Thursday, November 17, 2016

Our Community - 2016 Survey Results

During September and early October we conducted a #gyncsm community survey. We were so pleased that 84 individuals took our survey. This is up from 37 respondents who completed our 2014 #gyncsm survey. We very much appreciate those who took the time to share their ideas and recommendations. Below are some highlights of the results.
 

The majority of survey respondents were Gynecologic Cancer Patient / Survivors (70.0%) followed by High Risk Individual or Advocate / Previvor (12.5%), Health Care Provider (11.25%), Caregiver / Loved One of a gynecologic cancer patient / survivor (10%) and lastly Cancer Researcher (5%).

The patient / survivor breakdown was:

  • 46.8% ovarian
  • 34.3% endometrial/uterine
  • 14.0% cervical
  • 8% fallopian, primary peritoneal, vulvar or GTD
  • 0% vaginal
  • 7.8% breast
Of the health care professionals who filled out the survey, the majority were nurses (42.8%) or gynecologic oncologists (28.5%). The remaining health care professionals were medical oncologists, radiation oncologists, researchers or genetic counselors.
 

We were interested in how followers interacted with the #gyncsm hashtag, chats and community. 43% of the respondents read the chat blog posts, 43% retweeted using the hashtag, 36% took part in a chat, 38% tweeted using #gyncsm, and 27% read a chat transcript. Less than 10% of the respondents joined us on Smart Patients platform. When asked specifically about our blog site, we found that 50% of the respondents visited our blog.

We asked which of the topics covered over the past three years were most important and these were the top five topics for survey respondents:

  1. Survivorship
  2. Advocacy
  3. Side Effects
  4. Personalized Medicine
  5. Clinical Trials and Support

When asked how they used the information from #gyncsm chats after the chat, the top response was advocating for themselves or others (58%). Also of note, 29% took part in an online support group and used a resource found in our blog posts. 

 

When we asked how we can better help the community and what topics we should discuss, here's some of what we learned:
  • Sometimes the time is either too early or too late.
  • Sometimes the chat is too quick for a meaningful discussion.
  • We should highlight other gyn cancers - endometrial/uterine, cervical were mentioned in particular. Continue to talk about clinical trials and genetics.
  • Talk about health care disparities and outcomes for women of color.
  • Talk about dealing with grief from the loss of friends.
  • Talk about sexuality after treatment.
  • Talk about what is important to younger patients.

We also asked respondents to share their thoughts on our #gyncsm chat/community and how it has has impacted their attitude toward their own health. Some of the things we heard are that #gyncsm provided:
  • Hope.
  • Made me feel part of the community.
  • Encouraged me to take more ownership in my own preventive health and advocacy for others.
  • Appreciate the range of resources offered.
  • Feel more empowered, less alone.
  • Led me to follow up more on some of my side effects and secondary challenges.
  • Wish #gyncsm could be leveraged into a new non-profit for all GYN cancers.
  • I felt like I was alone... there were no support groups near me. #gyncsm made me feel a part of a community.
But we also heard:
  • It is challenging for the hashtag to cover both advocacy/activism AND patient/survivor support - this is a common problem with other disease hashtags.
  • There needs to be more equal support for other cancers.

Lastly we wanted to know how individuals find out about #gyncsm. Respondents found us via:
  • Twitter
  • Other cancer chats
  • Facebook
  • Dee's Blog
  • From a friend
  • Researching cancer
  • Followed @btrfly12
  • NED twitter handle
  • Randomly found the #gyncsm chat
  • Smart Patients

Thank you to all who took this survey and for your continued support. We are using the information from the survey as we make our plans for next year. Remember if you have any other comments or concerns feel free to reach out to gyncsm@gmail.com.

Dee
#gyncsm Co-founder

Wednesday, November 9, 2016

November 9,2016 Your Health Care Team


Tonight we talked about the health care professionals and allied health professionals who are part of the team involved in the care of women diagnosed with a gynecologic cancer.

