Codesign of Lynch ChoicesTM: Using implementation science to create a clinically deliverable patient decision support website to transform cancer genetics care pathways.
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| Title: | Codesign of Lynch ChoicesTM: Using implementation science to create a clinically deliverable patient decision support website to transform cancer genetics care pathways. |
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| Authors: | Kohut, Kelly (AUTHOR), Morton, Kate (AUTHOR), Turner, Lesley (AUTHOR), Foster, Rebecca (AUTHOR), Eccles, Diana (AUTHOR), Foster, Claire (AUTHOR) |
| Source: | Psycho-Oncology. Mar2024, Vol. 33 Issue 3, p1-10. 10p. |
| Subjects: | Cancer genetics, Cancer treatment, Hereditary nonpolyposis colorectal cancer, Cancer susceptibility, Charities, Disease risk factors |
| Abstract: | Background: Resources including Patient Decision Aids (PtDA) are useful and valued by patients and clinicians to provide information and complement shared decision‐making. Despite their promise, few PtDA exist for patients with genetic cancer susceptibility facing difficult decisions about risk management. We aimed to fill this gap, partnering with patients to codesign Lynch ChoicesTM, a PtDA website for families with Lynch Syndrome. In addition to a Patient Reference Panel, we purposively invited an international stakeholder panel including charities, public bodies, clinical and academic experts. Implementation strategies and frameworks were employed to optimise translation of research findings to improve care. Methods: Patient/stakeholder suggestions were incorporated in a transparent Table of Changes and prioritised using the Person‐Based Approach throughout planning and codesign of Lynch ChoicesTM. An interactive stakeholder meeting was convened to identify barriers and facilitators to clinical implementation of the PtDA. Results: Patient and stakeholder partnerships drove the direction of the research throughout codesign, resulting in several iterative refinements to the PtDA prior to roll out including the addition of illustrations/videos, clearer presentation of cancer risks and increased accessibility for lower literacy. Barriers and facilitators identified from stakeholders were used to create an implementation process map. Conclusions: Creating an effective, engaging PtDA is not enough. Systematic uptake in real world clinical practice, with its resource limitations, is needed to optimise benefit to patients and clinicians. Assessment of speed and breadth of dissemination and usage will be collected to further evidence the benefit of embedding implementation science methods from the outset to translate research findings into clinical practice. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 176246124 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Codesign of Lynch Choices<superscript>TM</superscript>: Using implementation science to create a clinically deliverable patient decision support website to transform cancer genetics care pathways. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kohut%2C+Kelly%22">Kohut, Kelly</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morton%2C+Kate%22">Morton, Kate</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turner%2C+Lesley%22">Turner, Lesley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Foster%2C+Rebecca%22">Foster, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Eccles%2C+Diana%22">Eccles, Diana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Foster%2C+Claire%22">Foster, Claire</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Mar2024, Vol. 33 Issue 3, p1-10. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cancer+genetics%22">Cancer genetics</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+treatment%22">Cancer treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Hereditary+nonpolyposis+colorectal+cancer%22">Hereditary nonpolyposis colorectal cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+susceptibility%22">Cancer susceptibility</searchLink><br /><searchLink fieldCode="DE" term="%22Charities%22">Charities</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Resources including Patient Decision Aids (PtDA) are useful and valued by patients and clinicians to provide information and complement shared decision‐making. Despite their promise, few PtDA exist for patients with genetic cancer susceptibility facing difficult decisions about risk management. We aimed to fill this gap, partnering with patients to codesign Lynch ChoicesTM, a PtDA website for families with Lynch Syndrome. In addition to a Patient Reference Panel, we purposively invited an international stakeholder panel including charities, public bodies, clinical and academic experts. Implementation strategies and frameworks were employed to optimise translation of research findings to improve care. Methods: Patient/stakeholder suggestions were incorporated in a transparent Table of Changes and prioritised using the Person‐Based Approach throughout planning and codesign of Lynch ChoicesTM. An interactive stakeholder meeting was convened to identify barriers and facilitators to clinical implementation of the PtDA. Results: Patient and stakeholder partnerships drove the direction of the research throughout codesign, resulting in several iterative refinements to the PtDA prior to roll out including the addition of illustrations/videos, clearer presentation of cancer risks and increased accessibility for lower literacy. Barriers and facilitators identified from stakeholders were used to create an implementation process map. Conclusions: Creating an effective, engaging PtDA is not enough. Systematic uptake in real world clinical practice, with its resource limitations, is needed to optimise benefit to patients and clinicians. Assessment of speed and breadth of dissemination and usage will be collected to further evidence the benefit of embedding implementation science methods from the outset to translate research findings into clinical practice. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.6330 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1 Subjects: – SubjectFull: Cancer genetics Type: general – SubjectFull: Cancer treatment Type: general – SubjectFull: Hereditary nonpolyposis colorectal cancer Type: general – SubjectFull: Cancer susceptibility Type: general – SubjectFull: Charities Type: general – SubjectFull: Disease risk factors Type: general Titles: – TitleFull: Codesign of Lynch ChoicesTM: Using implementation science to create a clinically deliverable patient decision support website to transform cancer genetics care pathways. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kohut, Kelly – PersonEntity: Name: NameFull: Morton, Kate – PersonEntity: Name: NameFull: Turner, Lesley – PersonEntity: Name: NameFull: Foster, Rebecca – PersonEntity: Name: NameFull: Eccles, Diana – PersonEntity: Name: NameFull: Foster, Claire IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 33 – Type: issue Value: 3 Titles: – TitleFull: Psycho-Oncology Type: main |
| ResultId | 1 |
