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• W4365452399 abstract "Evaluating healthcare services is multifaceted, the need to monitor quality, effectiveness of services, improving patient care and outcomes are essential. This paper reports on the implementation of the Warwick Holistic Health Questionnaire (WHHQ-25) for a complementary therapy service (CTS) evaluation within a UK National Health Service oncology setting. Implementation of the WHHQ-25 was documented and evaluated. Pragmatic approaches to CTS delivery were used as part of the routine clinical care. WHHQ-25 and Measure Yourself Concern and Wellbeing (MYCAW) were completed at baseline and at the end of treatment six. Comparative statistics were generated. MYCAW and WHHQ-25 results were compared. Between the start of November 2020 and the end of January 2021 35 patient outcomes - 29 (83%) female and 6 (17%) male - were reported. Ages ranged from 25 years to over 65. Nine types of cancer were represented. WHHQ-25 pre (T1 = 60.31, SD = 15.3) and post (T2 = 69.11, SD = 13.3) intervention showed changes in wellbeing resulting in a significant improvement (df = 34, t=5.13, p <0.05). MYCAW pre (T1 = 5.03, SD = 0.98) and post (T2 = 2.45, SD=1.34) intervention showed changes in concern 1 resulting in a significant improvement (df = 32, t = 11.17, p<0.05). Pre (T1 = 5.06, SD =1.19) and post (T2 = 2.36, SD = 1.27) intervention showed changes in concern 2 resulting in a significant improvement (df = 32, t = 9.62, p<0.05). MYCAW wellbeing scores pre (T1 = 4.15, SD = 1.43) and post (T2 = 2.18, SD = 1.18) intervention showed a significant improvement (df = 32, t = 8.79, p<0.05). Planning and documenting the process of patient reported outcome measure (PROM) implementation can be a pragmatic and useful exercise. To mitigate against barriers to implementation, it is recommended to provide training for clinicians or guidance on how to implement PROMs into workflows. This is the first time WHHQ-25 has been used in an oncology setting. Both WHHQ-25 and MYCAW results showed improvements in patient wellbeing. WHHQ-25 proved to be a useful addition to evaluate the CTS as its complementary use alongside the MYCAW widened the discussion with patients beyond their concerns." @default.
• W4365452399 created "2023-04-15" @default.
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• W4365452399 date "2023-06-01" @default.
• W4365452399 modified "2023-09-27" @default.
• W4365452399 title "A service evaluation and implementation of the Warwick Holistic Health Questionnaire (WHHQ-25) in a National Health Service (NHS) oncology department using complementary and integrative approaches to healthcare in the UK" @default.
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• W4365452399 doi "https://doi.org/10.1016/j.eujim.2023.102250" @default.
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