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A core competency framework for prostate cancer peer navigation

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Abstract

Purpose

Trained peer navigators can offer valuable peer support and mentorship to cancer patients and caregivers due to their highly relevant and unique perspective about the disease experience. In order to define the role of prostate cancer (PC) peer navigators within the cancer care system, it is important to establish the essential competencies of a PC peer navigator. We systematically identified and verified a set of core competencies for PC peer navigators and present a competency framework for PC peer navigators.

Methods

In phase 1, we conducted formative research consisting of a literature review and environmental scan as well as a secondary analysis of qualitative interviews. In phase 2, we drafted and mapped competencies. Finally in phase 3, expert stakeholders completed an anonymous survey to indicate whether they endorsed the competencies and to rank the importance of each competency to the peer navigator role. Open-ended feedback was also provided for each competency.

Results

Six core competency domains emerged: (1) self as navigator, (2) communication, (3) knowledge/information, (4) facilitate patient-centred care, (5) eHealth/technology, and (6) caregiver needs. Forty-seven core competency statements were mapped to these domains. Expert stakeholders (n = 27) included cancer survivors, caregivers, and healthcare providers. Most (89%) of core competency statements were endorsed by stakeholders and received high priority ratings, whereas only five of the competencies were less uniformly endorsed.

Conclusions

This is the first attempt to list core competencies for PC peer navigators and may offer guidance for standardizing the PC peer navigator role and training.

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References

  1. Hsu T, Loscalzo M, Ramani R, Forman S, Popplewell L, Clark K, Katheria V, Feng T, Strowbridge R, Rinehart R, Smith D, Matthews K, Dillehunt J, Hurria A (2014) Factors associated with high burden in caregivers of older adults with cancer. Cancer 120(18):2927–2935. https://doi.org/10.1002/cncr.28765

    Article  PubMed  PubMed Central  Google Scholar 

  2. Röing M, Hirsch J, Holmström I (2008) Living in a state of suspension – a phenomenological approach to the spouse’s experience of oral cancer. Scand J Caring Sci 22(1):40–47. https://doi.org/10.1111/j.1471-6712.2007.00525.x

    Article  PubMed  Google Scholar 

  3. Freeman H (2006) Patient navigation: a community centered approach to reducing cancer mortality. J Cancer Educ 21(1 Suppl):S11–S14. https://doi.org/10.1207/s15430154jce2101s_4

    Article  PubMed  Google Scholar 

  4. Canadian Partnership Against Cancer (2010) 2010 stakeholder strategy consultations: thematic outcomes. https://www.partnershipagainstcancer.ca/wp-content/uploads/2017/08/2010-strategy-consultation-report.pdf. Accessed 21 September 2018

  5. Fillion L, de Serres M, Cook S, Goupil R, Bairati I, Doll R (2009) Professional patient navigation in head and neck cancer. Semin Oncol Nurs 25(3):212–221. https://doi.org/10.1016/j.soncn.2009.05.004

    Article  PubMed  Google Scholar 

  6. Hohenadel J, Kaegi E, Laidlaw J, Kovacik G, Cortinois A, Kang R, Jadad A (2007) Leveling the playing field: the personal coach program as an innovative approach to assess and address the supportive care needs of underserved cancer patients. J Support Oncol 5(4):185–193

    PubMed  Google Scholar 

  7. van Uden-Kraan C, Drossaert C, Taal E, Shaw B, Seydel E, van de Laar M (2008) Empowering processes and outcomes of participation in online support groups for patients with breast cancer, arthritis, or fibromyalgia. Qual Health Res 18(3):405–417. https://doi.org/10.1177/1049732307313429

    Article  PubMed  Google Scholar 

  8. Gray J (1997) Evidence-based healthcare: how to make health policy and management decisions. Churchill Livingstone, Edinburgh

    Google Scholar 

  9. King S, Evans M, Moore T, Paterson C, Sharp D, Persad R, Huntley A (2015) Prostate cancer and supportive care: a systematic review and qualitative synthesis of men’s experiences and unmet needs. Eur J Cancer Care 24(5):618–634. https://doi.org/10.1111/ecc.12286

