Practices and Organizations Related to Emerging Occupations of Care (EPOCK) Coordination in Oncology (EPOCK)

Pilot Observational and Analytic Study of Practices and Organizations Related to Emerging Occupations of Care Coordination in Oncology: Modeling the Concept of Care Coordination in Oncology (EPOCK)

Several stakeholders are implied in cancer care pathways and there is a need for coordinating their actions. New occupations of care coordination have thus emerged. However, the conditions of their efficiency have been too few reported and included discrepancies between reports. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations (nurse-based) by comparing theoretical expected outcomes to professionals, patients and caregivers representations.

Study Overview

• Status: Completed
• Conditions: Care Coordination in Oncology
• Intervention / Treatment: Behavioral: Care coordination

Detailed Description

Several stakeholders are implied in cancer care pathways and there is a need to coordinate their actions. New occupations of care coordination have thus emerged, such as nurse coordinator in France (IDEC: Infirmière de Coordination). However, the conditions of their efficiency are not well known. Moreover, several other complementary approaches and nurse occupations have to be identified because of their contribution to care coordination (IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD, IDE ETP)*. Finally, all together, these interventions of care coordination appeared as complex and asked for a theoretical model. Because of this high variability of the practices, without an underlying model, the impact of care coordination on patient quality of life, safety and efficiency of care is difficult to assess. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations by comparing theoretical expected outcomes to professionals, patients and caregivers representations.

The pilot observational study is based on three distinct stages: (1) the definition of care coordination in oncology using a literature review and a Delphi consensus study; (2) the description of practices, contexts, perceptions and attitudes related to care coordination occupations in oncology using a qualitative and a cross-sectional quantitative survey; (3) the comparison of the practices to the theoretical model to propose a modeling of care coordination occupations in oncology.

• Study Type: Observational
• Enrollment (Actual): 960

Contacts and Locations

Study Locations

• France
  • Avignon, France
    • Institut Sainte Catherine
  • Bordeaux, France
    • CHU de Bordeaux
  • Bordeaux, France
    • Clinique Tiivoli Ducos
  • Langon, France
    • CH Sud Gironde
  • Libourne, France
    • CH de Libourne
  • Paris, France
    • Institut Curie
  • Saint-Priest, France
    • Institut de Cancerologie de La Loire
  • Talence, France
    • HAD Bagatelle
  • Toulouse, France
    • Institut Claudius Regaud
  • Toulouse, France
    • CHU de Toulouse

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Four samples :

• Professionals of cancer care coordination
• Cancer patients
• Family caregivers of the selected patients
• Professionals working with professionals of care coordination

Description

Inclusion Criteria:

• For health institutions: public or private institutions in which nurses contributing to care coordination. Each institution will be associated with one type of coordination occupation, even if other healthcare workers contribute to care coordination in the same institution.
• For professionals of care coordination: nurses contributing to care coordination in oncology (IDEC , IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD or IDE ETP)

• For professionals working with professionals of care coordination:

  • Medical and non-medical healthcare professionals (oncologist, surgeon, nurses…), administrative professionals (secretary…), professionals of supportive care (psychologists, social workers…) and volunteers in patient organizations.
  • Private practitioners: general practitioner, private nurses, pharmacist
• For the patients : adults under supervision of the selected professionals of care coordination for at least four weeks and able to express themselves
• For the caregivers: family caregivers of the selected patients.

Exclusion Criteria:

• For health institutions: private healthcare networks, territorial support platforms, home-based care providers, healthcare houses
• For professionals of care coordination: coordinating medical doctors of care networks, coordinating medical doctors of hospital care at home, practitioners of regional cancer networks.
• For the patients: <18 years old

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Modeling of care coordination in Oncology in France	Constitutive elements of modelling of care coordination in oncology in France (qualitative analysis)	During the whole period (36 months: from Month 1 to Month 36)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Care coordination profesionals quality of life	Three scores : perceived organizational support, role conflict and commitment to the organization	Quantitative cross sectional survey (from Month 10 to Month 29)
Satisfaction with care coordination for profes professionals working with professionals of care coordination	Score of satisfaction	Quantitative cross sectional survey (from Month 10 to Month 29)
Patients quality of life and satisfaction with care coordination	Score of satisfaction and score of quality of life (measured with the European Organization for Research and Treatment (EORTC) quality of life questionnaire)	Quantitative cross sectional survey (from Month 10 to Month 29)
Caregivers burden with care coordination	Score of burdean (Zarit Burden Interview) with care coordination	Quantitative cross sectional survey (from Month 10 to Month 29)
Caregivers satisfaction with care coordination	Score of satisfaction with care coordination	Quantitative cross sectional survey (from Month 10 to Month 29)

Collaborators and Investigators

• Sponsor: University Hospital, Bordeaux

Publications and helpful links

General Publications

• Colombani F, Sibe M, Kret M, Quintard B, Ravaud A, Saillour-Glenisson F. EPOCK study protocol: a mixed-methods research program evaluating cancer care coordination nursing occupations in France as a complex intervention. BMC Health Serv Res. 2019 Jul 12;19(1):483. doi: 10.1186/s12913-019-4307-7.

Study record dates

Study Major Dates

• Study Start (ACTUAL): April 17, 2018
• Primary Completion (ACTUAL): October 2, 2019
• Study Completion (ACTUAL): October 30, 2019

Study Registration Dates

• First Submitted: November 9, 2017
• First Submitted That Met QC Criteria: November 20, 2017
• First Posted (ACTUAL): November 22, 2017

Study Record Updates

• Last Update Posted (ACTUAL): June 19, 2020
• Last Update Submitted That Met QC Criteria: June 18, 2020
• Last Verified: June 1, 2020

More Information

Terms related to this study

• Keywords: Neoplasm; Chronic disease; Care coordination; Complex cases; Oncologic nursing; Theoretical model
• Additional Relevant MeSH Terms: Neoplasms
• Other Study ID Numbers: CHUBX 2016/31

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No