Results of a pilot study of a web-based care plan to meet the communication needs of breast cancer survivors and their primary care physicians.
Bibliographic record
Abstract
200 Background: Following treatment, breast cancer patients (BCPs) can feel “lost in transition”. Family practitioners (FP) also report feeling ill-equipped to provide follow-up care to breast cancer patients. In this 3-phase qualitative pilot study we designed, implemented and evaluated a multi-faceted care plan (MCP) to address the information/communication needs of BCPs and their FPs. Methods: We first conducted focus groups and interviews with 35 participants from 3 stakeholder groups (BCPs, FPs and oncology team), to identify specific information and communication needs. A MCP was designed based on these findings. The MCP was then evaluated via focus groups and interviews with 26 participants. Interviews and focus groups were audiotaped, transcribed and content analysed for emergent themes and patterns. Results: Pre-implementation, participants identified communication needs pertinent to BCPs and FPs. Patients commented that web-based, paper-based and human resources components are essential to any care plan. Patients did not focus solely on the post-treatment period, but rather spoke of evolving needs throughout their cancer journey. FPs indicated that any tools to support them must distill important information in a readily accessible and easy-to-use format. Based on this needs assessment, a MCP was designed and implemented for BCPs and FPs. This consisted of tailored websites, as well as paper-based care plans and a patient booklet. Patients provided positive feedback about the MCP, indicating that it was effective at addressing many of their needs and commented “I wish I’d had this before”. Suggestions for future improvements to the MCP included greater emphasis on health-and-wellness post-treatment. In addition, some patients voiced resistance to the terms “survivor” and “survivorship” in materials, as they did not self-identify with such terms. Conclusions: This MCP shows promise in addressing the information/communication needs of BCPs and FPs who care for them. Next steps include tool refinement, further evaluation, and planning for more extensive implementation.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".