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Adapting and Developing an Academic and Community Practice Collaborative Care Model for Metastatic Breast Cancer Care
Ashley J Housten1, Uzoma Charles Okere1, Graham A Colditz1
1Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States.
JMIR Research Protocols
|April 27, 2022
Summary
Project ADAPT optimizes metastatic breast cancer (MBC) care through a collaborative model, aiming to improve patient and provider experiences. This implementation science study adapts an existing program to enhance care coordination across diverse settings.
Area of Science:
- Oncology
- Implementation Science
- Health Services Research
Background:
- Metastatic breast cancer (MBC) care coordination is complex due to numerous treatment options and services.
- An academic-community collaborative care model, Project ADAPT, was designed to optimize MBC care.
- The model is based on the Ending Metastatic Breast Cancer for Everyone (EMBRACE) program.
Purpose of the Study:
- To describe the implementation science-based study design of Project ADAPT.
- To highlight innovative components of the collaborative care model for MBC.
- To evaluate the impact of the collaborative care model on patient and provider satisfaction.
Main Methods:
- Utilizes the Dynamic Adaptation Process and the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.
- Partnership between Washington University School of Medicine (WUSM) and 3 community hospitals (rural and urban).
- Incorporates virtual and digital health strategies for improved care coordination and reduced patient burden.
Main Results:
- The exploration phase is ongoing, with initial recruitment of 21 patient and provider participants.
- Sample size calculations indicate 44 patients and 32 oncologists are needed for statistical power.
- Iterative refinement of data collection instruments and ongoing engagement with partner sites are key.
Conclusions:
- The robust collaborative care model is expected to provide optimal MBC care irrespective of geographic location.
- The model aims to enhance the navigation experience within the healthcare system for patients and providers.
- Project ADAPT seeks to improve overall patient and provider satisfaction in MBC care coordination.
