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What are the key barriers to the implementation of guideline recommendations for breast cancer survivors? Protocol of a mixed methods study.

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Title: What are the key barriers to the implementation of guideline recommendations for breast cancer survivors? Protocol of a mixed methods study.
Authors: Asfour, Sara1, Grad, Roland1 roland.grad@mcgill.ca, Luctkar-Flude, Marian1, Granikov, Vera, Pluye, Piere
Source: Education for Information. 2020, Vol. 36 Issue 1, p19-27. 9p. 1 Diagram, 1 Chart.
Subject Terms: *Mixed methods research, Breast cancer, Family medicine, Questionnaires, Embedded librarians
Abstract: The cancer survival rate has increased and family physicians (FPs) follow cancer survivors who experience long-term problems. Clinical practice guidelines outline best practices in cancer survivor care, but most FPs are unaware of this information. Little is known about specific barriers to survivorship guideline implementation in primary health care. Thus, our objectives are to identify patterns of FP non-use of survivorship guideline recommendations and describe key use-related barriers. The present paper reports a mixed methods study protocol that is implemented. Participants are FPs providing care to at least one breast cancer survivor. Quantitative component: Recommendations are integrated in a mobile application. Through this app, we deliver a weekly alert to one recommendation. FPs can rate recommendations using the validated Information Assessment Method (IAM) questionnaire. We will identify patterns of non-use of recommendations. Qualitative component: We will interview FPs who do not use a recommendation, identify use-related barriers, and assign them to themes related to information non-use. Integration: We will compare quantitative and qualitative results. We anticipate that results will identify unique barriers to implementation of survivorship information, as well as potential solutions and strategies to improve patient care, for example, information specialists producing and disseminating patient health information. Thus, finding barriers and solutions will contribute to the practice of informationists and FPs. [ABSTRACT FROM AUTHOR]
Copyright of Education for Information is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: What are the key barriers to the implementation of guideline recommendations for breast cancer survivors? Protocol of a mixed methods study.
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  Data: <searchLink fieldCode="JN" term="%22Education+for+Information%22">Education for Information</searchLink>. 2020, Vol. 36 Issue 1, p19-27. 9p. 1 Diagram, 1 Chart.
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  Data: *<searchLink fieldCode="DE" term="%22Mixed+methods+research%22">Mixed methods research</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer%22">Breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Family+medicine%22">Family medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Embedded+librarians%22">Embedded librarians</searchLink>
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  Label: Abstract
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  Data: The cancer survival rate has increased and family physicians (FPs) follow cancer survivors who experience long-term problems. Clinical practice guidelines outline best practices in cancer survivor care, but most FPs are unaware of this information. Little is known about specific barriers to survivorship guideline implementation in primary health care. Thus, our objectives are to identify patterns of FP non-use of survivorship guideline recommendations and describe key use-related barriers. The present paper reports a mixed methods study protocol that is implemented. Participants are FPs providing care to at least one breast cancer survivor. Quantitative component: Recommendations are integrated in a mobile application. Through this app, we deliver a weekly alert to one recommendation. FPs can rate recommendations using the validated Information Assessment Method (IAM) questionnaire. We will identify patterns of non-use of recommendations. Qualitative component: We will interview FPs who do not use a recommendation, identify use-related barriers, and assign them to themes related to information non-use. Integration: We will compare quantitative and qualitative results. We anticipate that results will identify unique barriers to implementation of survivorship information, as well as potential solutions and strategies to improve patient care, for example, information specialists producing and disseminating patient health information. Thus, finding barriers and solutions will contribute to the practice of informationists and FPs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Education for Information is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.3233/EFI-190337
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Breast cancer
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      – SubjectFull: Family medicine
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Embedded librarians
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            NameFull: Luctkar-Flude, Marian
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            NameFull: Granikov, Vera
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              Text: 2020
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