HomeThe PCMC Journalvol. 17 no. 2 (2021)

Determining Satisfaction with Interpersonal Relationship with Navigator (Sn-I-Ph) Measure Among Caregivers Of Filipino Children with Cancer in a Tertiary Referral Center: A Patient Navigation Research Study

Trixy G. Chu | Julius A. Lecciones

Discipline: medicine by specialism

 

Abstract:

BACKGROUND: Patient navigators are trained to provide support and guidance to patients throughout the cancer care continuum. They help "navigate" through the maze of doctors' clinics, outpatient centers, insurance and payment systems, patient-support organizations, and other components of the health care system. Yet there is no existing patient satisfaction tool to assess the patient navigation program in the Philippines for pediatric cancer. OBJECTIVES: This study aims to evaluate satisfaction with the patient navigation program using a validated Satisfaction with Interpersonal Relationship with Navigator (SN-I-Ph) Measure among Filipino caregivers in a tertiary referral center for childhood cancer. METHODOLOGY: The tool was first translated for cultural appropriateness, translated, and back translated into Filipino; the content validity and internal consistency were tested. Caregivers of Filipino children with cancer were recruited to answer the survey and the results analyzed. OUTCOME: Content validity for all 9 items was acceptable with scores of 4.5-5 and internal consistency showed satisfactory results with cronbach alpha of 0.9067. A total of 202 participants were recruited to join the survey. Results showed mean±SD of 42.6±7.8. All the 9 items showed excellent satisfaction. CONCLUSION: This study showed good satisfaction with the interpersonal relationship of the navigators among caregivers. Participants enrolled in the patient navigation program reported a positive overall experience with the medical care. RECOMMENDATION: The tool is recommended for use among hospitals with the patient navigation program to assess satisfaction of the caregivers. Further studies can assess caregiver’s satisfaction as to logistic aspects as well as how to measure benefits and outcomes with the program.



References:

  1. Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., et al. (2015). Cancer Incidence and Mortality Worldwide: Sources, Methods and Major Patterns in GLOBOCAN 2012. International Journal of Cancer, 136(5), E359–E386. doi:10.1002/ijc.29210.
  2. Bray, F., & Soerjomataram, I. (2015). The Changing Global Burden of Cancer. In H. Gelband, P. Jha, R. Sankaranarayanan, & S. Horton (Eds.), Disease Control Priorities: Volume 3, Cancer (3rd ed.). Washington, DC: World Bank.
  3. Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press.
  4. Freeman, H. P., Muth, B. J., & Kerner, J. F. (1995). Expanding Access to Cancer Screening and Clinical Follow-Up among the Medically Underserved. Cancer Practice, 3, 19–30. [PubMed: 7704057].
  5. CHI NOSL Patient Navigation Affinity Workgroups. (2013). Navigation Program Resource Guide (Best Practices for Patient Navigation Programs). Catholic Health Initiatives.
  6. Freeman, H. P. (2006). Patient Navigation: A Community-Based Strategy to Reduce Cancer Disparities. Journal of Urban Health, 83, 139–141. [PubMed: 16736361].
  7. Howard, S. C., Metzger, M. L., Williams, J. A., Quintana, Y., Pui, C. H., Robison, L. L., & Ribeiro, R. C. (2008). Childhood Cancer Epidemiology in Low-Income Countries. Cancer, 112(3).
  8. Chu, T., Shiu, A., Cruz, M. C., & Gepte, M. B. (2017). Survival of Filipino Children with Acute Lymphoblastic Leukemia Diagnosed in a Tertiary Referral Center for Childhood Cancer: A Retrospective Cohort Study. (Unpublished).
  9. Hede, K. (2006). Agencies Look to Patient Navigators to Reduce Cancer Care Disparities. Journal of the National Cancer Institute, 98, 157–159. doi:10.1093/jnci/djj059.
  10. Patdu, M. P., Liangco, W. L., Ngelangel, C. A., Guerrero, A. M., Ala, M. V., Rosario, R. M., & Marcaida, R. V. (2015). The Effect of DOH-PCSI Patient Navigation Access Program for Breast Cancer on Quality of Care at the Medical Oncology Clinic at the Philippine General Hospital: The First Six Months. Acta Medica Philippina, 49(2).
  11. Redaniel, M. T., Laudico, A., Mirasol-Lumague, M. R., Alcasabas, A. P., Pulte, D., & Benner, H. (2010). Geographic and Ethnic Differences in Childhood Leukaemia and Lymphoma Survival: Comparisons of Philippine Residents, Asian Americans, and Caucasians in the United States. British Journal of Cancer, 103, 149–154.
  12. Freund, K. M., Battaglia, T. A., Calhoun, E., Dudley, D. J., Fiscella, K., Paskett, E., et al. (2008). National Cancer Institute Patient Navigation Research Program: Methods, Protocol, and Measures. Cancer, 113, 3391–3399.
  13. Koh, C., Nelson, J. M., & Cook, P. F. (2011). Evaluation of a Patient Navigation Program. Clinical Journal of Oncology Nursing, 15(1). DOI: 10.1188/11.CJON.41-48.
  14. Herman, E. A., Ashburner, J. M., Atlas, S. J., Chang, Y., & Percac-Lima, S. (2018). Satisfaction with Health Care among Patients Navigated for Preventive Cancer Screening. Journal of Patient Experience, 5(3), 222–230. DOI: 10.1177/2374373517750413.
  15. Jean-Pierre, P., Fiscella, K., Winters, P., Paskett, E., & Patient Navigation Research Program Group. (2012). Cross-Cultural Validation of a Patient Satisfaction with Interpersonal Relationship with Navigator Measure: A Multi-Site Patient Navigation Research Study. Psychooncology, 21(12), 1309–1315. doi:10.1002/pon.2018.
  16. Kanekar, S., & Petereit, D. (2009). Walking Forward: A Program Designed to Lower Cancer Mortality Rates Among American Indians in Western South Dakota. South Dakota Medicine: The Journal of the South Dakota State Medical Association, 62, 151–153. [PubMed: 19402300].
  17. Wells, K. J., Battaglia, T. A., Dudley, D. J., et al. (2008). Patient Navigation: State of the Art or Is It Science? Cancer, 113, 1999–2010. [PubMed: 18780320].
  18. Jean-Pierre, P., Fiscella, K., Winters, P., Post, D., Wells, K., McKoy, J., Battaglia, T., Simon, M., Kilbourn, K., & the Patient Navigation Research Program Group. (2012). Psychometric Development and Reliability Analysis of a Patient Satisfaction with Interpersonal Relationship with Navigator Measure: A Multi-Site Patient Navigation Research Program Study. Psychooncology, 21(9), 986–992. doi:10.1002/pon.2002.
  19. Jean-Pierre, P., Fiscella, K., Winters, P., Paskett, E., & Patient Navigation Research Program Group. (2012). Cross-Cultural Validation of a Patient Satisfaction with Interpersonal Relationship with Navigator Measure: A Multi-Site Patient Navigation Research Study. Psychooncology, 21(12), 1309–1315. doi:10.1002/pon.2018.
  20. Shejila, C. H., Pai, M. S., & Fernandes, D. J. (2015). Oncology Nurse Navigator Programme—A Narrative Review. NUJHS, 5(1), March. ISSN 2249-7110.