Abstract
Introduction/Background
Advanced ovarian cancer is a complex disease and the management often requires complex surgery with known peri-operative risks. Prehabilitation programs include the patient’s time from diagnosis to treatment and aims to improve function and metabolic reserve with the hope of reducing these peri-operative complications. Multimodal prehabilitation interventions include exercise, nutritional optimisation, psychological support, frailty and lifestyle modification (e.g. smoking cessation).
Methodology
A qualitative analysis of the prehabilitation programmes across four UK gynae-oncology cancer centres. Data was collected using reflective semi-structured interviews. Analysis included an inductive Braun&Clarke thematic analysis using NVivo to identify themes which were subsequently linked to the RE:AIM service evaluation framework.
Results
21 semi-structured interviews were conducted in total. Themes identified included;
1.
Introduction (RE:AIM Implementation)
•
timing/volume/content of information. Mixed views on the most appropriate method for information giving but little understanding of the overall aims.
2.
Engagement (RE:AIM Reach/Adoption)
•
Perceived need. Less likely to engage if have a strong social support or self-reported strong psychological baseline.
•
convenience of appointments has no impact on engagement.
•
accessibility of staff significantly improves engagement.
•
social anxiety impacts negatively on engagement.
3.
Usefulness (RE:AIM Effectiveness)
•
repeated assessments improve engagement due to evidence of strength building.
•
lack of initial perceived need for psychological intervention but overwhelmingly positive once they engage.
4.
Improvements (RE:AIM Maintenance)
•
Strong desire for more support with psychosexual/menopause health, regardless of age.
•
family involvement.
•
Continuity and follow up post treatment.
Conclusion
In order to provide a personalised model of multi-modal prehabilitation for ovarian cancer it is of paramount importance to listen to patient opinions. This qualitative analysis shows a strong link between information giving and perceived need, with those who have a strong social network being less likely to engage. Clinicians must be mindful of psychosexual and post-menopausal health, regardless of age.
Advanced ovarian cancer is a complex disease and the management often requires complex surgery with known peri-operative risks. Prehabilitation programs include the patient’s time from diagnosis to treatment and aims to improve function and metabolic reserve with the hope of reducing these peri-operative complications. Multimodal prehabilitation interventions include exercise, nutritional optimisation, psychological support, frailty and lifestyle modification (e.g. smoking cessation).
Methodology
A qualitative analysis of the prehabilitation programmes across four UK gynae-oncology cancer centres. Data was collected using reflective semi-structured interviews. Analysis included an inductive Braun&Clarke thematic analysis using NVivo to identify themes which were subsequently linked to the RE:AIM service evaluation framework.
Results
21 semi-structured interviews were conducted in total. Themes identified included;
1.
Introduction (RE:AIM Implementation)
•
timing/volume/content of information. Mixed views on the most appropriate method for information giving but little understanding of the overall aims.
2.
Engagement (RE:AIM Reach/Adoption)
•
Perceived need. Less likely to engage if have a strong social support or self-reported strong psychological baseline.
•
convenience of appointments has no impact on engagement.
•
accessibility of staff significantly improves engagement.
•
social anxiety impacts negatively on engagement.
3.
Usefulness (RE:AIM Effectiveness)
•
repeated assessments improve engagement due to evidence of strength building.
•
lack of initial perceived need for psychological intervention but overwhelmingly positive once they engage.
4.
Improvements (RE:AIM Maintenance)
•
Strong desire for more support with psychosexual/menopause health, regardless of age.
•
family involvement.
•
Continuity and follow up post treatment.
Conclusion
In order to provide a personalised model of multi-modal prehabilitation for ovarian cancer it is of paramount importance to listen to patient opinions. This qualitative analysis shows a strong link between information giving and perceived need, with those who have a strong social network being less likely to engage. Clinicians must be mindful of psychosexual and post-menopausal health, regardless of age.
| Original language | English |
|---|---|
| Pages (from-to) | A555.3-A556 |
| Journal | International Journal of Gynecological Cancer |
| Volume | 34 |
| Issue number | Supplement 1 |
| DOIs | |
| Publication status | E-pub ahead of print - 10 Mar 2024 |
| Externally published | Yes |
