Patient navigation moderates emotion and information demands of cancer treatment: a qualitative analysis

Abstract

Purpose

Patient navigation is increasingly employed to guide patients through cancer treatment. We assessed the elements of navigation that promoted patients’ involvement in treatment among patients with breast and colorectal cancer that participated in a navigation study.

Methods

We conducted qualitative analysis of 28 audiotaped and transcribed semi-structured interviews of navigated and unnavigated cancer patients.

Results

Themes included feeling emotionally and cognitively overwhelmed and desire for a strong patient-navigator partnership. Both participants who were navigated and those who were not felt that navigation did or could help address their emotional, informational, and communicational needs. The benefits of logistical support were cited less often.

Conclusions

Findings underscore the salience of personal relationships between patients and navigators in meeting patients’ emotional and informational needs.

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Acknowledgments

We extend our thanks to the patients who participated in our patient navigation research program for sharing their insights, thoughts, and reflections with us. We also deeply appreciate the dedication, commitment, and hard work of the entire navigation staff in our program. We also acknowledge Carol Moulthroup for her assistance in preparing this manuscript for submission. The National Cancer Institute funded this project: U01CA116924-5.

Conflict of interest

There is no financial relationship between the authors and the organization that sponsored the research. The authors also state that they have full control of all primary data and that they agree to allow the journal to review their data if requested.

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Correspondence to Kevin Fiscella.

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Rousseau, S.J., Humiston, S.G., Yosha, A. et al. Patient navigation moderates emotion and information demands of cancer treatment: a qualitative analysis. Support Care Cancer 22, 3143–3151 (2014). https://doi.org/10.1007/s00520-014-2295-z

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Keywords

  • Patient navigation
  • Cancer treatment
  • Breast cancer
  • Colorectal cancer