Outcomes of cancer survivorship education and training for primary care providers: A systematic review
Authors/Creators
Raymond J. Chan
Oluwaseyifunmi Andi Agbejule
Patsy M. Yates
Jon Emery
Michael Jefford
Bogda Koczwara
Nicolas H. Hart, Edith Cowan UniversityFollow
Megan Crichton
Larissa Nekhlyudov
Abstract
Purpose:
To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes.
Methods:
PubMed, Embase, and CINAHL databases were searched between January 2005 and September 2020. The Quality of Cancer Survivorship Care Framework and Kirkpatrick’s 4-level evaluation model were used to summarize program content and outcomes, respectively. Data extraction and critical appraisal were conducted by two authors.
Results:
Twenty-one studies were included, describing self-directed online courses (n=4), presentations (n=2), workshops and training sessions (n=6), placement programs (n=3), a live webinar, a fellowship program, a referral program, a survivorship conference, a dual in-person workshop and webinar, and an in-person seminar and online webinar series. Eight studies described the use of a learner framework or theory to guide program development. All 21 programs were generally beneficial to PCP learners (e.g., increased confidence, knowledge, behavior change); however, methodological bias suggests caution in accepting claims. Three studies reported positive outcomes at the patient level (i.e., satisfaction with care) and organizational level (i.e., increased screening referrals, changes to institution practice standards).
Conclusions:
A range of cancer survivorship PCP education programs exist. Evidence for clinical effectiveness was rarely reported. Future educational programs should be tailored to PCPs, utilize an evidence-based survivorship framework, and evaluate patient- and system-level outcomes.
Implications for Cancer Survivors:
PCPs have an important role in addressing the diverse health care needs of cancer survivors. Improving the content, approach, and evaluation of PCP-focused cancer survivorship education programs could have a positive impact on health outcomes among cancer survivors.
RAS ID
39746
Document Type
Journal Article
Date of Publication
2022
Funding Information
National Health and Medical Research Council
School
School of Medical and Health Sciences
Grant Number
NHMRC Number : APP1194051
Copyright
free_to_read
Publisher
Springer
Recommended Citation
Chan, R. J., Agbejule, O., Yates, P. M., Emery, J., Jefford, M., Koczwara, B., Hart, N. H., Crichton, M., & Nekhlyudov, L. (2022). Outcomes of cancer survivorship education and training for primary care providers: A systematic review. DOI: https://doi.org/10.1007/s11764-021-01018-6
Comments
Chan, R. J., Agbejule, O. A., Yates, P. M., Emery, J., Jefford, M., Koczwara, B., ... Nekhlyudov, L. (2022). Outcomes of cancer survivorship education and training for primary care providers: A systematic review. Journal of Cancer Survivorship, 16(2), 279-302.
https://doi.org/10.1007/s11764-021-01018-6