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The System for Patient Assessment of Cancer Experiences (SPACE): a cross-sectional study examining feasibility and acceptability

  • Rob W. Sanson-Fisher
  • Breanne T. HobdenEmail author
  • Mariko L. Carey
  • Heidi E. Turon
  • Amy E. Waller
  • Anthony M. Proietto
Original Article
  • 6 Downloads

Abstract

Background

Continuous quality improvement in cancer care relies on the collection of accurate data on the quality of care provided. It is suggested that such an approach should: (i) measure the patient’s care experience throughout the cancer trajectory; (ii) use items and response scales that measure concrete and specific aspects of care; (iii) minimise recall bias; (iv) minimise the burden placed on patients for providing data; (v) minimise administrative burden; and (vi) collect actionable data. The System for Patient Assessment of Cancer Experiences (SPACE) was developed to meet these objectives. This study describes the feasibility and acceptability of the SPACE in a sample of oncology outpatients.

Methods

The SPACE was examined in four medical oncology centres. Adult patients were approached by a research assistant prior to their scheduled consultation. Consenting participants completed the SPACE on a computer tablet. Items were tailored to the patient’s cancer treatment phase.

Results

Of the eligible participants, 1143 consented (83%) and 1056 completed the survey (92%). The average time taken to complete the survey was 6 min 28 s. A large proportion of the sample indicated that the survey was acceptable (88–93% across three acceptability items).

Conclusion

This study demonstrates that the SPACE can be feasibly administered each time a patient comes to the oncology unit and is acceptable to patients. The SPACE could be used to quantify the care experiences which patients receive during their cancer care. The resulting data could be used to set benchmarks and improve the performance of cancer clinics.

Keywords

Neoplasms Quality of health care Process assessment (health care) Outpatients Patient care 

Notes

Author contributions

RSF, MC, HT and AP were involved in conceptualisation of the study. RSF, BH and HT developed the methodology and oversaw data collection. BH performed the data analysis. All authors were involved in drafting, review and editing the manuscript.

Funding information

This research was supported by a Cancer Council New South Wales Program Grant (PG16-09) and infrastructure funding from the Hunter Medical Research Institute (HMRI).

