Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol
Abstract Background Cancer remains an escalating and challenging public health issue. The management, especially palliative care (PC), is disintegrated and out of reach of in need patients. The overall aim of the project is to develop a feasible and scalable Comprehensive Coordinated Community based...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-023-01184-7 |
| _version_ | 1797817685445181440 |
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| author | Mayank Gupta Ankita Kankaria Soumya Swaroop Sahoo Sushma Bhatnagar Rakesh Kakkar Anju Grewal Gegal Pruthi Lajya Devi Goyal |
| author_facet | Mayank Gupta Ankita Kankaria Soumya Swaroop Sahoo Sushma Bhatnagar Rakesh Kakkar Anju Grewal Gegal Pruthi Lajya Devi Goyal |
| author_sort | Mayank Gupta |
| collection | DOAJ |
| description | Abstract Background Cancer remains an escalating and challenging public health issue. The management, especially palliative care (PC), is disintegrated and out of reach of in need patients. The overall aim of the project is to develop a feasible and scalable Comprehensive Coordinated Community based PC model for Cancer Patients (C3PaC); congruent with socio-cultural, context and unmet needs in north India. Methods A mixed method approach will be used for three-phased pre- and post-intervention study in one of the districts of North India, having a high incidence of cancer. During phase I, validated tools will be used for quantitative assessment of palliative needs among cancer patients and their caregivers. Barriers and challenges for provision of palliative care will be explored using in-depth interviews and focus group discussions among participants and health care workers. The findings of phase I along with inputs from national experts and literature review will provide inputs for the development of the C3PAC model in phase II. During phase III C3PAC model will be deployed over a period of 12 months and its impact assessed. Categorical and continuous variables will be depicted as frequency (percentages) and mean ± SD/median (IQR) respectively. Chi-square test/Fischer test, independent samples Student t-tests and Mann–Whitney U tests will be used for categorical, normally and non-normally distributed continuous variables, respectively. Qualitative data will be analyzed using thematic analysis using Atlas.ti 8 software. Discussion The proposed model is designed to address the unmet palliative care needs, to empower community-based healthcare providers in comprehensive home-based PC and to improve the quality of life of cancer patients and caregivers. This model will provide pragmatic scalable solutions in comparable health systems particularly in low- and lower-middle Income countries. Trial registration The study has been registered with the Clinical Trial Registry-India (CTRI/2023/04/051357). |
| first_indexed | 2024-03-13T08:57:06Z |
| format | Article |
| id | doaj.art-1dfc7b5e605a48c7af37e551d1c5b7c6 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-03-13T08:57:06Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-1dfc7b5e605a48c7af37e551d1c5b7c62023-05-28T11:31:01ZengBMCBMC Palliative Care1472-684X2023-05-012211910.1186/s12904-023-01184-7Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocolMayank Gupta0Ankita Kankaria1Soumya Swaroop Sahoo2Sushma Bhatnagar3Rakesh Kakkar4Anju Grewal5Gegal Pruthi6Lajya Devi Goyal7Department of Anaesthesiology, All India Institute of Medical SciencesDepartment of Community and Family Medicine, All India Institute of Medical SciencesDepartment of Community and Family Medicine, All India Institute of Medical SciencesAll India Institute of Medical SciencesDepartment of Community and Family Medicine, All India Institute of Medical SciencesDepartment of Anaesthesiology, All India Institute of Medical SciencesDepartment of Anaesthesiology, All India Institute of Medical SciencesDepartment of Obstetrics and Gynaecology, All India Institute of Medical SciencesAbstract Background Cancer remains an escalating and challenging public health issue. The management, especially palliative care (PC), is disintegrated and out of reach of in need patients. The overall aim of the project is to develop a feasible and scalable Comprehensive Coordinated Community based PC model for Cancer Patients (C3PaC); congruent with socio-cultural, context and unmet needs in north India. Methods A mixed method approach will be used for three-phased pre- and post-intervention study in one of the districts of North India, having a high incidence of cancer. During phase I, validated tools will be used for quantitative assessment of palliative needs among cancer patients and their caregivers. Barriers and challenges for provision of palliative care will be explored using in-depth interviews and focus group discussions among participants and health care workers. The findings of phase I along with inputs from national experts and literature review will provide inputs for the development of the C3PAC model in phase II. During phase III C3PAC model will be deployed over a period of 12 months and its impact assessed. Categorical and continuous variables will be depicted as frequency (percentages) and mean ± SD/median (IQR) respectively. Chi-square test/Fischer test, independent samples Student t-tests and Mann–Whitney U tests will be used for categorical, normally and non-normally distributed continuous variables, respectively. Qualitative data will be analyzed using thematic analysis using Atlas.ti 8 software. Discussion The proposed model is designed to address the unmet palliative care needs, to empower community-based healthcare providers in comprehensive home-based PC and to improve the quality of life of cancer patients and caregivers. This model will provide pragmatic scalable solutions in comparable health systems particularly in low- and lower-middle Income countries. Trial registration The study has been registered with the Clinical Trial Registry-India (CTRI/2023/04/051357).https://doi.org/10.1186/s12904-023-01184-7CancerComprehensive careCommunityDevelopingLow- and lower-middle income countryImplementational research |
| spellingShingle | Mayank Gupta Ankita Kankaria Soumya Swaroop Sahoo Sushma Bhatnagar Rakesh Kakkar Anju Grewal Gegal Pruthi Lajya Devi Goyal Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol BMC Palliative Care Cancer Comprehensive care Community Developing Low- and lower-middle income country Implementational research |
| title | Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol |
| title_full | Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol |
| title_fullStr | Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol |
| title_full_unstemmed | Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol |
| title_short | Comprehensive coordinated community based palliative care (C3PaC) model for cancer patients in North India: a mixed-method implementation research study protocol |
| title_sort | comprehensive coordinated community based palliative care c3pac model for cancer patients in north india a mixed method implementation research study protocol |
| topic | Cancer Comprehensive care Community Developing Low- and lower-middle income country Implementational research |
| url | https://doi.org/10.1186/s12904-023-01184-7 |
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