Complementary and integrative healthcare(CIH)is increasingly recognized as a valuable approach to empowering and activating cancer patients.Studies have shown that higher patient activation is positively associated wi...Complementary and integrative healthcare(CIH)is increasingly recognized as a valuable approach to empowering and activating cancer patients.Studies have shown that higher patient activation is positively associated with improved health outcomes and reduced healthcare costs.The CCC-Integrativ study aimed to assess the implementation of an evidence-based counseling service on CIH at four Comprehensive Cancer Centers(CCC)in Germany.In this controlled implementation study,the patient-level intervention included three CIH consultations within a 3-month period delivered by interprofessional teams of physicians and nurses.The primary endpoint was patient activation using the PAM-13 at baseline(T1)and post-intervention(T2),and compared between control(CO,receiving routine care)and the intervention group(IG)using an analysis of covariance.Missing data were handled with multiple imputations.Maintenance effects at 6-month follow-up(T3)were investigated using a linear mixed model.A total of n=1128 oncology patients(CO=443,IG=685)with diverse tumor entities and cancer stages were included in the study.The overall mean baseline PAM-13 score was 69.74(SD=14.24)(n=959(85.0%)).A statistically significant between-group difference in post-intervention PAM-13 scores was observed(F_(group)(1,1866.82)=8.634,P=0.003),with an adjusted mean difference of 2.22 PAM-points.Age,gender,tumor entity,disease stage,or CCC study site did not significantly predict post-treatment PAM-13 scores.The maintenance effect of the intervention was not statistically significant(F_(timeXgroup)(1,3316.04)=2.337,P=0.096).Individually tailored counseling on CIH,offered by specifically trained,interprofessional teams,significantly improved patient activation.Given the established positive effects of higher patient activation,the implementation of such a program at cancer centers may yield beneficial outcomes for both patients and the healthcare system.展开更多
基金supported by the Innovationsfonds of the Federal Joint Committee 2019-2022(No.01NVF18004).
文摘Complementary and integrative healthcare(CIH)is increasingly recognized as a valuable approach to empowering and activating cancer patients.Studies have shown that higher patient activation is positively associated with improved health outcomes and reduced healthcare costs.The CCC-Integrativ study aimed to assess the implementation of an evidence-based counseling service on CIH at four Comprehensive Cancer Centers(CCC)in Germany.In this controlled implementation study,the patient-level intervention included three CIH consultations within a 3-month period delivered by interprofessional teams of physicians and nurses.The primary endpoint was patient activation using the PAM-13 at baseline(T1)and post-intervention(T2),and compared between control(CO,receiving routine care)and the intervention group(IG)using an analysis of covariance.Missing data were handled with multiple imputations.Maintenance effects at 6-month follow-up(T3)were investigated using a linear mixed model.A total of n=1128 oncology patients(CO=443,IG=685)with diverse tumor entities and cancer stages were included in the study.The overall mean baseline PAM-13 score was 69.74(SD=14.24)(n=959(85.0%)).A statistically significant between-group difference in post-intervention PAM-13 scores was observed(F_(group)(1,1866.82)=8.634,P=0.003),with an adjusted mean difference of 2.22 PAM-points.Age,gender,tumor entity,disease stage,or CCC study site did not significantly predict post-treatment PAM-13 scores.The maintenance effect of the intervention was not statistically significant(F_(timeXgroup)(1,3316.04)=2.337,P=0.096).Individually tailored counseling on CIH,offered by specifically trained,interprofessional teams,significantly improved patient activation.Given the established positive effects of higher patient activation,the implementation of such a program at cancer centers may yield beneficial outcomes for both patients and the healthcare system.
