Cancer patients' and clinicians' opinions on the best time in secondary care to approach patients for recruitment to longitudinal questionnaire-based research.
OBJECTIVE
A priority of the UK National Cancer Survivorship Initiative is to increase collection of patient-reported outcome measures (PROMs) longitudinally post-diagnosis. This study aimed to gather cancer patients' and clinicians' opinions and preferences about the best time, in the secondary care pathway, to approach patients about joining longitudinal observational PROMs-based (LO-PROMs) research.


METHODS
The sample comprised 15 patients with non-metastatic breast, colorectal or prostate cancer, and 15 clinicians including surgeons, oncologists and nurse specialists. Patients and clinicians participated in one face-to-face topic-guided audio-recorded interview. Data were analysed using thematic content analysis.


RESULTS
Patients did not want to be approached about LO-PROMs research early in the care pathway, near diagnosis and treatment planning or before any surgery and its results. Patients felt that LO-PROMs research is best introduced from the time people are 'settled' on (post-surgical) treatment regimens, provided they are coping well emotionally and not experiencing significant physical side effects; patients emphasised variability in people's experience of and response to cancer and treatment. Clinicians also advised against approach near diagnosis, although generally recommended initiating recruitment somewhat sooner than patients.


CONCLUSIONS
Patients expressed strong homogeneous preferences and ideally wanted to be approached about LO-PROMs research when their initial fears and anxiety about cancer treatment and survival had diminished, and they felt some sense of certainty and optimism about the future. As the timeline of clinical events varies, maximising recruitment may mean approaching patients at varied time points post-diagnosis. Further recruitment implications are discussed.
Psychosocial Oncology and Clinical Practice Research Group, University of Leeds, St James's Institute of Oncology, Beckett Street, Leeds LS9 7TF, UK. l.j.ashley@leeds.ac.uk
Laura
L
Ashley
Helen
H
Jones
Galina
G
Velikova
Penny
P
Wright
D000368:Aged; D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000523:psychology; D015179:Colorectal Neoplasms / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies / Q000379:methods; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D009720:Nurse Clinicians; D017063:Outcome Assessment, Health Care / Q000379:methods*; D057240:Patient Preference; D018579:Patient Selection; D010820:Physicians; D011471:Prostatic Neoplasms / Q000523:psychology; D063127:Secondary Health Care; D011795:Surveys and Questionnaires; D013997:Time Factors