title: The experience of people with lung cancer with a volunteer-based lay navigation intervention at an outpatient cancer center.
abstract: OBJECTIVE
  To describe the experiences of patients with lung cancer with a volunteer-based lay navigation intervention.
  
  
  METHODS
  Forty patients with newly diagnosed lung cancer enrolled in a three-step navigation intervention delivered by trained volunteer lay navigators (VLNs), beginning prior to their first oncologist's appointment and ending before the start of treatment. Methodological triangulation of data was used in a mixed method study design. Cases were categorized based on the predominant needs met by the VLN: emotional, practical/informational, family, and complex. Data were analyzed using framework analysis.
  
  
  RESULTS
  The provision of emotional support, information, and referrals to other services by the VLN were of particular benefit to the patient and their families. Satisfaction with the program and its timing was high; it was considered an effective means for patients to share concerns and have their needs attended to before starting treatment.
  
  
  CONCLUSIONS
  This study demonstrates capacity for lay volunteers to address the multifaceted needs of lung cancer patients during their transition from primary care in the diagnosis to treatment phase.
  
  
  CONCLUSIONS
  Using volunteers as navigators offers an opportunity to meet patient needs with minimal resources, increase access to services for patients, and improve the sustainability of the program.
authors.affiliation: BC Cancer Agency, Victoria, Canada. Electronic address: slorhan@bccancer.bc.ca.
authors.forename: Shaun
authors.initials: S
authors.lastname: Lorhan
authors.affiliation: BC Cancer Agency, Victoria, Canada.
authors.forename: Darcy
authors.initials: D
authors.lastname: Dennis
authors.affiliation: BC Cancer Agency, Victoria, Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: van der Westhuizen
authors.affiliation: BC Cancer Agency, Victoria, Canada.
authors.forename: Sally
authors.initials: S
authors.lastname: Hodgson
authors.affiliation: BC Cancer Agency, Victoria, Canada.
authors.forename: Tanya
authors.initials: T
authors.lastname: Berrang
authors.affiliation: BC Cancer Agency, Victoria, Canada.
authors.forename: Helena
authors.initials: H
authors.lastname: Daudt
mesh_terms: D000328:Adult; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003695:Delivery of Health Care; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010045:Outpatients / Q000523:psychology; D062526:Patient Navigation; D011320:Primary Health Care; D012017:Referral and Consultation; D012944:Social Support; D014838:Volunteers
keywords: Framework analysis; Lay navigation; Lung cancer; Patient experience; Volunteer