Article
OncoCoaching and early Palliative care for interprofessional and patient-centered care in the Therapy of incurable cancer – project OnCoPaTh
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Authors
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Manfred Welslau
- Arbeitskreis klinische Studien e.V., Deutschland
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Vitali Heidt
- Wissenschaftliches Institut der Niedergelassenen Hämatologen und Onkologen GmbH (WINHO), Deutschland
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Lisa Blattert
- Wissenschaftliches Institut der Niedergelassenen Hämatologen und Onkologen GmbH (WINHO), Deutschland
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Kerstin Hermes-Moll
- Wissenschaftliches Institut der Niedergelassenen Hämatologen und Onkologen GmbH (WINHO), Deutschland
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Dirk Mohr
- DMMP GmbH & Co. KG, Deutschland
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Dorothée Becker
- Fachverband SAPV Hessen e. V., Deutschland
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Lisa Tönnies
- Bergisches Kompetenzzentrum für Gesundheitsökonomie und Versorgungsforschung, Bergische Universität Wuppertal, Wuppertal, Deutschland
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Sandra Osburg
- Wissenschaftliches Institut der Niedergelassenen Hämatologen und Onkologen GmbH (WINHO), Deutschland
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Tobias Leipold
- eHealth-Tec GmbH, Deutschland
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Christian Keinki
- Deutsche Krebsgesellschaft e.V., Deutschland
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Juliane Köberlein-Neu
- Bergisches Kompetenzzentrum für Gesundheitsökonomie und Versorgungsforschung, Bergische Universität Wuppertal, Wuppertal, Deutschland
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Ingo Meyer
- PMV Forschungsgruppe, Universität zu Köln, Köln, Deutschland
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Michaela Hach
- Fachverband SAPV Hessen e. V., Deutschland
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Hans Tesch
- Arbeitskreis klinische Studien e.V., Deutschland
| Published: | September 27, 2021 |
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Outline
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Introduction: Based on an initial study of the effectiveness of a standardized patient education program on therapy-related side effects (PACOCT; Riese et al. 2017), a training program for specially trained oncology nurses (OncoCoaching) was developed. The aim of the OnCoPaTh project is to improve patient-centered care for patients with incurable cancer by establishing a interprofessional care concept with trained OncoCoaches (OC) and a standardized concept for the early integration of palliative care by consulting palliative care nurse (KOPP). OnCoPaTh is sponsored by the Innovation Fund of the Federal Joint Committee (G-BA) (grant: 01NVF19017).
Methods: OnCoPaTh is a new model of healthcare delivery which aims to improve patient-centered care by guiding health professionals toward implementing early palliative care and interprofessional interaction between oncologists, OC and KOPP. Therefore, a guideline and an implementation strategy were developed to enable OC and KOPP to identify the patients need for support and to guide the exchange of information for the parties involved. Furthermore, OC and KOPP are supported by a database on complementary and alternative therapies provided by the DKG. A cluster-randomized controlled trial (C-RCT) is conducted at 30 study sites to investigate the impact of OnCoPaTh at the patient and organizational level. The intervention effects are examined in three study groups (control group I and II, intervention group; n = 600/group). Before randomization, all patients are recruited in group I and receive standard care. Thereafter, study sites are randomly assigned to group II and intervention group. This project collects and analyzes primary data from patients, informal caregivers and medical professionals, as well as health insurance claims data. In addition, a process evaluation and a socio-economic impact assessment will be conducted. To date, n = 196 patients are enrolled. German Clinical Trial Register: DRKS00023255.
Results: A presentation of first field experiences will be prepared.
Conclusions: This nurse-centric project will lead to better integration of early palliative care, improve collaboration between oncologic teams and is a win-win–win model for nurses, patients and doctors.
