Ana P. Martínez-Donate|Julie Halverson|Norma-Jean Simon|Jeanne Schaaf Strickland|Amy Trentham?Dietz|Paul D. Smith|Rebecca J Linskens|Xinyi Wang
Identifying Health Literacy and Health System Navigation Needs among Rural Cancer Patients: Findings from the Rural Oncology Literacy Enhancement Study (ROLES)
University of Wisconsin Carbone Cancer Center|University of Wisconsin Carbone Cancer Center|University of Wisconsin Carbone Cancer Center|University of Wisconsin Carbone Cancer Center|University of Wisconsin Carbone Cancer Center|University of Wisconsin–Madison|University of Wisconsin Carbone Cancer Center|University of Wisconsin–Madison
rural residence associated disparities cancerrelated outcomes guided chronic care model ccm rural oncology literacy enhancement study roles assessed health literacy patient navigation needs among rural cancer patients mixed methods qualitative quantitative approach used including indepth interviews health literacy assessments phone surveys cancer patients n 53 5 oncology clinics rural wisconsin focus groups selfadministered surveys staff n 41 clinics within four dimensions ccm community resources selfmanagement support delivery system design decision support study uncovered multiple unmet navigation needs health literacy limitations barriers quality cancer care systemlevel implementation patient navigation health literacy best practices could contribute improved cancer care patient outcomes among rural populations research identifying effective interventions reduce cancer disparities among rural cancer patients necessary