alexa Abstract | Development of a patient-administered selfassessment tool (SATp) for follow-up of colorectal cancer patients in general practice

Quality in Primary Care
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Research Paper Open Access


Background: Treatment for colorectal cancer (CRC) may
result in physical, social, and psychological needs that affect
patients’ quality of life post-treatment. A comprehensive
assessment should be conducted to identify these needs in CRC
patients post treatment, however, there is a lack of tools and
processes available in general practice.
Aims: This study aimed to develop a patient-completed
needs screening tool that identifies potentially unmet physical,
psychological, and social needs in CRC and facilitates
consultation with a general practitioner (GP) to address these
Methods: The development of the self-assessment tool for
patients (SATp) included a review of the literature; face and
content validity with reference to an expert panel; psychometric
testing including readability, internal consistency, and test–
retest reliability; and usability in clinical practice.
Results: The SATp contains 25 questions. The tool had
internal consistency (Cronbach’s alpha 0.70–0.97), readability
(reading ease 82.5%), and test–retest reliability (kappa 0.689–
1.000). A total of 66 patients piloted the SATp. Participants
were on average 69.2 (SD 9.9) years old and had a median
follow-up period of 26.7 months. The SATp identified a total
of 547 needs (median 7 needs/per patient; IQR [3–12.25]).
Needs were categorised into social (175[32%]), psychological
(175[32%]), and physical (197[36%]) domains.
Conclusion: SATp is a reliable self-assessment tool useful
for identifying CRC patient needs. Further testing of this tool
for validity and usability is underway.

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Author(s): Irene Ngune


colorectal cancer, needs assessment, tool development, follow-up care, patient unmet needs, Innovative primary care, Primary care medicines, Advanced concepts in primary care

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