    Article  CAS  Google Scholar 

  10. Steginga S, Occhipinti S, Dunn J, Gardiner R, Heathcote P, Yaxley J (2001) The supportive care needs of men with prostate cancer. Psychooncol 10(1):66–75. https://doi.org/10.1002/1099-1611(200101/02)10:1<66::AID-PON493>3.0.CO;2-Z

    Article  CAS  Google Scholar 

  11. Ream E, Quennell A, Fincham L, Faithfull S, Khoo V, Wilson-Barnett J, Richardson A (2008) Supportive care needs of men living with prostate cancer in England: a survey. Br J Cancer 98(12):1903–1909. https://doi.org/10.1038/sj.bjc.6604406

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Cockle-Hearne J, Charnay-Sonnek F, Denis L, Fairbanks H, Kelly D, Kav S, Leonard K, van Muilekom E, Fernandez-Ortega P, Jensen B, Faithfull S (2013) The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries. Br J Cancer 109:2121–2130. https://doi.org/10.1038/bjc.2013.568

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Canadian Partnership Against Cancer (2015) Prostate cancer control in Canada: a system performance spotlight report. http://www.pccncalgary.org/n_prostate_cancer_control_in_canada.pdf. Accessed 21 September 2018

  14. Weber B, Roberts B, McDougall G (2000) Exploring the efficacy of support groups for men with prostate cancer. Geriatr Nurs 21(5):250–253. https://doi.org/10.1067/mgn.2000.110836

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Girgis A, Lambert S, McElduff P, Bonevski B, Lecathelinais C, Boyes A, Stacey F (2013) Some things change, some things stay the same: a longitudinal analysis of cancer caregivers’ unmet supportive care needs. Psychooncol 22(7):1557–1564. https://doi.org/10.1002/pon.3166

    Article  Google Scholar 

  16. Sklenarova H, Krümpelmann A, Haun M, Friederich H, Huber J, Thomas M, Winkler E, Herzog W, Hartmann M (2015) When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer 121(9):1513–1519. https://doi.org/10.1002/cncr.29223

    Article  PubMed  Google Scholar 

  17. Harden J (2005) Developmental life stage and couples’ experiences with prostate cancer; a review of the literature. Cancer Nurs 28(2):85–98

    Article  Google Scholar 

  18. Couper J, Bloch S, Love A, Macvean M, Duchesne G, Kissane D (2006) Psychosocial adjustment of female partners of men with prostate cancer: a review of the literature. Psychooncol 15(11):937–953. https://doi.org/10.1002/pon.1031

    Article  Google Scholar 

  19. Resendes L, McCorkle R (2006) Spousal responses to prostate cancer: an integrative review. Cancer Investig 24(2):192–198. https://doi.org/10.1080/07357900500524652

    Article  Google Scholar 

  20. Carter J, Sonoda Y, Baser R, Raviv L, Chi D, Barakat R, Iasonos A, Brown C, Abu-Rustum N (2010) A 2-year prospective study assessing the emotional, sexual, and quality of life concerns of women undergoing radical trachelectomy versus radical hysterectomy for treatment of early-stage cervical cancer. Gynecol Oncol 119(2):358–365. https://doi.org/10.1016/j.ygyno.2010.07.016

    Article  PubMed  PubMed Central  Google Scholar 

  21. Brownson R, Fielding J, Maylahn C (2009) Evidence-based public health: a fundamental concept for public health practice. Annu Rev Public Health 30:175–201. https://doi.org/10.1146/annurev.publhealth.031308.100134

    Article  PubMed  Google Scholar 

  22. Lorhan S, Wright M, Hodgson S, van der Westhuizen M (2014) The development and implementation of a volunteer lay navigation competency framework at an outpatient cancer center. Support Care Cancer 22(9):2571–2580. https://doi.org/10.1007/s00520-014-2238-8

