Collaborative network to take responsibility for oral anticancer therapy (CONTACT): Study‐protocol investigating the impact of a care pathway

To evaluate the effectiveness, feasibility, meaningfulness and appropriateness of the development and implementation of a transmural care pathway in four hospitals in Flanders to improve self-management support in healthcare professionals and self-management in patients treated with oral anticancer drugs.A multicentre, prospective, interventional before-after study.The development and implementation of the care pathway is based on the 7-phase method by Vanhaecht et al. (2012). Before and after, the care process will be evaluated from the perspective of patients, healthcare professionals in the hospital and from primary care and the available evidence. In both study-parts, a mixed methods approach will be used including observations, semi-structured interviews, focus groups and validated questionnaires for outcome assessments. The primary outcome is self-management in patients and self-efficacy and perception towards self-management in healthcare professionals. This study was funded in October 2015 and has been approved by the Ethics Committee in June 2016.Due to the growing number of patients taking oral anticancer drugs, there is need for a rigorous study that aims to optimize self-management in patients and self-management support provided by an interdisciplinary team of healthcare professionals (including oncology nurses and clinical nurse specialists). The care pathway should therefore consist of effective self-management supporting interventions and should clearly define the role of all stakeholders.This study attempts to obtain standardization, uniformity and continuity of self-management support provided by healthcare professionals to patients on oral anticancer drugs with the aim to achieve an adequate level of self-management.clinicaltrials.gov NCT02861209.目的: 评估发展的有效性、可行性、意义、适当性和实施透壁治疗神经通路和提升健康专家的自我管理支持和口服抗癌药物病人的自我管理。 设计: 研究前后的多中心、前瞻性、介入性研究。 方法: 护理路径的开发和实施基于Vanhaecht等人(2012)提出的的7阶段方法。在此之前和之后,护理过程将从患者、医院的医护人员、初级护理和现有证据的角度进行评估。在这两个研究部分,将使用混合方法,包括观察、半结构式访谈、焦点小组和有效问卷评估结果。最主要的结果是患者的自我管理以及医护人员的自我效能感和自我管理意识。本研究于2015年10月获得资助,并于2016年6月获得道德委员会批准。 讨论: 由于口服抗癌药物的患者越来越多,因此有必要进行一项严格的研究以优化患者的自我管理和跨学科的医疗保健专业团队(包括肿瘤科护士和临床护理专家)提供的自我管理支持。因此,护理路径应该包括有效的自我管理支持干预,并明确界定所有利益相关者的角色。 影响: 本研究试图使得医疗保健专业人员为口服抗癌药物患者提供标准、统一、连续的自我管理支持,以实现充分的自我管理。 试验注册: clinicaltrials.gov NCT02861209。.