Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress

Abstract Background The purpose of this study was to investigate associations between self‐reported distress (anxiety/depression) and satisfaction with and desire for virtual follow‐up (VFU) care among cancer patients during and beyond the COVID‐19 pandemic. Methods Breast and prostate cancer patien...

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Main Authors: Jacqueline L. Bender, Sarah Scruton, Geoff Wong, Nazek Abdelmutti, Alejandro Berlin, Julie Easley, Zhihui Amy Liu, Sharon McGee, Danielle Rodin, Jonathan Sussman, Robin Urquhart
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.6948
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author Jacqueline L. Bender
Sarah Scruton
Geoff Wong
Nazek Abdelmutti
Alejandro Berlin
Julie Easley
Zhihui Amy Liu
Sharon McGee
Danielle Rodin
Jonathan Sussman
Robin Urquhart
author_facet Jacqueline L. Bender
Sarah Scruton
Geoff Wong
Nazek Abdelmutti
Alejandro Berlin
Julie Easley
Zhihui Amy Liu
Sharon McGee
Danielle Rodin
Jonathan Sussman
Robin Urquhart
author_sort Jacqueline L. Bender
collection DOAJ
description Abstract Background The purpose of this study was to investigate associations between self‐reported distress (anxiety/depression) and satisfaction with and desire for virtual follow‐up (VFU) care among cancer patients during and beyond the COVID‐19 pandemic. Methods Breast and prostate cancer patients receiving VFU at an urban cancer centre in Toronto, Canada completed an online survey on their sociodemographic, clinical, and technology, characteristics and experience with and views on VFU. EQ5D‐5 L was used to assess distress. Statistical models adjusted for age, gender, education, income and Internet confidence. Results Of 352 participants, average age was 65 years, 48% were women,79% were within 5 years of treatment completion, 84% had college/university education and 74% were confident Internet users. Nearly, all (98%) had a virtual visit via phone and 22% had a virtual visit via video. The majority of patients (86%) were satisfied with VFU and 70% agreed that they would like VFU options after the COVID‐19 pandemic. Participants who reported distress and who were not confident using the Internet for health purposes were significantly less likely to be satisfied with VFU (OR = 0.4; 95% CI: 0.2–0.8 and OR = 0.19; 95% CI: 0.09–0.38, respectively) and were less likely to desire VFU option after the COVID‐19 pandemic (OR = 0.49; 95% CI: 0.30–0.82 and OR = 0.41; 95% CI: 0.23–0.70, respectively). Conclusions The majority of respondents were satisfied with VFU and would like VFU options after the COVID‐19 pandemic. Future research should determine how to optimize VFU options for cancer patients who are distressed and who are less confident using virtual care technology.
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spelling doaj.art-eb88211daaa54289aa57e5592cacb6b42024-03-12T04:52:35ZengWileyCancer Medicine2045-76342024-02-01134n/an/a10.1002/cam4.6948Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distressJacqueline L. Bender0Sarah Scruton1Geoff Wong2Nazek Abdelmutti3Alejandro Berlin4Julie Easley5Zhihui Amy Liu6Sharon McGee7Danielle Rodin8Jonathan Sussman9Robin Urquhart10Cancer Rehabilitation and Survivorship, Department of Supportive Care Princess Margaret Cancer Centre Toronto Ontario CanadaCancer Rehabilitation and Survivorship, Department of Supportive Care Princess Margaret Cancer Centre Toronto Ontario CanadaNuffield Department of Primary Care Health Sciences University of Oxford Oxford UKCancer Quality Lab (CQual) Princess Margaret Cancer Centre Toronto Ontario CanadaDepartment of Radiation Oncology University of Toronto Toronto Ontario CanadaDepartment of Medical Education Horizon Health Network Fredericton New Brunswick CanadaDalla Lana School of Public Health University of Toronto Toronto Ontario CanadaDivision of Medical Oncology, Department of Medicine The Ottawa Hospital and the University of Ottawa Ottawa Ontario CanadaDepartment of Radiation Oncology University of Toronto Toronto Ontario CanadaDepartment of Oncology McMaster University Hamilton Ontario CanadaDepartment of Community Health and Epidemiology Dalhousie University Halifax Nova Scotia CanadaAbstract Background The purpose of this study was to investigate associations between self‐reported distress (anxiety/depression) and satisfaction with and desire for virtual follow‐up (VFU) care among cancer patients during and beyond the COVID‐19 pandemic. Methods Breast and prostate cancer patients receiving VFU at an urban cancer centre in Toronto, Canada completed an online survey on their sociodemographic, clinical, and technology, characteristics and experience with and views on VFU. EQ5D‐5 L was used to assess distress. Statistical models adjusted for age, gender, education, income and Internet confidence. Results Of 352 participants, average age was 65 years, 48% were women,79% were within 5 years of treatment completion, 84% had college/university education and 74% were confident Internet users. Nearly, all (98%) had a virtual visit via phone and 22% had a virtual visit via video. The majority of patients (86%) were satisfied with VFU and 70% agreed that they would like VFU options after the COVID‐19 pandemic. Participants who reported distress and who were not confident using the Internet for health purposes were significantly less likely to be satisfied with VFU (OR = 0.4; 95% CI: 0.2–0.8 and OR = 0.19; 95% CI: 0.09–0.38, respectively) and were less likely to desire VFU option after the COVID‐19 pandemic (OR = 0.49; 95% CI: 0.30–0.82 and OR = 0.41; 95% CI: 0.23–0.70, respectively). Conclusions The majority of respondents were satisfied with VFU and would like VFU options after the COVID‐19 pandemic. Future research should determine how to optimize VFU options for cancer patients who are distressed and who are less confident using virtual care technology.https://doi.org/10.1002/cam4.6948cancerdigital healthdistressfollow‐up caresurvivorship carevirtual care
spellingShingle Jacqueline L. Bender
Sarah Scruton
Geoff Wong
Nazek Abdelmutti
Alejandro Berlin
Julie Easley
Zhihui Amy Liu
Sharon McGee
Danielle Rodin
Jonathan Sussman
Robin Urquhart
Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress
Cancer Medicine
cancer
digital health
distress
follow‐up care
survivorship care
virtual care
title Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress
title_full Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress
title_fullStr Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress
title_full_unstemmed Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress
title_short Virtual follow‐up care among breast and prostate cancer patients during and beyond the COVID‐19 pandemic: Association with distress
title_sort virtual follow up care among breast and prostate cancer patients during and beyond the covid 19 pandemic association with distress
topic cancer
digital health
distress
follow‐up care
survivorship care
virtual care
url https://doi.org/10.1002/cam4.6948
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