存者护理计划、生活质量和过渡到幸存者的信心：一项针对终止乳腺癌治疗的女性的随机对照试验

摘要

目的

Polaris Oncology Survivorship Transition (POST) 系统是一个基于计算机的程序，它整合了来自电子健康记录、肿瘤团队和患者的信息，以制定个性化的 Survivorship Care Plan。本研究的目的是比较 POST 与常规治疗对结束乳腺癌治疗的女性的信心、生活质量和对心理健康转诊的兴趣。

样本

200 名结束乳腺癌治疗的女性（100 名 POST，100 名照常治疗）参加了一项随机对照试验。

设计

随机分配到 POST 条件的女性在基线/干预预约期间接受了个性化护理计划。在入组和基线/干预时，本研究检查了许多结果，包括通过生存信心指数 (CSI) 和生活质量 (QOL) 衡量的进入生存的信心。还进行了一个月、三个月和六个月的后续评估。

发现

治疗组在任何时间点的 QOL 评分都没有差异。平均 CSI 分数在 POST 和照常治疗之间在总 CSI 分数和两个子量表的基线有统计学差异，但仅针对1 个月随访时对预防和治疗知识的信心。所有显着差异都支持 POST 干预，因为接受 POST 干预的参与者的平均 CSI 分数高于常规治疗。这些发现在第 3 个月和第 6 个月的随访评估中消失了。最后，接受 POST 干预的患者请求心理健康/社会服务转诊的可能性是接受常规治疗的女性的两倍。

启示

肿瘤学家可以使用 POST 为结束癌症治疗的女性制定个性化护理计划，这可以在短期内增强患者的信心并鼓励使用心理健康资源。