Indigenous cancer patient and staff attitudes towards unmet needs screening using the SCNAT-IP
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Indigenous Australians have a higher cancer incidence, worse mortality and are less likely to receive optimal cancer treatment compared with non-Indigenous Australians. Culturally appropriate supportive care helps ensure that Indigenous patients engage in and receive optimal care. However, many existing supportive care needs tools lack cultural relevance for Indigenous people, and their feasibility with Indigenous people has not been demonstrated. The Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) assesses the unmet supportive care needs of Indigenous cancer patients.
This descriptive study evaluates the clinical implementation of the SCNAT-IP in routine care.
Two large tertiary cancer treatment centres and two regional oncology clinics participated. Participants included 10 clinical staff and 36 adult Indigenous cancer patients (mean age 54 years). Patients and clinicians completed brief, purpose-designed questionnaires and interviews.
Patients reported high ratings (means >8/10) for acceptability, helpfulness and timing items. The majority (≥80 %) of staff agreed that the SCNAT-IP was useful to clinical practice, should be used in routine care and was acceptable to their patients.
The study provides empirical support for the feasibility and acceptability of the SCNAT-IP in routine cancer care with Indigenous Australians. Routine screening with the SCNAT-IP has the potential to improve cancer care for Indigenous people with cancer.
KeywordsIndigenous Aboriginal Cancer Oncology Unmet needs Screening
This research was funded by a grant from the Lowitja Institute, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research. This study was undertaken under the auspices of the Centre of Research Excellence in Discovering Indigenous Strategies to improve Cancer Outcomes Via Engagement, Research Translation and Training (DISCOVER-TT CRE, funded by the National Health and Medical Research Council #1041111). PCV was supported by an Australian Research Council Future Fellowship (#FT100100511). The authors wish to thank Mrs. Margaret Lawton and Ms. Celia Moore (Indigenous consumer representatives) and Dr. Mick Adams for their assistance with developing training materials for this study. We also thank the Indigenous people with cancer and staff who participated in this study for their time and enthusiasm. The views expressed in this publication are those of the authors and do not necessarily reflect the views of the funding agencies. The content of the manuscript was subject to approval by the Aboriginal Health and Medical Research Council of NSW in accordance with the standard conditions of their ethical approval.
Conflict of interest
The authors have no conflicts of interest to declare.
- 1.Australian Institute of Health and Welfare (AIHW), The health and welfare of Australia’s Aboriginal and Torres Strait Islander people: an overview 2011. Australian Institute of Health and Welfare, Editor. 2011, AIHW: CanberraGoogle Scholar
- 2.Australian Institute of Health and Welfare, Cancer in Aboriginal and Torres Strait Islander peoples of Australia: an overview. Australian Institute of Health and Welfare (AIHW), Editor. 2013, AIHW: CanberraGoogle Scholar
- 3.Miller J, Knott V, Wilson C, Cunningham J, Condon J, Roder D (2010) Aboriginal and Torres Strait Islander Cancer Control Research Project, Cancer Australia Report: Sydney, NSWGoogle Scholar
- 8.Garvey G, Beesley VL, Janda M, Jacka C, Green AC, O’Rourke P, Valery PC (2012) The development of a supportive care needs assessment tool for Indigenous people with cancer. BMC Cancer 12(300):1471–2407Google Scholar
- 11.Johnston V, Westphal D, Glover M, Thomas D, Segan C, Walker N (2013) Reducing smoking among indigenous populations: new evidence from a review of trials. Nicotine Tabacco Res 15(8):132–1338Google Scholar
- 15.Garvey G, Beesley VL, Janda M, O’Rourke P, He VYF, Hawkes AL, Elston J, Green AC, Cunningham J, Valery PC. Psychometric Properties of an Australian Supportive Care Needs Assessment Tool for Indigenous Patients With Cancer. BMC Cancer. doi: 10.1002/cncr.29433
- 22.Thewes B, Garvey G, He V, Davis E, Girgis A, Valery PC, Giam K, Hocking A, Jackson J, Jones V, Yip D, and the SCNAT-IP Implementation Group, Indigenous patient and clinician attitudes to routine screening for unmet needs amongst: a qualitative study. J Cancer Survivorship, Under editorial reviewGoogle Scholar
- 23.Ristevski E, Regan M, Jones R, Breen S, Batson A, McGrail MR (2013) Cancer patient and clinician acceptability and feasibility of a supportive care screening and referral process. Health ExpectGoogle Scholar
- 24.National Comprehensive Cancer Network (NCCN), NCCN Clinical Practice Guidelines in Oncology Distress Management, Version 1, NCCN, Editor. 2008, National Comprehensive Cancer Network: Fort WashingtonGoogle Scholar
- 28.Thewes B, Butow P, Stuart-Harris R (2009) And greater southern area health service screening project committee, does routine psychological screening of newly diagnosed rural cancer patients lead to better patient outcomes? results of a pilot study. Aust J Rural Health 17(6):298–304CrossRefPubMedGoogle Scholar