    Article  PubMed  Google Scholar 

  23. Pratt-Chapman M, Willis A, Masselink L (2015) Core competencies for oncology patient navigators. J Oncol Navig Surviv 6(2):16–21

    Google Scholar 

  24. McMullen L, Banman T, De Groot J, Jacobs S, Srdanovic D, Mackey H (2013) Oncology nurse navigator competencies: providing direction to improve care delivery. Memphis, TN: 4th Annual Conference of the Academy of Oncology Nurse Navigators

  25. Willis A, Reed E, Pratt-Chapman M, Kapp H, Hatcher E, Vaitones V, Collins S, Bires J, Washington E (2013) Development of a framework for patient navigation: delineating roles across navigator types. J Oncol Navig Surviv 4(6):20–26

    Google Scholar 

  26. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101. https://doi.org/10.1191/1478088706qp063oa

    Article  Google Scholar 

  27. Elwyn G, Laitner S, Coulter A, Walker E, Watson P, Thomson R (2010) Implementing shared decision making in the NHS. Br Med J 341:c5146. https://doi.org/10.1136/bmj.c5146

    Article  Google Scholar 

  28. Lin G, Aaronson D, Knight S, Carroll P, Dudley R (2009) Patient decision aids for prostate cancer treatment. CA Cancer J Clin 59(6):379–390. https://doi.org/10.3322/caac.20039

    Article  PubMed  Google Scholar 

  29. Gucin N, Berk O (2015) Technology acceptance in health care: an integrative review of predictive factors and intervention programs. Procedia Soc Behav Sci 195:1698–1704. https://doi.org/10.1016/j.sbspro.2015.06.263

    Article  Google Scholar 

  30. American Cancer Society (2018) Key statistics for prostate cancer. American Cancer Society. https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html#references. Accessed 21 September 2018

  31. Kutner M, Greenburg E, Jin Y, Paulsen C (2006) The health literacy of America’s adults: results from the 2003 national assessment of adult literacy (NCES 2006-2483). U.S. Department of Education. National Center for Education Statistics, Washington, DC

    Google Scholar 

  32. Byers T (2012) Assessing the value of patient navigation for completing the cancer screening. Cancer Epidemiol Biomark Prev 21(10):1618–1619. https://doi.org/10.1158/1055-9965.epi-12-0964

    Article  Google Scholar 

  33. Bender J, Feldman-Stewart D, Tong C, Pai H, Au J, Brundage M, Robinson J, Davison B, Kazanjian A (2017) Prostate cancer patients’ information technology use, preferences, and needs: a cross-sectional population based survey. Ann Behav Med 51:S1103–SS1104

    Google Scholar 

  34. Tennant B, Stellefson M, Dodd V, Chaney B, Chaney D, Paige S, Alber J (2015) eHealth literacy and web 2.0 health information seeking behaviors among baby boomers and older adults. J Med Internet Res 17(3):e70. https://doi.org/10.2196/jmir.3992

    Article  PubMed  PubMed Central  Google Scholar 

  35. U.S. Department of Health and Human Services (2000) Healthy people 2010: understanding and improving health, 2nd edn. U.S. Government Printing Office, Washington, DC

    Google Scholar 

  36. Ustjanauskas A, Bredice M, Nuhaily S, Kath L, Wells K (2016) Training in patient navigation: a review of the research literature. Health Promot Pract 17(3):373–381. https://doi.org/10.1177/1524839915616362

    Article  PubMed  Google Scholar 

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Funding

This work was supported by the Movember Foundation.

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Correspondence to J. L. Bender.

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This was one component of a larger project which was approved by the University Health Network Research Ethics Board.

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The authors declare that they have no conflicts of interest.

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Flora, P.K., Bender, J.L., Miller, A.S. et al. A core competency framework for prostate cancer peer navigation. Support Care Cancer 28, 2605–2614 (2020). https://doi.org/10.1007/s00520-019-05059-7

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  • DOI: https://doi.org/10.1007/s00520-019-05059-7

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