We were pleased to have 26 participants join in the discussion. Additional analytics may be found here. And the complete transcript here

Here is a quick overview of the topic questions and responses:

T1: Why is it important to think about who is on your health care team? Do you have a defined health care team?
  • Consider post-Cancer experts you may need (ex. fertility), & recognize team members aren't all physicians (nurse navigators)
  • my team is everyone who has helped me get through dx, treatment and now survivorship
  • You have 2 be able 2 effectively communicate w/ your care team; these shouldn't be people you meet once & trust 4 optimal outcome

T2: Which professionals do you include in your health care team? What are some important roles to fill?

Professionals mentioned include: 
medical oncologist
gynecologic oncologist
radiation oncologist
radiologist
nutritionist
genetic counselor
social worker 
financial counselor
therapist
pharmacist
nurse (clinical trial, adv practice, treatment)
primary care physician
mental health support
gyn-urologist

Non-professionals
those who help with insurance , bills, transportation etc
patient groups

T3: What are some possibly over-looked or under-used health care professionals that can have an important impact? 
radiologists
pelvic floor physical therapist
medical librarian 
pharmacist
health coach
nutritionist 
palliative care specialist

T4: Let's look at radiation oncology. What role does #radonc play on your team? Positives, negatives, ways to improve?
  •  T4 The role is coming more to forefront, care plan are being developed specifically for post-treatment for radonc profs
  • Historically, while they may be part of care team, radonc was not weighted in the "patient engagement" strategy. That's changing

T5: For nursing, what have you found to be some of the most valuable impacts? What would you like to see improved? 
  • RNs have a huge role in connecting the dots behind the scenes & caring in clinics 
  • Listening skills and documentation competency!
  • Nurses are also the front line when discussing issues of fertility and sexuality

T6: How do you handle communication and coordination between the members of your health care team?
  • I think, unfortunately, that there is still a need for patients to have their own documentation to facilitate communication
  • Patient is center of care team. Share concerns & ask questions. Improves communication & satisfaction.
  • ask your clinic what options are available: phone calls, texts, secure/HIPAA compliant email, telemedicine might be available
  • Sometimes I think the wisest course is to assume no one has heard anything from anyone else on the team, no matter how vital 

Resources: 

Board Certified Pharmacists as Team members
https://www.youtube.com/watch?v=GCJyQtgruXQ&feature=youtu.be

List of team members via @CancerCare
http://www.cancercare.org/publications/59-your_health_care_team_your_doctor_is_only_the_beginning

National Society of Genetic Counselors
http://www.nsgc.org/

The must-have binder: my key to being an organized patient (or caregiver)
http://lisabadams.com/2011/03/16/the-binder-what-every-patient-should-have/


The next #gyncsm chat is Wednesday, December 14th at 9pmET. The topic is Getting Involved in Research.   

Remember if you are a patient or caregiver you can continue this conversation on the Smart Patients platform at https://www.smartpatients.com/gyncsm.

See you next month. 

Dee 
Co-founder #gyncsm                              


Friday, November 4, 2016

November Chat - Your Health Care Team

This month our chat will look at the role various professionals and others play in the care of those diagnosed with gynecologic cancer. The Your Health Care Team chat will begin at 9pm ET on Wednesday November 9, 2016.

In preparation for this chat, have a look at this short video from SGO:

On Your Side: The Gynecologic Cancer Care Team

And here are the questions we will use to guide our discussion.

T1: Why is it important to think about who is on your health care team? Do you have a defined health care team?

T2: Which professionals do you include in your health care team? What are some important roles to fill?

T3: What are some possibly over-looked or under-used health care professionals that can have an important impact? 

T4: Let's look at radiation oncology. What role does #radonc play on your team? Positives, negatives, ways to improve?


T5: For nursing, what have you found to be some of the most valuable impacts? What would you like to see improved? 

T6: How do you handle communication and coordination between the members of your health care team?

We look forward to you joining us on Wednesday, November 9th.

Dee
Co-Moderator