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• W2113201236 abstract "Patient navigation has been evaluated as a means to address known health disparities. Although the impact of navigation on cancer screening and treatment delays has been assessed, limited data exist examining navigation during cancer therapy and factors that may impact patient choice for navigation. The Urban Latino African American Cancer (ULAAC) Disparities Project implemented a program in which culturally and linguistically appropriate lay persons volunteered as navigators for cancer patients receiving radiation therapy in a medically underserved community. Following completion of radiation therapy, patients who had opted in or out of navigation during treatment were administered a demographics and experience with care survey as well as the Functional Assessment of Cancer Therapy-General (FACT-G), a validated quality of life instrument. Differences based on navigation status were assessed using Chi square and Mann Whitney tests. Multivariable logistic regression was used to assess the impact of patient navigation on quality of life domains including physical, social/family, emotional, and functional well being. Between June 2005 and December 2007, 182 patients were offered navigation prior to beginning radiation therapy. Of the 182 patients offered navigation, 68 accepted (37%) and 114 (63%) declined. The most common reasons endorsed for declining navigation included being an independent person (53.5%), having a supportive family (43.9%) or supportive friends (31.6%), or being a spiritual/religious person (28.9%) or private person (28.1%). There were no significant differences detected in baseline race, educational, or socioeconomic status between the groups, however, among the 182 patients offered navigation, 76% were African American or Hispanic, 67% reported completing no further education beyond high school, and 89% reported an annual income of less than $50,000. A significantly higher proportion of patients who declined navigation reported living with a spouse or significant other (45 vs. 31%, p = 0.06) and endorsed a good understanding of their cancer treatment (32% vs. 19%, p<0.05). Patients declining navigation were found to have a higher median social/family well being score on the FACT-G than patients accepting navigation (p = 0.005). Multivariable logistic regression confirmed a significant impact of navigation status on the social/family well-being score when adjusting for covariates. Our findings indicate that navigation may be of greater perceived benefit among radiation therapy patients who lack social and family support and who lack an understanding of their prescribed cancer treatment. These findings may allow for improved targeting of patient navigation among the medically underserved." @default.
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• W2113201236 date "2011-10-01" @default.
• W2113201236 modified "2023-09-27" @default.
• W2113201236 title "Characteristics of Medically Underserved Cancer Patients Who Choose Navigation" @default.
• W2113201236 doi "https://doi.org/10.1016/j.ijrobp.2011.06.892" @default.
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