Table 2 Framework for behavioral interventions recommended by National Institute of Health
Goal | Strategies |
|---|---|
Provider requirements | Intervention nurses must be SCNs. SCNs work in dedicated cancer services and are primarily responsible for care of people at a specific phase or across all phases of the cancer journey or work in a broader context but provide a specialist resource in cancer control to a range of generalist providers (for example, a cancer nurse coordinator). SCNs meet the minimum standard required for specialist practice in cancer nursing as set out in the competency standards from Cancer Australia [27]. Therefore, the nurse delivering the GOSPEL I intervention requires the critical thinking, coordination, and collaboration competencies defined in the SCN competency standards. |
Training providers | Training will be provided to the SCNs to ensure standardization of intervention delivery. Provision of a study manual to all SCNs which includes: • Generic study related information: standard operating procedures, study overview, reporting/documentation guidelines, communication flowchart, rationale for the study treatment, completion of survivorship care plan, self-management goal setting, and health coaching (including motivational interviewing) resources • Interventionist specific information: job description, intervention protocol, quality assurance, and monitoring processes Completion of the eviQ Cancer Survivorship Introductory Course (~ 4.5 h over 6 modules). This course was developed by the Australian Cancer Survivorship Centre in collaboration with Cancer Australia, Queensland University of Technology, and the University of Sydney and is available online free of charge. Completion of face-to-face training from the research team which includes self-management support in cancer care, motivational interviewing techniques, and setting SMART goals. Intervention-specific procedures required for this trial. Education and resources regarding MBS item numbers that facilitate the proposed Model of Care. Resources to support GPs in performing physical examination and blood analysis. |
Delivery of intervention | Intervention procedures are monitored through completion of intervention component checklists to ensure that the intervention is delivered as intended. Intervention checklists are completing during the SCN-led clinic and GP case conferences to track protocol deviations. All nurse-led clinics will be recorded and checked by another member of the research team against the clinic checklist to allow protocol deviation tracking across interventionists and conditions. Minimizing contamination between conditions by training SCNs to address participant questions about randomization and their assigned condition using non-biased explanations. SCNs will be supported during a weekly 15–30-min meeting for the first 3 months of the trial between the SCN and CIA or project manager. In addition to ongoing troubleshooting and support, intervention fidelity will be closely monitored and will be discussed during this meeting. |
Receipt of intervention | The SCP serves as a resource for a participant to understand and refer to whenever they are unsure of follow-up schedule and collaborative goal setting. |
Enactment of treatment skills | Enactment of treatment skills includes processes to monitor and improve participant ability to perform treatment-related behavioral skills and cognitive strategies in relevant real-life settings as intended. This goal will be achieved by: - Ensuring participants are aware of the follow-up schedules and responsibilities of all health professionals - Ensuring participants will have a copy of the completed self-management care plan including all care responsibilities and goals set for the individual |