Austin Brooks, Gabrielle Young, Sarah Misyak, Meredith Ledlie Johnson, Elena Serrano
Contextual Factors Influencing the Adoption of Physical Activity Direct Education and Policy, Systems, and Environmental Change Initiatives by Virginia EFNEP and SNAP-Ed Staff
Journal of nutrition education and behavior
cancer patients undergo difficult medical therapy also confronted various psychological social economic problems support available many providers patients often gain access accordingly need single point contact provide advice information assistance state saarland germany supportive new consulting information path pikko types cancer currently evaluated german cancer society cancer society saarland three statutory health insurances jena university hospital pikko designed improve quality life selfefficacy health literacy patient satisfaction reduce psychological distress related health care costs days inability work methodical work presents process analysis planning evaluation study population includes cancer types new existing diseases pikko patient navigator oncological knowledge database specialized oncological counseling evaluated within controlled nonrandomized comparative multicenter longitudinal design addition patient surveys data statutory health insurances utilization data web database collected interviews patient navigators doctors carried patients assigned control usual care intervention group u c pikko primary outcome health related quality life sf12 six months baseline secondary outcomes selfefficacy gse psychological distress depression phq9 anxiety gad7 health literacy hlseuq47 patient satisfaction health care qualiskopea furthermore time course direct costs medical care eg work disability days usage data intervention modules analyzed among statistical procedures use ttests univariate tests growth curve models pikko proves effective recommendations made health organizations lead concept rolled throughout germany included oncological guidelines expect pikko useful addition usual cancer care helping improve quality life cancer patients reduce healthcare costs study retrospectively registered german clinical trial register drks00016703 21022019 reason delay prioritization study management first year establish new approach practice httpswwwdrksdedrkswebnavigatedonavigationidtrialhtmltrialiddrks00016703