SEARCHRCToncology, psychiatry

RCT·oncology, psychiatry, public health, clinical trial, observational study·PMC10165303

Patient information, communication and competence empowerment in oncology: Results and learnings from the PIKKO study

Supportive Care in Cancer · 12 authors, 7 centres

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TL;DR

Outcomes were measured over twelve months.

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Outcomes were measured over twelve months. The analysis found no significant differences between the intervention and control groups on the primary outcomes of health-related quality of life, depression, anxiety, self-efficacy, or health literacy. Sub-analyses suggested a trend towards higher health literacy scores with greater database use and higher mental quality of life scores with greater counseling use.

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RCT

SPECIALTY

oncology

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AI pipeline

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ORIGINAL PAPER

PMC10165303

Patient information, communication and competence empowerment in oncology: Results and learnings from the PIKKO study

Supportive Care in Cancer

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ABSTRACT

Abstract Purpose Many concepts for accompanying and supporting cancer patients exist and have been studied over time. One of them was PIKKO (a German acronym for “Patient information, communication and competence empowerment in oncology”), which combined a patient navigator, socio-legal and psychological counseling (with psychooncologists), courses dealing with various supportive aspects, and a knowledge database with validated and easy-to-understand disease-related information. The aim was to increase the patients' health-related quality of life (HRQoL), self-efficacy as well as health literacy and to reduce psychological complaints such as depression and anxiety. Methods To this purpose, an intervention group was given full access to the modules in addition to treatment as usual, while a control group received only treatment as usual. Over twelve months, each group was surveyed up to five times. Measurements were taken using the SF12, PHQ-9, GAD, GSE, and HLS-EU-Q47. Results No significant differences were found in scores on the mentioned metrics. However, each module was used many times and rated positively by the patients. Further analyses showed a tendency higher score in health literacy with higher intensity of use of the database and higher score in mental HRQoL with higher intensity of use of counseling. Conclusion The study was affected by several limitations. A lack of randomization, difficulties in recruiting the control group, a heterogeneous sample, and the COVID-19 lockdown influenced the results. Nevertheless, the results show that the PIKKO support was appreciated by the patients and the lack of measurable effects was rather due to the mentioned limitations than to the PIKKO intervention. Trial registration This study was retrospectively registered in the German Clinical Trial Register under DRKS00016703 (21.02.2019, retrospectively registered). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00016703 Keywords: Cancer, Patient navigator, Psycho-social counseling, Knowledge database, Health-related quality of life

CITATION EXPORT

Nico Schneider, Anna Bäcker, Bernhard Strauss et al.. Patient information, communication and competence empowerment in oncology: Results and learnings from the PIKKO study. Supportive Care in Cancer. (2023). https://doi.org/10.1007/s00520-023-07781-9

AUTHORS

12 · 7 CENTRES

Nico Schneider, Anna Bäcker, Bernhard Strauss, Jutta Hübner, Sabine Rubai, Steffen Wagner, Doris Schwarz-Fedrow, Lutz Hager, Katja Brenk-Franz, Christian Keinki, Florian Brandt, Uwe Altmann

1Institute of Psychosocial Medicine, Psychotherapy and Psychoonocology (IPMPP), Jena University Hospital, Jena, Germany
2Department of Haematology and Medical Oncology, Jena University Hospital, Jena, Germany
3Saarland Cancer Society, Saarbrücken, Germany
4SRH Fernhochschule – The Mobile University, Riedlingen, Germany
5The German Cancer Society, Berlin, Germany
6IKK Südwest, Saarbrücken, Germany
7Department of Psychology, MSB Medical School Berlin GmbH, Berlin, Germany