Compliance with ethical standards

Implied consent was obtained through initiation and completion of the survey.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Aiello EJ, Taplin S, Reid R, Hobbs M, Seger D, Kamel H, Tufano J, Ballard-Barbash R (2006) In a randomized controlled trial, patients preferred electronic data collection of breast cancer risk-factor information in a mammography setting. J Clin Epidemiol 59:77–81CrossRefGoogle Scholar
  2. 2.
    Anderson M, Perrin A (2017) Tech adoption climbs among older adults. Pew Research Center, Washington DCGoogle Scholar
  3. 3.
    Ashbury FD, Findlay H, Reynolds B, McKerracher K (1998) A Canadian survey of cancer patient’s experiences: are their needs being met? J Pain Symptom Manag 16:298–306CrossRefGoogle Scholar
  4. 4.
    Beattie M, Murphy DJ, Atherton I, Lauder W (2015) Instruments to measure patient experience of healthcare quality in hospitals: a systematic review. Systematic Reviews 4Google Scholar
  5. 5.
    Bryant J, Carey M, Sanson-Fisher R, Turon H, Wei A, Kuss B (2017) The patients’ perspective: hematological cancer patients’ experiences of adverse events as part of care. Journal of Patient Safety EpubGoogle Scholar
  6. 6.
    Bureau of Health Information (2015) Patient perspectives—hospital care for people with cancer. BHI, SydneyGoogle Scholar
  7. 7.
    Bureau of Health Information (2016) NSW patient survey: outpatient cancer clinics. NSW Health, ChatswoodGoogle Scholar
  8. 8.
    Cancer Australia (2014) Recommendations for the identification and management of fear of cancer recurrence in adult cancer survivors. Cancer Australia, SydneyGoogle Scholar
  9. 9.
    Cancer Australia (2014) Clinical guidance for responding to suffering in adults with cancer. Cancer Australia, SydneyGoogle Scholar
  10. 10.
    Carey M, Boyes A, Bryant J, Turon H, Clinton-McHarg T, Sanson-Fisher R (2017) The patient perspective on errors in cancer care: results of a cross-sectional survey. Journal of Patient Safety EpubGoogle Scholar
  11. 11.
    Couët N, Desroches S, Robitaille H, Vaillancourt H, Leblanc A, Turcotte S, Elwyn G, Légaré F (2013) Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument. Health Expect 18:542–561CrossRefPubMedCentralGoogle Scholar
  12. 12.
    Coulter A (2006) Can patients assess the quality of health care?: patients’ surveys should ask about real experiences of medical care. BMJ : British Medical Journal 333:1–2CrossRefGoogle Scholar
  13. 13.
    Dex S (1995) The reliability of recall data: a literature review. Bulletin of Sociological Methodology 49:58–89CrossRefGoogle Scholar
  14. 14.
    Dudgeon D, King S, Howell D, Green E, Gilbert J, Hughes E, Lalonde B, Angus H, Sawka C (2012) Cancer Care Ontario’s experience with implementation of routine physical and psychological symptom distress screening. Psycho-oncology 21:357–364CrossRefGoogle Scholar
  15. 15.
    Fradgley EA, Paul CL, Bryant J, Roos IA, Henskens FA, Paul DJ (2014) Consumer participation in quality improvements for chronic disease care: development and evaluation of an interactive patient-centered survey to identify preferred service initiatives. J Med Internet Res 16:e292CrossRefPubMedCentralGoogle Scholar
  16. 16.
    Guo Y, Kopec JA, Cibere J, Li LC, Goldsmith CH (2016) Population survey features and response rates: a randomized experiment. Am J Public Health 106:1422–1426CrossRefPubMedCentralGoogle Scholar
  17. 17.
    Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42:377–381CrossRefGoogle Scholar
  18. 18.
    Harrison J, Young J, Price M, Butow P, Soloman M (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17:1117–1128CrossRefGoogle Scholar
  19. 19.
    Health Services Advisory Group (2018) CAHPS Hospital Survey (HCAHPS) quality assurance guidelines, version 13.0. Centers for Medicare and Medicaid Services, BaltimoreGoogle Scholar
  20. 20.
    Hekkert KD, Cihangir S, Kleefstra SM, van den Berg B, Kool RB (2009) Patient satisfaction revisited: a multilevel approach. Soc Sci Med 69:68–75CrossRefGoogle Scholar
  21. 21.
    Hutchinson AD, Hosking JR, Kichenadasse G, Mattiske JK, Wilson C (2012) Objective and subjective cognitive impairment following chemotherapy for cancer: a systematic review. Cancer Treat Rev 38:926–934CrossRefGoogle Scholar
  22. 22.
    Institute of Medicine (IOM) (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington, D.CGoogle Scholar
  23. 23.
    Jenkinson C, Coulter A, Bruster S (2002) The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care 14:353–358CrossRefGoogle Scholar
  24. 24.
    Kirkova J, Davis MP, Walsh D, Tiernan E, O’Leary N, LeGrand SB, Lagman RL, Russell KM (2006) Cancer symptoms assessment instruments: a systematic review. J Clin Oncol 24:1459–1473CrossRefGoogle Scholar
  25. 25.
    Kleeberg UR, Feyer P, Günther W, Behrens M (2008) Patient satisfaction in outpatient cancer care: a prospective survey using The PASQOC® questionnaire. Support Care Cancer 16:947–954CrossRefGoogle Scholar
  26. 26.
    Laschinger HS, Hall LM, Pedersen C, Almost J (2005) A psychometric analysis of the patient satisfaction with nursing care quality questionnaire: an actionable approach to measuring patient satisfaction. J Nurs Care Qual 20:220–230CrossRefGoogle Scholar
  27. 27.
    National Breast Cancer Centre, National Cancer Control Initiative (2003) Clinical practice guidelines for the psychosocial care of adults with cancer. National Breast Cancer Centre, CamperdownGoogle Scholar
  28. 28.
    National Comprehensive Cancer Network (2014) Clinical practice guidelines in oncology (NCCN guidelines) for distress management NCCNGoogle Scholar
  29. 29.
    National Institute for Clinical Excellence (2004) Guidance on cancer service: improving supportive and palliative care for adults with cancer. NICE, LondonGoogle Scholar
  30. 30.
    Picker NRC (2008) Eight dimensions of patient-centred care. NRC Picker, BostonGoogle Scholar
  31. 31.
    Paul D, Wallis M, Henskens F, Nolan K (2013) QuON—a generic platform for the collation and sharing of web survey data. WEBIST:111–116Google Scholar
  32. 32.
    England PH (2016) The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality. PHE, LondonGoogle Scholar
  33. 33.
    Health Q (2014) National Cancer Patient Experience Survey 2014 National Report. NHS England, LeedsGoogle Scholar
  34. 34.
    Remillard ML, Mazor KM, Cutrona SL, Gurwitz JH, Tjia J (2014) Systematic review of the use of online questionnaires of older adults. J Am Geriatr Soc 62:696–705CrossRefPubMedCentralGoogle Scholar
  35. 35.
    Ryan H, Schofield P, Cockburn J, Butow P, Tattersall M, Turner J, Girgis A, Bandaranayake D, Bowman D (2005) How to recognize and manage psychological distress in cancer patients. European Journal of Cancer Care 14:7–15CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Rob W. Sanson-Fisher
    • 1
    • 2
    • 3
  • Breanne T. Hobden
    • 1
    • 2
    • 3
    Email author
  • Mariko L. Carey
    • 1
    • 2
    • 3
  • Heidi E. Turon
    • 1
    • 2
    • 3
  • Amy E. Waller
    • 1
    • 2
    • 3
  • Anthony M. Proietto
    • 1
    • 4
  1. 1.Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and MedicineUniversity of NewcastleCallaghanAustralia
  2. 2.Priority Research Centre for Health Behaviour, Faculty of Health and MedicineThe University of NewcastleCallaghanAustralia
  3. 3.Hunter Medical Research InstituteNew LambtonAustralia
  4. 4.Cancer NetworkHunter New England Local Health DistrictNew LambtonAustralia

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