@article{500dc6c40aac422c94330b61e95c9d8e,
title = "Costs of an ostomy self-management training program for cancer survivors",
abstract = "Objective: To measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse–led, small-group, behavior skills–training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care. Methods: The intervention was a 5-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model. Faculty included Wound, Ostomy, and Continence Nurses (WOCNs) using an ostomy care curriculum. A gender-matched peer-in-time buddy was assigned to each ostomy survivor. The 4-session survivor curriculum included the following: self-management practice and solving immediate ostomy concerns; social well-being; healthy lifestyle; and a booster session. The single family caregiver session was coled by a WOCN and an ostomy peer staff member and covered relevant caregiver and ostomate support issues. Each cohort required 8 weeks to complete the intervention. Nonlabor inputs included ostomy supplies, teaching materials, automobile mileage for WOCNs, mailing, and meeting space rental. Intervention personnel were employed by the University of Arizona. Labor expenses included salaries and fringe benefits. Results: The total incremental expense per intervention cohort of 4 survivors was $7246 or $1812 per patient. Conclusions: A WOCN-led group self-help ostomy survivorship intervention provided affordable, effective, care to cancer survivors with ostomies.",
keywords = "Chronic Care Model, bladder cancer, cancer survivorship, colorectal cancer, costs, oncology, ostomy, self-care, social support, wound and ostomy care nursing",
author = "Hornbrook, {Mark C.} and Cobb, {Martha D.} and Tallman, {Nancy J.} and Janice Colwell and Ruth McCorkle and Elizabeth Ercolano and Marcia Grant and Virginia Sun and Wendel, {Christopher S.} and Hibbard, {Judith H.} and Krouse, {Robert S.}",
note = "Funding Information: A telehealth version of OSMT may improve inclusiveness and cost‐effectiveness. A newly funded project by the Patient‐Centered Outcomes Research Institute, entitled “Ostomy Telehealth for Cancer Survivors” (PCOR grant #1507‐31690, PI: Robert S. Krouse MD), is a multisite randomized trial of a telehealth version of OSMT to test the feasibility and acceptability of a Web‐based health intervention for ostomy survivors. Future research should examine innovative models of care and support for ostomates and their family caregivers, including an integrated face‐to‐face small‐group plus telehealth model. Variations on intervention team composition and intervention intensity are also needed to better understand program cost and outcome trade‐offs. Funding Information: The authors graciously acknowledge Octavio Bojorquez from Arizona Cancer Center for collecting the data on OSMT activities, resources, and costs. This work was supported by grants from the National Cancer Institute, National Institutes of Health: grant number R21 CA133337 (University of Arizona, PI: Robert S. Krouse MD), and Arizona Cancer Center Support grant number 5P30CA023074-35 (University of Arizona, PI: Anne Cress MD). An unrestricted donation was received from the Sun Capital Partners Foundation. The contents of this work are solely the responsibility of the authors and do not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health, or any other funders. The funders had no role in the design and conduct of the study, collection, management, analysis and interpretation of the data, preparation, review, or approval of the manuscript. Funding Information: The authors graciously acknowledge Octavio Bojorquez from Arizona Cancer Center for collecting the data on OSMT activities, resources, and costs. This work was supported by grants from the National Cancer Institute, National Institutes of Health: grant number R21 CA133337 (University of Arizona, PI: Robert S. Krouse MD), and Arizona Cancer Center Support grant number 5P30CA023074‐35 (University of Arizona, PI: Anne Cress MD). An unrestricted donation was received from the Sun Capital Partners Foundation. The contents of this work are solely the responsibility of the authors and do not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health, or any other funders. The funders had no role in the design and conduct of the study, collection, management, analysis and interpretation of the data, preparation, review, or approval of the manuscript. Publisher Copyright: Copyright {\textcopyright} 2017 John Wiley & Sons, Ltd.",
year = "2018",
month = mar,
doi = "10.1002/pon.4584",
language = "English (US)",
volume = "27",
pages = "879--885",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "3",
}