Navigating the cancer journey

A review of patient navigator programs for Indigenous cancer patients

Lisa Whop, Patricia Valery, Vanessa Beesley, Suzanne Moore, Kamalini Lokuge, Catherine Jacka, Gail Garvey

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Patient navigator programs have evolved to facilitate access to care and improve outcomes for Indigenous cancer patients. We reviewed the scientific literature on patient navigator programs in Indigenous people with cancer. We conducted a review of the published literature up to 13 April 2011. PubMed, MEDLINE and CINAHL databases were searched for original articles on Indigenous patient navigation programs. The review produced eight relevant articles covering two specific programs, the Native Sisters Program and the Walking Forward Program. Program descriptions, patient navigator's roles, cultural aspects and the impact of the programs were described. Patient navigators' roles in the programs varied, as did their qualifications, but importantly, all were Indigenous. Both programs aimed to increase participation in screening, remove barriers to treatment and decrease mortality. The Native Sisters Program documented an increase in adherence to breast screening among navigated American Indian participants, although there were substantial differences in the baseline screening adherence between navigated and non-navigated participants. The Walking Forward Program yielded on average 3 fewer days of treatment delays for navigated American Indians than for non-navigated American Indians. However, adjustments for socioeconomic characteristics and disease characteristics were not described. Although preliminary outcomes are seemingly positive, further rigorous evaluation of quantitative impacts are needed. � 2012 Wiley Publishing Asia Pty Ltd.
    Original languageEnglish
    Pages (from-to)e89-e96
    Number of pages8
    JournalAsia-Pacific Journal of Clinical Oncology
    Volume8
    Issue number4
    DOIs
    Publication statusPublished - 2012

    Fingerprint

    Patient Navigation
    North American Indians
    Neoplasms
    Population Groups
    Walking
    Siblings
    Literature
    Program Development
    PubMed
    MEDLINE
    Breast
    Databases
    Mortality
    Therapeutics

    Cite this

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    abstract = "Patient navigator programs have evolved to facilitate access to care and improve outcomes for Indigenous cancer patients. We reviewed the scientific literature on patient navigator programs in Indigenous people with cancer. We conducted a review of the published literature up to 13 April 2011. PubMed, MEDLINE and CINAHL databases were searched for original articles on Indigenous patient navigation programs. The review produced eight relevant articles covering two specific programs, the Native Sisters Program and the Walking Forward Program. Program descriptions, patient navigator's roles, cultural aspects and the impact of the programs were described. Patient navigators' roles in the programs varied, as did their qualifications, but importantly, all were Indigenous. Both programs aimed to increase participation in screening, remove barriers to treatment and decrease mortality. The Native Sisters Program documented an increase in adherence to breast screening among navigated American Indian participants, although there were substantial differences in the baseline screening adherence between navigated and non-navigated participants. The Walking Forward Program yielded on average 3 fewer days of treatment delays for navigated American Indians than for non-navigated American Indians. However, adjustments for socioeconomic characteristics and disease characteristics were not described. Although preliminary outcomes are seemingly positive, further rigorous evaluation of quantitative impacts are needed. � 2012 Wiley Publishing Asia Pty Ltd.",
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    Navigating the cancer journey : A review of patient navigator programs for Indigenous cancer patients. / Whop, Lisa; Valery, Patricia ; Beesley, Vanessa; Moore, Suzanne; Lokuge, Kamalini; Jacka, Catherine; Garvey, Gail.

    In: Asia-Pacific Journal of Clinical Oncology, Vol. 8, No. 4, 2012, p. e89-e96.

    Research output: Contribution to journalArticleResearchpeer-review

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