A cluster randomised trial of a Needs Assessment Tool for adult Cancer patients and their carers (NAT-C) in primary care: A feasibility study
dc.contributor.author | Clark, J | |
dc.contributor.author | Amoakwa, E | |
dc.contributor.author | Wright-Hughes, A | |
dc.contributor.author | Blenkinsopp, J | |
dc.contributor.author | Currow, DC | |
dc.contributor.author | Meads, D | |
dc.contributor.author | Farrin, A | |
dc.contributor.author | Allgar, Victoria | |
dc.contributor.author | Macleod, U | |
dc.contributor.author | Johnson, M | |
dc.date.accessioned | 2021-08-09T11:18:23Z | |
dc.date.issued | 2021-01-28 | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.other | ARTN e0245647 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/17461 | |
dc.description.abstract |
<jats:sec id="sec001"> <jats:title>Background</jats:title> <jats:p>People with cancer often have unidentified symptoms and social care needs. The Needs Assessment Tool-Cancer (NAT-C) is a validated, structured method of assessing patient/carer concerns and prompting action, to address unmet need.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Aims</jats:title> <jats:p>Assess feasibility and acceptability of a definitive two-armed cluster randomised trial of NAT-C in primary care by evaluating: recruitment of GP practices, patients and carers; most effective approach of ensuring NAT-C appointments, acceptability of study measures and follow-up.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Methods</jats:title> <jats:p>Non-blinded, feasibility study in four General Practices, with cluster randomisation to method of NAT-C appointment delivery, and process evaluation. Adults with active cancer were invited to participate with or without carer. Practices cluster randomised (1:1) to Arm I: promotion and use of NAT-C with a NAT-C trained clinician or Arm II: clinician of choice irrespective of training status. Participants completed study questionnaires at: baseline, 1, 3 and 6 months. Patients booked a 20 minute needs-assessment appointment post-baseline. Patients, carers and GP practice staff views regarding the study sought through interviews/focus groups. Quantitative data were analysed descriptively. Qualitative data were analysed thematically, informed by Normalisation Process Theory. Progression to a definitive trial was assessed against feasibility outcomes, relating to: recruitment rate, uptake and delivery of the NAT-C, data collection and quality.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Results</jats:title> <jats:p>Five GP practices approached, four recruited and trained to use the NAT-C. Forty-seven participants and 17 carers recruited. At baseline, 34/47 (72%) participants reported at least one moderate-severe unmet need, confirming study rationale. 32/47 (68%) participants received a NAT-C-guided consultation, 19 of which on Arm I. Study attrition at one month (n = 44 (94%), n = 16 (94%)), three months (n = 38 (81%), n = 14 (82%)) and six months (n = 32 (68%), n = 10 (59%)). Fifteen patient interviews conducted across the whole study and one focus group <jats:italic>at each</jats:italic> GP practice. Participants supported a definitive study and found measures acceptable.</jats:p> </jats:sec> <jats:sec id="sec005"> <jats:title>Conclusion</jats:title> <jats:p>The feasibility trial indicated that recruitment rate, intervention uptake and data collection were appropriate, with refinements, for a definitive multi-centre cluster randomised controlled trial. Feasibility outcomes informed the design of a 2-armed cluster randomised controlled trial to test the effectiveness and cost-effectiveness of the NAT-C compared with usual care.</jats:p> </jats:sec> | |
dc.format.extent | e0245647-e0245647 | |
dc.format.medium | Electronic-eCollection | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Public Library of Science | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Caregivers | |
dc.subject | Feasibility Studies | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Needs Assessment | |
dc.subject | Neoplasms | |
dc.subject | Primary Health Care | |
dc.subject | Quality of Life | |
dc.title | A cluster randomised trial of a Needs Assessment Tool for adult Cancer patients and their carers (NAT-C) in primary care: A feasibility study | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Multicenter Study | |
dc.type | Randomized Controlled Trial | |
dc.type | Research Support, Non-U.S. Gov't | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000635021400040&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.issue | 1 | |
plymouth.volume | 16 | |
plymouth.publication-status | Published online | |
plymouth.journal | PLoS One | |
dc.identifier.doi | 10.1371/journal.pone.0245647 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA01 Clinical Medicine | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | United States | |
dcterms.dateAccepted | 2021-01-05 | |
dc.rights.embargodate | 2021-8-10 | |
dc.identifier.eissn | 1932-6203 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1371/journal.pone.0245647 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2021-01-28 | |
rioxxterms.type | Journal Article/Review |