Introducing "CancerStories” An Innovative Video Diary Programme Providing Peer Support Online Alex J Mitchell www.twitter.com/_alexjmitchell Consultant in Psycho-oncology and Hon SnR University Hospitals Leicester
Sep 13, 2014
Introducing "CancerStories”
An Innovative Video Diary Programme Providing Peer Support Online
Introducing "CancerStories”
An Innovative Video Diary Programme Providing Peer Support Online
Alex J Mitchell www.twitter.com/_alexjmitchell
Consultant in Psycho-oncology and Hon SnRUniversity Hospitals Leicester
We are currently looking for
Evaluators (who help rate)
Partners (who help distribute)
Co-developers (who help expand)
To help us develop and improve cancerstories
What is Ideal Treatment?What is Ideal Treatment?
1. Effective
2. Acceptable
3. Easily accessible (available)
4. Proven (evidence based)
5. Value for money
Ideal TreatmentIdeal Treatment
Conventional Psychosocial Rx.
1. Effective Often
2. Acceptable a little (40%)
3. Easily accessible (available) No
4. Proven (evidence based) mostly
5. Value for money probably
Johnsen Do advanced cancer patients in Denmark receive the help they need? A nationally representative survey of the need related to 12 frequent symptoms/problems Psychooncology. 2012
1000 Adv Cancer Patients in Denmark 1000 Adv Cancer Patients in Denmark (Johnsen, 2013)(Johnsen, 2013)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Pain
Nause
a
Dyspnoe
a
Lacko
fapp
etite
Depre
ssio
n
Work
anddai
lyac
tiviti
es
Physic
alac
tiviti
es
Fatig
ue
Worr
y
Family
andfri
ends
Concen
tratio
n
Sexua
lity
Had Problem
Helped
Adequate Help
Is it time for a Treatment Revolution?Is it time for a Treatment Revolution?
70% with distress do not receive timely psychosocial treatment
60% do not want a classical psychosocial intervention
Provision of services is patchy
Community support often unavailable
Cancer StoriesCancer Stories…power of online guided peer support
Overview of CancerStories!
CancerStories is a collection of true life accounts of how real people coped with cancer
Hugh, Prostate Ca
CancerStories is about the person’s own account, what is meaningful to them, how they coped
Virginia, Lung Ca
All patients have kindly given their consent to record their account for the benefit of future patients
Sue, Breast Ca
Patients are interviewed in an informal but professional style and asked to give an honest but informative account about their cancer journey
Tom, Osteosarcoma
Accounts are between 30- 60mins, enough time to tell others what is really important
Louisa, Breast Ca
Patients can share their own accounts with family and friends before deciding to share with the wider community
John, Prostate Ca
Each account is evaluated by a panel of clinicians and also by other patients
Rupen, Lymphoma
Dissemination of CancerStories!
Evaluation of CancerStories!
EvidenceEvidence
1. Clinicians
2. Patients
3. Trial
Never Very OftenSometimes
0 5 10
Would CS be useful in your clinic?
8
Poor OutstandingAverage
0 5 10
How would you rate CS overall?
9
Improvements to CancerStories
PainFatigueDistressDepressionAnxietyWeight/eatingSleepingFamiliesWorkCaregiversCommunicationComplementary rx
We are multiple
developing 5 minute themes
Improvements to CancerStories