A5078184672- Economic and Financial Impacts of Cancer
- Cancer survivorship and care
- Advances in Oncology and Radiotherapy
- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Ethics in Clinical Research
- Clinical practice guidelines implementation
- Palliative Care and End-of-Life Issues
- Nutrition and Health in Aging
- BRCA gene mutations in cancer
- Health and Medical Research Impacts
- Childhood Cancer Survivors' Quality of Life
- Stoma care and complications
- Innovations in Medical Education
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- COVID-19 and healthcare impacts
- Sex and Gender in Healthcare
- Health Sciences Research and Education
- Global Health Workforce Issues
- Pharmaceutical Practices and Patient Outcomes
- LGBTQ Health, Identity, and Policy
- Cancer-related cognitive impairment studies
University of Hawaii System
2020-2024
University of Hawaii Cancer Center
2020-2024
Cancer Center of Hawaii
2020-2024
University of Hawaiʻi at Mānoa
2020-2024
National Cancer Institute
2024
Office of Minority Health
2022-2023
PURPOSE Health-related social needs (HRSNs) are associated with adverse cancer health outcomes. We assessed the processes for screening and responding to both HRSNs financial distress described methods used across National Cancer Institute Community Oncology Research Program (NCORP) practices. METHODS The NCORP 2022 Landscape Assessment survey focused on services screen respond within a national network of community oncology calculated proportions practices that screened responded distress,...
PURPOSE Routine collection of sexual orientation (SO) and gender identity (GI; collectively SOGI) in cancer clinics advances care equity. METHODS In 2022, NCI Community Oncology Research Program (NCORP) practice groups were asked about routine SOGI data the electronic health record. The proportions reporting SO and/or GI calculated, group characteristics assessed for associations. RESULTS Of 271 nationwide, 42% (n = 112) collect data, 58% 157) 35% 96) both. multivariate analyses, was...
Background: Oncology advanced practitioners (APs), including nurse practitioners, clinical specialists, physician assistants, and pharmacists contribute significantly to quality cancer care. Advanced enhance value across the spectrum of Research is an underdeveloped component care, as well AP practice. Understanding research-related attitudes roles APs could lead enhanced trial accrual, conduct, protocol development. Methods: A nationwide survey addressing attitudes, beliefs, regarding...
Abstract Background National cancer organizations recommend provision of nutrition, physical activity, and mental health supportive services to survivors. However, the availability these across diverse community oncology settings remains unclear. Methods The Cancer Institute Community Oncology Research Program (NCORP) is a national network practices engaged in research. 2022 NCORP Landscape Assessment (5UG1CA189824) assessed individual practices’ establishment survivorship clinics services,...
Abstract Background Rural populations consistently experience a disproportionate burden of cancer, including higher incidence and mortality rates, compared to the urban populations. Factors that are thought contribute these disparities include limited or lack access care challenges with coordination (CC). In Hawaii, many patients residing in rural areas unique CC as they require inter-island travel for their cancer treatment. this focus group study, we explored specific positive experiences...
Telehealth visits increase patients' access to care and are often rated as "just good" face-to-face by oncology patients. have become increasingly more common in the of patients with cancer since advent COVID-19 pandemic. Asians Pacific Islanders two fastest growing racial groups United States, but there few studies assessing patient satisfaction telemedicine among these groups.Our objective was compare communication during telehealth versus patients, a specific focus on Asian Native...
Aim: To assess the perception of telehealth visits among a multiracial cancer population during coronavirus disease 2019 pandemic. Methods: This cross-sectional study was conducted at outpatient clinics in Hawaii between March and August 2020. Patients were invited to participate survey either by phone or email. Results: Of 212 respondents, 61.3% Asian, 23.6% White 15.1% Native Hawaiians Pacific Islanders. Asians, Islanders less likely desire future compared with Whites. Predictors regard...
PURPOSE We described information technology support and use of telemedicine for cancer care research purposes at community oncology practices within the National Cancer Institute Community Oncology Research Program (NCORP). METHODS used data from NCORP 2017 2022 Landscape Assessments. Separate logistic regression models were to assess factors associated with delivery in (cancer not assessed 2022). RESULTS Information was available 210 259 practice groups excluding pediatric-only 2022,...
Oncology advanced practice providers (APPs), including nurse practitioners, clinical specialists, physician assistants, and pharmacists, contribute significantly to quality cancer care. Understanding the research-related roles of APPs in National Cancer Institute's (NCI) Community Research Program (NCORP) could lead enhanced protocol development, trial conduct, accrual.
Cancer survivorship research faces several recruitment challenges, such as accrual of a representative sample, well participant retention. Our study explores patterns in recruited demographics, patient-reported outcomes (PROs), and retention rates for randomized controlled trial (RCT) utilizing mobile mindfulness intervention the well-being cancer survivors. In total, 123 participants were using traditional online strategies. Using chi-square test independence, type was compared with...
