To measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse-led, small-group, behavior skills-training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care.
The intervention was a five-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model. Faculty included Wound, Ostomy, Continence Nurses (WOCNs) utilizing an ostomy care curriculum. A gender-matched peer-in-time buddy was assigned to each ostomy survivor. The four-session Survivor curriculum included: Self-management practice and solving immediate ostomy concerns; Social well-being; Healthy lifestyle; and a Booster session. The single Family Caregiver session was co-led by a WOCN and an ostomy Peer staff member and covered relevant caregiver and Ostomate support issues. Each cohort required eight weeks to complete the intervention. Non-labor inputs included ostomy supplies, teaching materials, automobile mileage for WOCNs, mailing, and meeting space rental. Intervention personnel were employed by the University of Arizona. Labor expenses included salaries and fringe benefits.
The total incremental expense per intervention cohort of four Survivors was $7,246, or $1,812 per patient.
A WOCN-led group self-help ostomy survivorship intervention provided affordable, effective, care to cancer survivors with ostomies.
Psycho-oncology. 2017 Nov 14 [Epub ahead of print]
Mark C Hornbrook, Martha D Cobb, Nancy J Tallman, Janice Colwell, Ruth McCorkle, Elizabeth Ercolano, Marcia Grant, Virginia Sun, Christopher S Wendel, Judith H Hibbard, Robert S Krouse
Kaiser Permanente Center for Health Research, Portland, Oregon., University of Arizona College of Nursing, Tucson, AZ., Wound Ostomy Continence Nurse, Unaffiliated, Tucson, AZ., University of Chicago School of Medicine, Chicago, IL., Yale University School of Nursing, New Haven, CT., City of Hope National Medical Center/Beckman Research Institute, Duarte, CA., University of Arizona College of Medicine, Tucson, Arizona., University of Oregon Health Policy Research Group, Eugene, OR., University of Pennsylvania School of Medicine, Philadelphia, PA.