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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
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15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Sep 13, 2014

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Page 1: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

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

Page 2: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

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

Page 3: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

What is Ideal Treatment?What is Ideal Treatment?

1. Effective

2. Acceptable

3. Easily accessible (available)

4. Proven (evidence based)

5. Value for money

Page 4: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

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

Page 5: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
Page 6: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

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

Page 7: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

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

Page 8: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
Page 9: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
Page 10: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
Page 11: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Cancer StoriesCancer Stories…power of online guided peer support

Page 12: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Overview of CancerStories!

Page 13: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

CancerStories is a collection of true life accounts of how real people coped with cancer

Hugh, Prostate Ca

Page 14: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

CancerStories is about the person’s own account, what is meaningful to them, how they coped

Virginia, Lung Ca

Page 15: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

All patients have kindly given their consent to record their account for the benefit of future patients

Sue, Breast Ca

Page 16: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Patients are interviewed in an informal but professional style and asked to give an honest but informative account about their cancer journey

Tom, Osteosarcoma

Page 17: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Accounts are between 30- 60mins, enough time to tell others what is really important

Louisa, Breast Ca

Page 18: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Patients can share their own accounts with family and friends before deciding to share with the wider community

John, Prostate Ca

Page 19: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Each account is evaluated by a panel of clinicians and also by other patients

Rupen, Lymphoma

Page 20: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Dissemination of CancerStories!

Page 21: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
Page 22: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
Page 23: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Evaluation of CancerStories!

Page 24: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

EvidenceEvidence

1. Clinicians

2. Patients

3. Trial

Page 25: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Never Very OftenSometimes

0 5 10

Would CS be useful in your clinic?

8

Page 26: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Poor OutstandingAverage

0 5 10

How would you rate CS overall?

9

Page 27: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Improvements to CancerStories

Page 28: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

PainFatigueDistressDepressionAnxietyWeight/eatingSleepingFamiliesWorkCaregiversCommunicationComplementary rx

We are multiple

developing 5 minute themes

Improvements to CancerStories

Page 29: 15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)

Thanks to the patients of

CancerStories!

Want to help? Get in [email protected]