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667 results on '"Dhillon, Haryana M."'

9. Clinical Trial Protocol for PRIMARY2: A Multicentre, Phase 3, Randomised Controlled Trial Investigating the Additive Diagnostic Value of [68Ga]Ga-PSMA-11 Positron Emission Tomography/Computed Tomography in Men with Negative or Equivocal Multiparametric Magnetic Resonance Imaging for the Diagnosis of Clinically Significant Prostate Cancer

Author

Buteau, James P., Moon, Daniel, Fahey, Michael T., Roberts, Matthew J., Thompson, James, Murphy, Declan G., Papa, Nathan, Mitchell, Catherine, De Abreu Lourenco, Richard, Dhillon, Haryana M., Kasivisvanathan, Veeru, Francis, Roslyn J., Stricker, Phillip, Agrawal, Shihka, O'Brien, Jonathan, McVey, Aoife, Sharma, Gaurav, Levy, Sidney, Ayati, Narjess, Nguyen, Andrew, Lee, Su-Faye, Pattison, David A., Sivaratnam, Dinesh, Frydenberg, Mark, Du, Yang, Titus, Jehan, Lee, Sze-Ting, Ischia, Joseph, Jack, Greg, Hofman, Michael S., and Emmett, Louise

Published
2024
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18. A nurse-led intervention for carers of people with high grade glioma: a case series of carers reporting high distress

Author

Halkett, Georgia K B, primary, McDougall, Emma, additional, Berg, Melissa, additional, Clarke, Jenny, additional, Dhillon, Haryana M, additional, Lobb, Elizabeth, additional, Phillips, Jane L, additional, Hudson, Peter, additional, Faris, Mona M, additional, Campbell, Rachel, additional, Shaw, Joanne, additional, Coyne, Elisabeth, additional, Kelly, Brian, additional, Ownsworth, Tamara, additional, Legge, Dianne M, additional, and Nowak, Anna K, additional

Published
2024
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38. What do carers of people with high-grade glioma perceive could improve their preparedness to care, and what additional support do they require?

Author

Clarke, James J, Halkett, Georgia K B, McDougall, Emma, Dhillon, Haryana M, Lobb, Elizabeth, Phillips, Jane L, Hudson, Peter, and Nowak, Anna K

Subjects
PREPAREDNESS, GLIOMAS, SECONDARY analysis, TERMINAL care, RANDOMIZED controlled trials
Abstract

Background Concerning levels of stress, strain, and poorer mental health are observed in family carers of patients diagnosed with high-grade glioma (HGG). Understanding the reported unmet needs of these carers will enable future interventions to address such needs to improve their preparedness for care and well-being. In this secondary analysis, we aimed to explore: (i) what carers of people with HGG perceive could improve their preparedness to care ; and (ii) what needs carers reported they required additional support with. Methods Responses from 188 carers of patients with HGG participating in a randomized controlled trial of the Care-IS intervention were analyzed to identify reported unmet needs. Of this larger sample, 92 participants answered a qualitative question seeking to identify perceived unmet needs in carer preparedness over 12 months. These responses comprised the data for the current secondary analysis. Content analysis was used to analyze the qualitative data and observe trends across participant responses. Results Five overarching themes were identified: carer needs , providing emotional and practical care , coping with uncertainty , coping with the consequences of illness progression , and processing and supporting end-of-life care. Notably, the content analysis identified differences in response numbers between groups in the Care-IS trial, particularly with the control group having more needs regarding illness progression and end-of-life care. Conclusions Future interventions aimed at improving the well-being and preparedness of carers of people with HGG should consider providing better support centered on carer needs, their changed circumstances, living with uncertainty, and care transition. [ABSTRACT FROM AUTHOR]

Published
2024
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42. Clinical Trial Protocol for PRIMARY2: A Multicentre, Phase 3, Randomised Controlled Trial Investigating the Additive Diagnostic Value of [68Ga]Ga-PSMA-11 Positron Emission Tomography/Computed Tomography in Men with Negative or Equivocal Multiparametric Magnetic Resonance Imaging for the Diagnosis of Clinically Significant Prostate Cancer

Author

Buteau, James P., primary, Moon, Daniel, additional, Fahey, Michael T., additional, Roberts, Matthew J., additional, Thompson, James, additional, Murphy, Declan G., additional, Papa, Nathan, additional, Mitchell, Catherine, additional, De Abreu Lourenco, Richard, additional, Dhillon, Haryana M., additional, Kasivisvanathan, Veeru, additional, Francis, Roslyn J., additional, Stricker, Phillip, additional, Agrawal, Shihka, additional, O'Brien, Jonathan, additional, McVey, Aoife, additional, Sharma, Gaurav, additional, Levy, Sidney, additional, Ayati, Narjess, additional, Nguyen, Andrew, additional, Lee, Su-Faye, additional, Pattison, David A., additional, Sivaratnam, Dinesh, additional, Frydenberg, Mark, additional, Du, Yang, additional, Titus, Jehan, additional, Lee, Sze-Ting, additional, Ischia, Joseph, additional, Jack, Greg, additional, Hofman, Michael S., additional, and Emmett, Louise, additional

Published
2023
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49. Utility of survivorship care plans: A mixed‐method study exploring general practitioners' and cancer specialists' views.

