Unmet supportive care needs of Australian Aboriginal and Torres Strait Islanders with cancer

a prospective, longitudinal study

Patricia C. Valery, Christina M. Bernardes, Vanessa Beesley, Anna L. Hawkes, Peter Baade, Gail Garvey

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose: The purposes of the present study are to describe changes over time in the prevalence of unmet supportive care needs of Indigenous Australians newly diagnosed with cancer and to identify factors associated with greater needs at diagnosis. 

Methods: Unmet needs were assessed by the Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) within 3 months and at 6 months post-diagnosis. Overall needs and specific need domains were modelled using generalized estimating equations. Associations between risk factors and moderate-high unmet needs at diagnosis were assessed using multivariable logistic regression analyses. 

Results: Over half (54%) of the participants (n = 82) experienced at least one moderate-high unmet need at diagnosis which reduced to 34% at 6 months post-diagnosis. This improvement mainly reflected the decrease in needs from the physical/psychological domain (p = 0.042). The median overall unmet need score and most domain scores were significantly lower at 6 months. Eighteen percent experienced multiple (5+) moderate-high unmet needs at diagnosis (60% continued to report needs at 6 months). The top unmet needs at diagnosis were money worries (27%), concerns about the worries of those close to you (16%) and worry about your illness spreading/getting worse (15%). Having a higher education and having received cancer treatment in the last 30 days were significantly associated with greater needs at diagnosis. 

Conclusions: While unmet needs decreased over time, some patients continued to experience moderate-high unmet needs. This study indicates that needs should be monitored throughout the patient’s journey. Coordination of support, particularly for those with multiple needs, may be important for this group.

Original languageEnglish
Pages (from-to)869-877
Number of pages9
JournalSupportive Care in Cancer
Volume25
Issue number3
DOIs
Publication statusPublished - Mar 2017

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Longitudinal Studies
Prospective Studies
Neoplasms
Needs Assessment
Logistic Models
Regression Analysis
Psychology
Education

Cite this

Valery, Patricia C. ; Bernardes, Christina M. ; Beesley, Vanessa ; Hawkes, Anna L. ; Baade, Peter ; Garvey, Gail. / Unmet supportive care needs of Australian Aboriginal and Torres Strait Islanders with cancer : a prospective, longitudinal study. In: Supportive Care in Cancer. 2017 ; Vol. 25, No. 3. pp. 869-877.
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abstract = "Purpose: The purposes of the present study are to describe changes over time in the prevalence of unmet supportive care needs of Indigenous Australians newly diagnosed with cancer and to identify factors associated with greater needs at diagnosis. Methods: Unmet needs were assessed by the Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) within 3 months and at 6 months post-diagnosis. Overall needs and specific need domains were modelled using generalized estimating equations. Associations between risk factors and moderate-high unmet needs at diagnosis were assessed using multivariable logistic regression analyses. Results: Over half (54{\%}) of the participants (n = 82) experienced at least one moderate-high unmet need at diagnosis which reduced to 34{\%} at 6 months post-diagnosis. This improvement mainly reflected the decrease in needs from the physical/psychological domain (p = 0.042). The median overall unmet need score and most domain scores were significantly lower at 6 months. Eighteen percent experienced multiple (5+) moderate-high unmet needs at diagnosis (60{\%} continued to report needs at 6 months). The top unmet needs at diagnosis were money worries (27{\%}), concerns about the worries of those close to you (16{\%}) and worry about your illness spreading/getting worse (15{\%}). Having a higher education and having received cancer treatment in the last 30 days were significantly associated with greater needs at diagnosis. Conclusions: While unmet needs decreased over time, some patients continued to experience moderate-high unmet needs. This study indicates that needs should be monitored throughout the patient’s journey. Coordination of support, particularly for those with multiple needs, may be important for this group.",
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Unmet supportive care needs of Australian Aboriginal and Torres Strait Islanders with cancer : a prospective, longitudinal study. / Valery, Patricia C.; Bernardes, Christina M.; Beesley, Vanessa; Hawkes, Anna L.; Baade, Peter; Garvey, Gail.

In: Supportive Care in Cancer, Vol. 25, No. 3, 03.2017, p. 869-877.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Unmet supportive care needs of Australian Aboriginal and Torres Strait Islanders with cancer

T2 - a prospective, longitudinal study

AU - Valery, Patricia C.

AU - Bernardes, Christina M.

AU - Beesley, Vanessa

AU - Hawkes, Anna L.

AU - Baade, Peter

AU - Garvey, Gail

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N2 - Purpose: The purposes of the present study are to describe changes over time in the prevalence of unmet supportive care needs of Indigenous Australians newly diagnosed with cancer and to identify factors associated with greater needs at diagnosis. Methods: Unmet needs were assessed by the Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) within 3 months and at 6 months post-diagnosis. Overall needs and specific need domains were modelled using generalized estimating equations. Associations between risk factors and moderate-high unmet needs at diagnosis were assessed using multivariable logistic regression analyses. Results: Over half (54%) of the participants (n = 82) experienced at least one moderate-high unmet need at diagnosis which reduced to 34% at 6 months post-diagnosis. This improvement mainly reflected the decrease in needs from the physical/psychological domain (p = 0.042). The median overall unmet need score and most domain scores were significantly lower at 6 months. Eighteen percent experienced multiple (5+) moderate-high unmet needs at diagnosis (60% continued to report needs at 6 months). The top unmet needs at diagnosis were money worries (27%), concerns about the worries of those close to you (16%) and worry about your illness spreading/getting worse (15%). Having a higher education and having received cancer treatment in the last 30 days were significantly associated with greater needs at diagnosis. Conclusions: While unmet needs decreased over time, some patients continued to experience moderate-high unmet needs. This study indicates that needs should be monitored throughout the patient’s journey. Coordination of support, particularly for those with multiple needs, may be important for this group.

AB - Purpose: The purposes of the present study are to describe changes over time in the prevalence of unmet supportive care needs of Indigenous Australians newly diagnosed with cancer and to identify factors associated with greater needs at diagnosis. Methods: Unmet needs were assessed by the Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) within 3 months and at 6 months post-diagnosis. Overall needs and specific need domains were modelled using generalized estimating equations. Associations between risk factors and moderate-high unmet needs at diagnosis were assessed using multivariable logistic regression analyses. Results: Over half (54%) of the participants (n = 82) experienced at least one moderate-high unmet need at diagnosis which reduced to 34% at 6 months post-diagnosis. This improvement mainly reflected the decrease in needs from the physical/psychological domain (p = 0.042). The median overall unmet need score and most domain scores were significantly lower at 6 months. Eighteen percent experienced multiple (5+) moderate-high unmet needs at diagnosis (60% continued to report needs at 6 months). The top unmet needs at diagnosis were money worries (27%), concerns about the worries of those close to you (16%) and worry about your illness spreading/getting worse (15%). Having a higher education and having received cancer treatment in the last 30 days were significantly associated with greater needs at diagnosis. Conclusions: While unmet needs decreased over time, some patients continued to experience moderate-high unmet needs. This study indicates that needs should be monitored throughout the patient’s journey. Coordination of support, particularly for those with multiple needs, may be important for this group.

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KW - Indigenous Australians

KW - Longitudinal study

KW - Perceived needs

KW - Supportive care

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