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Exploring Frailty in Older Adults with Cancer: Journey Mapping a Patient-reported Outcome Measure
Jae-Yung Kwon1,2, Melissa Moynihan1,3, Catherine Webster1,4
1School of Nursing, https://ror.org/04s5mat29University of Victoria, Victoria, BC, Canada.
Summary
Patient-reported outcome measures (PROMs) may not fully capture the complexity of frailty in older adults with cancer. Integrating patient narratives offers a more holistic approach to assessing and planning care for cancer patients experiencing frailty.
Area of Science:
- Gerontology
- Oncology
- Qualitative Health Research
Background:
- Frailty in older adults with cancer is a complex, dynamic condition often overlooked in clinical practice.
- Accurate assessment of frailty is crucial for effective care planning and management in this population.
Purpose of the Study:
- To explore the lived experience of frailty in older adults with cancer.
- To investigate the utility of patient-reported outcome measures (PROMs) and journey mapping in assessing frailty over time.
- To understand discrepancies between quantitative frailty scores and patients' personal narratives.
Main Methods:
- Qualitative study involving 11 participants aged 65+ with cancer.
- Participants completed the Comprehensive Frailty Assessment Instrument (CFAI) and semi-structured interviews.
- Individual journey maps were created, integrating CFAI scores with personal narratives to visualize frailty changes.
Main Results:
- PROMs indicated variability in frailty severity.
- Patient narratives revealed significant treatment-related challenges not fully reflected in CFAI scores.
- Common experiences included fatigue, emotional distress, and social isolation during and after treatment.
Conclusions:
- Patient-reported outcome measures alone may not comprehensively capture the lived experience of frailty in older cancer patients.
- Integrating narrative data with quantitative measures provides a more person-centered approach to frailty assessment.
- This approach can enhance care planning and support for older adults with cancer experiencing frailty.
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