Author

Tan, Sim Yee, Dhillon, Haryana M., Mak, Channel, Liang, Roger, Kerin‐Ayres, Kim, Vuong, Kylie, Malalasekera, Ashanya, and Vardy, Janette L.

Subjects
*ONCOLOGISTS, *GENERAL practitioners, *FAMILY medicine, *MEDICAL audit, *MEDICAL records, *STIMULUS & response (Psychology)
Abstract

Purpose: Survivorship care plans (SCP) are recommended as integral to survivorship care but are not routinely provided in many centers. We explore whether SCP from the Sydney Cancer Survivorship Centre (SCSC) clinic was received by general practitioners (GP) and cancer specialists, and their views on SCP. Methods: A mixed‐method study comprising a quality assurance audit, a questionnaire of GP practices and GP, and semi‐structured interviews of cancer specialists who referred patients to the SCSC clinic between 2019–2020. Descriptive statistics were used for quantitative data and content analysis for qualitative data. Results: The audit found 153/190 (80.5%) SCSC attendees had SCP uploaded to hospital medical records. The response rate from GP practices was 41%; among the 55 responding practices, 38 (69%) did not receive the SCP. The response rate from GP was 19%; among the 29 responding GP, 25 (86%) indicated the SCP was worthwhile, especially follow‐up plans and multidisciplinary team recommendations. Analysis of 14 cancer specialist interviews identified themes of 1) awareness of SCP; 2) access: SCP difficult to locate; 3) process: access and distribution require improvement; 4) systemic issues; 5) content and layout: more concise and better readability required; 6) value: mainly for GP and survivors; 7) use of SCP: limited; 8) recommendations: improve delivery process, enhance layout/content, more stakeholder input, more tailored information. Conclusion: Although response rates from GP were low, those responding perceived SCP to be useful. Cancer specialists believed SCP were more valuable for GP and survivors. Process issues, especially SCP delivery, need to be improved. [ABSTRACT FROM AUTHOR]

Published
2024
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50. Carer preparedness improved by providing a supportive educational intervention for carers of patients with high-grade glioma: RCT results

Author

Care-IS Project Team, Halkett, Georgia K B, Lobb, Elizabeth A, Phillips, Jane L, McDougall, Emma, Clarke, Jenny, Campbell, Rachel, Dhillon, Haryana M, McGeechan, Kevin, Hudson, Peter, King, Anne, Wheeler, Helen, Kastelan, Marina, Long, Anne, Nowak, Anna K, Family Medicine and Chronic Care, and End-of-life Care Research Group

Subjects
Cancer Research, Neurology, Oncology, Neurology (clinical)
Abstract

Background High-grade glioma (HGG) is a rapidly progressing and debilitating disease. Family carers take on multiple responsibilities and experience high levels of distress. We aimed to deliver a nurse-led intervention (Care-IS) to carers to improve their preparedness to care and reduce distress. Methods We conducted a randomised controlled trial (ACTRN:12612001147875). Carers of HGG patients were recruited during patients’ combined chemoradiation treatment. The complex intervention comprised four components: (1) initial telephone assessment of carer unmet needs; (2) tailored hard-copy resource folder; (3) home visit; and, (4) monthly telephone support for up to 12 months. Primary outcomes included preparedness for caregiving and distress at 2, 4, 6 and 12 months. Intervention effects were estimated using linear mixed models which included a time by group interaction. Secondary outcomes included anxiety, depression, quality of life, carer competence and strain. Results We randomised 188 carers (n = 98 intervention, n = 90 control). The intervention group reported significantly higher preparedness for caregiving at 4 months (model β = 2.85, 95% CI 0.76–4.93) and all follow-up timepoints including 12 months (model β = 4.35, 95% CI 2.08–6.62), compared to the control group. However, there was no difference between groups in carer distress or any secondary outcomes. Conclusions This intervention was effective in improving carer preparedness. However, carer distress was not reduced, potentially due to the debilitating/progressive nature of HGG and ongoing caring responsibilities. Future research must explore whether carer interventions can improve carer adjustment, self-efficacy and coping and how we support carers after bereavement. Additionally, research is needed to determine how to implement carer support into practice.

Published
2023

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