Effectiveness of a video-based educational training program to enhance primary care providers confidence and self-efficacy in the management of cancer survivors.

person Katherine Ramsey Gilmore Office of Cancer Survivorship, The University of Texas MD Anderson Cancer Center, Houston, TX info_outline Katherine Ramsey Gilmore, Linh K. Nguyen, Julie S. Bortolotti, Nancy N. Nguyen-Vu, Hannah Reygaerts, Lance Johnson, Ronda L. Hartman, Thomas J. Murphy, Maria Alma Rodriguez

Authors person Katherine Ramsey Gilmore Office of Cancer Survivorship, The University of Texas MD Anderson Cancer Center, Houston, TX info_outline Katherine Ramsey Gilmore, Linh K. Nguyen, Julie S. Bortolotti, Nancy N. Nguyen-Vu, Hannah Reygaerts, Lance Johnson, Ronda L. Hartman, Thomas J. Murphy, Maria Alma Rodriguez Organizations Office of Cancer Survivorship, The University of Texas MD Anderson Cancer Center, Houston, TX, UTHealth, Houston, TX, UTPhysicians, Houston, TX, UT Physicians, Houston, TX, MD Anderson Cancer Center, Houston, TX Abstract Disclosures Research Funding Institutional Funding UTHealth Academic Excellence Endowment and the University of Texas MD Anderson Cancer Center’s Annual Fund Background: As of January 2019, there were over 1.1 million cancer survivors residing in Texas. It is well documented that primary care providers (PCPs) currently care for a large number of cancer survivors but may not receive adequate training to offer comprehensive survivorship care. Through training and education, this project aims to increase the confidence and self-efficacy of PCPs providing care to survivors and to improve overall health outcomes based on comprehensive domains of care. Methods: Focus groups and surveys were conducted with PCPs in a community-based family practice to identify potential knowledge gaps and confidence related to survivorship care. We developed and distributed a video-based training curriculum consisting of four domains of survivorship care and the management of four common cancers. We used the Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) to conduct pre- and post-training evaluation. Results: Seventeen (100%) providers completed the pre- and post-training SPARCCS. The survey results showed that 94% of the PCPs have previously provided care for patients diagnosed with cancers. However, prior to training only 6-18% felt very confident in their knowledge of cancer-related follow-up care for breast, colorectal, lung, and prostate cancer survivors and 24-41% felt not at all confident. All participants completed 8 video-based education modules (approximately 6 hours of education). Post-training results indicated 18-29% of providers felt very confident in the domains in questions and only 12% lacked confidence related to the management of long-term and late physical adverse effects (Table 1). Conclusions: Video-based educational training can improve the confidence and self-efficacy of PCPs in the care and management of cancer survivors. Continued evaluations are planned to assess the sustainability of this demonstrated improvement over time. Appropriate surveillance testing to detect recurrent cancer Long-term and late physical adverse effects of cancer and cancer treatment Potential adverse psychosocial outcomes of cancer or its treatment Baseline Post Baseline Post Baseline Post Very Confident 18% 29% 6% 24% 12% 18% Somewhat confident 47% 71% 47% 65% 59% 82% Not at all confident 29% 0% 41% 12% 24% 0% Don’t know 6% 0% 6% 0% 6% 0%