Development and testing of evidence-based psycho-educational interventions that can be readily adopted into clinical practice


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Penny Schofield1
1Swinburne University of Technology

Abstract

As the global burden of cancer increases, health care services face mounting challenges in meet the complex needs of patients where direct clinical contact may be constrained or not readily available. Patients and families require resources and skills to manage their illness within their own communities. A framework for the development and delivery of psycho-educational interventions drawing on theoretical principles of behaviour change and evidence-based interventions will be presented. At the core of this framework are considerations of efficiency: interventions are designed to cater for individuals’ unique needs; to place minimal demands on the health system infrastructure and to be rapidly disseminated into usual care if successful.

There are seven key features: (1) Targeting cancer type and stage; (2) Tailoring to unique individual needs; (3) Promotion of patient self-management of their disease and treatment side-effects; (4) Efficient delivery of the intervention; (5) Training and adherence to protocol; (6) Ensuring the intervention is evidence-based; (7) Confirming stakeholder acceptability of the intervention.  Case studies of a randomised controlled trial which tested psycho-educational oncology interventions using this framework will be presented. This framework, which is driven by theory, evidence, and experience, is designed to ensure that interventions are effective, clinically feasible and sustainable.