Developing and maintaining the resilience of interdisciplinary cancer care teams: an interventional study
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(2020) 20:1039
STUDY PROTOCOL
Open Access
Developing and maintaining the resilience of interdisciplinary cancer care teams: an interventional study Carl-Ardy Dubois1,2* , Roxane Borgès Da Silva1,2, Mélanie Lavoie-Tremblay3, Bernard Lespérance2, Kathleen Bentein4, Alain Marchand5, Sara Soldera6, Christine Maheu3, Sébastien Grenier7 and Marie-Andrée Fortin8
Abstract Background: Providing care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional intervention continuums that contribute to developing the resilience of interdisciplinary cancer care teams and thereby reduce the burden associated with mental health problems. The project is based on resources theories and theories of empowerment. Methods: The study will involve cancer care teams at four institutions and will use a mixed-model design. It will be organized into three components: (1) Intervention development. Rather than impose a single way of doing things, the project will take a participatory approach involving a variety of mechanisms (workshops, discussion forums, surveys, observations) to develop interventions that take into account the specific contexts of each of the four participating institutions. (2) Intervention implementation and assessment. The purpose of this component is to implement the four interventions developed in the preceding component, assess their effects and whether they are cost effective. A longitudinal quasi-experimental design will be used. Intervention monitoring will extend over 12 months. The effects will be assessed by means of generalized estimating equation regressions. A cost-benefit analysis will be performed to assess the cost-effectiveness of the interventions, taking an institutional perspective (costs and benefits associated with the intervention). (3) Analysis of co-construction and implementation process. The purpose of this component is to (1) describe and assess the approaches used to engage stakeholders in the co-construction and implementation process; (2) identify the factors that have fostered or impeded the co-construction, implementation and long-term sustainability of the interventions. The proposed design is a longitudinal multiple case study. (Continued on next page)
* Correspondence: [email protected] 1 Département de gestion, d’évaluation et de politique de santé, École de santé publique de l’Université de Montréal, Montreal, Canada 2 Centre de recherche en santé publique, CIUSSS du Centre-Sud-de-l’Île-de-Montréal et Université de Montréal, Montreal, Canada Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Co
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