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Training Prostate Cancer Survivors and Caregivers to Be Peer Navigators: A Blended Online/In-Person Competency-Based Training Program Publisher Pubmed



Bender JL1, 2 ; Flora PK1 ; Milosevic E1 ; Soheilipour S3, 4 ; Maharaj N3 ; Dirlea M1 ; Parvin L3 ; Matthew A5 ; Kazanjian A3
Authors
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Authors Affiliations
  1. 1. ELLICSR Cancer Rehabilitation and Survivorship Program, Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada
  2. 2. Dalla Lana School of Public Health and Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada
  3. 3. Division of Health Services and Policy, School of Population and Public Health, University of British Columbia, Vancouver, Canada
  4. 4. Department of Oral Public Health, Torabinejad Dental Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Surgery, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada

Source: Supportive Care in Cancer Published:2021


Abstract

Purpose: Cancer navigation improves access to support and reduces barriers to care; however, appropriate training of navigators is essential. We developed the TrueNTH Peer Navigation Training Program (PNTP), a competency-based, blended online/in-person course. In this study, we evaluate the feasibility, acceptability, and effectiveness of the PNTP among prostate cancer (PC) survivors (patients, caregivers). Methods: We employed an explanatory mixed method study design consisting of course usage data, pre-/post-questionnaires, and focus groups informed by the Kirkpatrick framework and self-efficacy theory. Results: Three cohorts in two Canadian cities (n = 26) received the PNTP. Participants were motivated to support others like themselves (n = 20), fill a gap (n = 7), pay it forward (n = 6), and offer expertise (n = 4). Recruitment, retention, and questionnaire completion were 96.7%, 89.6%, and 92%. Participants contributed a total of 426 posts to the online forums (2 to 3 posts per participant/module). Satisfaction was 9.4/10 (SD = 0.7) and usability was 84.5/100 (SD = 10.1). All learning outcomes increased: understanding of learning objectives t(23) = − 6.12, p < 0.0001; self-efficacy to perform competencies t(23) = − 4.8, p < 0.0001; and eHealth literacy t(23) = − 4.4, p < 0.0001. Participants viewed the PTNP as intensive but manageable, improving knowledge and confidence and enhancing listening skills. Participants valued the flexibility of online learning, interactive online learning, in-person interactions for relationship building, and authentic role-playing for skill development. Conclusions: A facilitated online training program with in-person components is a highly acceptable and effective format to train PC survivors to become peer navigators. This competency-based peer navigator training program and delivery format may serve as a useful model for other cancer volunteer programs. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.
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1. Web-Based Peer Navigation for Men With Prostate Cancer and Their Family Caregivers: A Pilot Feasibility Study, Current Oncology (2022)
2. Belonging to a Peer Support Group Enhance the Quality of Life and Adherence Rate in Patients Affected by Breast Cancer: A Non-Randomized Controlled Clinical Trial, Journal of Research in Medical Sciences (2011)
3. Impact of Virtual Education Based on Health Belief Model on Cervical Cancer Screening Behavior in Middle-Aged Women: A Quasi-Experimental Study, Cancer Reports (2024)
4. A Contribution Into Developing a Model for Prostate Cancer Self-Care Mobile Application, Medical archives (Sarajevo, Bosnia and Herzegovina) (2018)
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