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Charlotte Handberg
PhD, MPH, RN
Needs assessment – four perspectives
Postdoctoral
study
Study 1
A cross-sectional
survey
S...
Charlotte Handberg
PhD, MPH, RN
Aim - Study 1
The aim of this study was to describe
specific stated rehabilitation needs a...
Charlotte Handberg
PhD, MPH, RN
Background / Gaps
Patients with cancer are at risk of both adverse physical, psychological...
Charlotte Handberg
PhD, MPH, RN
Method and Materials
A cross-sectional survey:
Needs-assessment-forms for rehabilitation f...
Charlotte Handberg
PhD, MPH, RN
Baseline characteristics of the study population (n=188)
Hospitals [n=89] Municipalities [...
Charlotte Handberg
PhD, MPH, RN
Stated rehabilitation needs and plans
Hospitals [n=89] Munici. [n=99] Total (n=188)
Mean n...
Charlotte Handberg
PhD, MPH, RN
Stated needs and rehabilitation plans
categorised in ICF components
Stated needs Rehabilit...
Charlotte Handberg
PhD, MPH, RN
Conclusion
1. The results underpin the urgent need for a systematic procedure on needs
ass...
Charlotte Handberg
PhD, MPH, RN
Thank you!
The study is funded by:
• Folkesundhed i Midten
• DEFACTUM
charlotte.handberg@s...
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RIWC_PARA_A033 rehabilitation needs and plans among patients with cancer, assessed at hospitals and when rehabilitation begins

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A033 rehabilitation needs and plans among patients with cancer, assessed at hospitals and when rehabilitation begins

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RIWC_PARA_A033 rehabilitation needs and plans among patients with cancer, assessed at hospitals and when rehabilitation begins

  1. 1. Charlotte Handberg PhD, MPH, RN Needs assessment – four perspectives Postdoctoral study Study 1 A cross-sectional survey Study 2 An ethnographic fieldwork – healthcare professionals Study 3 Register-based study Study 4 An ethnographic fieldwork - cancer survivors The aim of the overall study is to establish a research basis for systematic assessment of the rehabilitation needs of patients with cancer at both hospital and municipalities
  2. 2. Charlotte Handberg PhD, MPH, RN Aim - Study 1 The aim of this study was to describe specific stated rehabilitation needs and plans among patients with cancer at hospitals when diagnosed and when municipal rehabilitation begins
  3. 3. Charlotte Handberg PhD, MPH, RN Background / Gaps Patients with cancer are at risk of both adverse physical, psychological and social symptoms Armes, Crowe et al. 2009, Thorsen, Gjerset et al. 2011 An increasing amount of evidence endorses cancer rehabilitation as beneficial de Leeuw, Larsson 2013, Armes, Crowe et al. 2009, Hansen, Larsen et al. 2013 Not all patients receive an assessment of rehabilitation needs Veloso, Sperling et al. 2013, Holm, Hansen et al. 2012 Systematic assessment of rehabilitation needs is prerequisite for sufficient rehabilitation Veloso, Sperling et al. 2013, Holm, Hansen et al. 2012 Little is known on unmet rehabilitation needs and the related plans Ganz 2009, von Heymann-Horan, Dalton et al. 2013
  4. 4. Charlotte Handberg PhD, MPH, RN Method and Materials A cross-sectional survey: Needs-assessment-forms for rehabilitation from 188 cancer patients Two hospitals and two municipal cancer rehabilitation programmes The forms included: 1) stated needs: 58 fixed areas categorised in six domains and 2) 2) an area to document the rehabilitation plan. All data were categorised using the International Classification of Functioning, Disability and Health (ICF)
  5. 5. Charlotte Handberg PhD, MPH, RN Baseline characteristics of the study population (n=188) Hospitals [n=89] Municipalities [n=99] n (%) n (%) Sex Women 39 (44) 68 (69) Men 50 (56) 31 (31) Age (years) 18 – 39 8 (9) 4 (4) 40 – 49 7 (8) 8 (8) 50 – 59 22 (25) 36 (36) 60 – 69 19 (21) 36 (36) 70+ 33 (37) 15 (15) Cancer type Leukaemia 24 (27) 0 Lymphoma 33 (37) 4 (4) Myelomatosis 11 (12) 3 (3) Breast 0 32 (32) Colorectal 0 13 (13) Lung 0 9 (9) Head and neck 0 6 (6) Ovarian 0 6 (6) Prostate 0 6 (6) Renal 0 4 (4) Other 0 8 (8) No type defined 21 (24) 8 (8)
  6. 6. Charlotte Handberg PhD, MPH, RN Stated rehabilitation needs and plans Hospitals [n=89] Munici. [n=99] Total (n=188) Mean number of stated needs [range] 7.5 [0; 22] 8.0 [1; 27] 8.0 [0; 27] Total number of stated needs 666 836 1502 Patients completed rehabilitation plan 42 (47%) 53 (54%) 95 (51%) Mean number of rehabilitation plans [range] 2.8 [1; 7] 3.3 [1; 12] 3.0 [1; 12] Total number of rehabilitation plans 116 185 301
  7. 7. Charlotte Handberg PhD, MPH, RN Stated needs and rehabilitation plans categorised in ICF components Stated needs Rehabilitation plans Hospitals (666 needs) Municipalities (836 needs) Hospitals (116 plans) Municipalities (185 plans) Body functions and structures 521 (78%) 680 (81%) 68 (59%) 130 (70%) Activity and participation 85 (13%) 93 (11%) 25 (21%) 23 (12%) Environmental factors 39 (6%) 35 (4%) 8 (7%) 5 (3%) Personal factors 0 0 0 0 Not definable 21 (3%) 28 (3%) 15 (13%)3 27 (16%)4 3of these 9 (8%) were physical activity 4of these 22 (12%) were physical activity
  8. 8. Charlotte Handberg PhD, MPH, RN Conclusion 1. The results underpin the urgent need for a systematic procedure on needs assessment in clinical practice 2. Needs assessment is prerequisite for identifying needs, warranting a rehabilitation plan and ensuring a referral to rehabilitation 3. The ICF framework proved useful in gaining insight into the distribution and specifics of stated needs and plans 4. ICF further seemed potential as a framework to studies within cancer rehabilitation and needs assessment 5. Gaining knowledge on needs assessment and the specifics of needs and plans facilitates targeted rehabilitation interventions
  9. 9. Charlotte Handberg PhD, MPH, RN Thank you! The study is funded by: • Folkesundhed i Midten • DEFACTUM charlotte.handberg@stab.rm.dk Future Research 1. Study needs assessment in both hospital and municipal settings in order to develop validated needs-assessment-tools and to develop and implement programmes to support those cancer patients with rehabilitation needs 2. Learn more about which patients conduct a needs-assessment - form (study 3) 3. Exploring patients and healthcare professionals’ experiences and perspectives on the process of assessment of needs for cancer rehabilitation (study 2 and 4)

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