In April 2021, the National Cancer Institute (NCI) Division of Prevention collaborated with NCI Treatment and Diagnosis to produce a virtual workshop that developed recommendations for enhancing NCI-sponsored clinical trial accrual older adults. Prior workshop, multidisciplinary group stakeholders (eg, community oncologists, advanced practice practitioners, clinic research staff, patient advocates) gathered information related adults trials from literature. Subsequently, survey was conducted...
To describe the study protocol of SWOG S1820, a trial Altering Intake, Managing Symptoms intervention for bowel dysfunction in survivors Rectal Cancer (AIMS-RC).
Purpose: Oncology advanced practitioners (APs), including nurse practitioners, physician assistants, clinical specialists, and pharmacists, are skilled health-care providers who contribute significantly to quality cancer care. However, little is known about how APs function within the trials arena. With low rates of trial enrollment among adult oncology patient population, could play an important role in improving enrollment. Methods: A descriptive cross-sectional study was conducted based...
Survivors of rectal cancer experience persistent bowel dysfunction after treatments. Dietary interventions may be an effective approach for symptom management and posttreatment diet quality. SWOG S1820 was a pilot randomized trial the Altering Intake, Managing Symptoms in Rectal Cancer (AIMS-RC) intervention survivors cancer.
Abstract Purpose Many survivors of rectal cancer experience persistent bowel dysfunction. There are few evidence-based symptom management interventions to improve control. The purpose this study is describe recruitment and pre-randomization baseline sociodemographic, health status, clinical characteristics for SWOG S1820, a trial the Altering Intake, Managing Symptoms in Rectal Cancer (AIMS-RC) intervention. Methods S1820 aimed determine preliminary efficacy, feasibility, acceptability...
e13725 Background: Multiple barriers exist in the enrollment of racial and ethnic minority groups into breast cancer screening clinical trials. Such include lack knowledge, mistrust, access. To increase participation rural-dwelling Native Hawaiian/Pacific Islanders (NHPI) other underserved trials, a pilot project was developed to augment community engagement, provide education, gain insights screening/clinical trial process. Our objective engage rural Oahu's communities facilitate Digital...
e13086 Background: Cyclin-dependent kinases (CDK) 4/6 inhibitors are the standard of care, first line treatment for hormone receptor positive metastatic breast cancer and adjuvant high-risk early stage along with endocrine therapy. There have been multiple clinical trials validating effectiveness, toxicities these agents; however, majority lack ethnic diversity. This shortcoming limits ability to apply findings in diverse patient populations, especially among Asian Pacific Islanders Hawaii....
Understanding the experiences of community oncology practices in recruiting informal (unpaid/family) caregivers into research studies can inform strategies to improve caregiver enrollment. We used data from 2022 National Cancer Institute Community Oncology Research Program (NCORP) Landscape Assessment describe experience for practices. Among 258 practice groups, only one-third (30%, 78/258) reported prior studies. In multivariable logistic analyses, having a greater number providers...
Women with high-risk breast lesions, such as atypical hyperplasia (AH) or lobular carcinoma in situ (LCIS), have a 4- to tenfold increased risk of cancer compared women non-proliferative disease. Despite high-quality data supporting chemoprevention, uptake remains low. Interventions are needed break down barriers.
236 Background: Effective care coordination is a key component of high-quality, patient-centered cancer care. However, patients residing in rural areas often experience substantial barriers to and suboptimal coordination. To date, there paucity interventions improve for patients. In this pilot trial, we assessed the feasibility preliminary efficacy remote, tablet-based patient video education intervention focused on among Hawaii. Methods: We conducted single-arm study assess effects novel,...
Abstract Cancer patients residing in rural areas experience substantial barriers to care and suboptimal coordination. To date, there is a paucity of interventions improve coordination for cancer patients. In this study, we conducted pilot trial assess the feasibility efficacy remote, tablet-based patient video education intervention focused on among Hawaii. The utilized single-arm, pre-post design. Our TED-talk style included talks basics, coordination, self-advocacy. Eligible participants...
Abstract Background: Despite evidence of substantial breast cancer risk reduction, few high-risk women adopt chemopreventive medications such as selective estrogen receptor modulators (SERMs) or aromatase inhibitors (AIs). Women with benign disease, atypical hyperplasia (AH) lobular carcinoma in situ (LCIS), have an increased developing and derive a greater benefit from antiestrogens compared to other women. Reasons for low uptake chemoprevention include insufficient patient clinician...
e13678 Background: Telemedicine services have grown tremendously due to the COVID-19 pandemic. We described use of telemedicine for research purposes at community oncology practices. Methods: utilized results from National Cancer Institute Community Oncology Research Program 2017 and 2022 Landscape Surveys, which were designed understand cancer delivery capacity in used multivariable logistic regression examine factors associated purpose 2022, adjusting region, practice ownership type,...