Implementation of a breast cancer survivorship needs assessment tool, an ASCO Quality Training Program initiative.

Abstract

e23232 Background: The 2015 ASCO Breast Cancer Survivorship Guidelines recommend needs assessment, although real-world implementation data are limited. To address this gap, as part of the ASCO Quality Training Program (QTP) 2024, we implemented an electronic breast cancer survivorship needs assessment tool. The goal of the project was to demonstrate feasibility of the tool and actionability of the findings. Methods: From April - November 2024, Stage I–III breast cancer patients at Kaiser Permanente San Francisco scheduled for a 1-year survivorship visit completed an electronic needs assessment tool. Process maps and Plan-Do-Study-Act (PDSA) methodology led to identification of patients active on the electronic portal, who then received survey links via electronic outreach, with a second outreach for nonrespondents. Respondents received tailored online resources from a community health worker through follow-up communication. Results: Out of 119 patients, 116 (97%) had access to the electronic portal. The cohort had a median age of 59.6 years and was 47.4% Asian/Pacific Islander, 36.2% White, 8.6% Hispanic, and 7.8% Multiracial/Other. Disease stages included 50% with Stage I, 30.2% with DCIS, 15.5% with Stage II, and 4.3% with Stage III. Survey response rates were 37%, with a median review time of 1 day and a response time of 4 days. Response rates were 28% with a single outreach and increased to 51% if received a second outreach. There were no differences between respondents and non-respondents in terms of age, race/ethnicity, socio-economic status, stage, receptor status or treatment (P > 0.05 for all categories). Table 1 summarizes main patient-reported needs across domains. All survey respondents received a follow-up communication with informational links related to their needs. Conclusions: Our ASCO QTP project demonstrated the feasibility and actionability of implementing a cancer survivorship needs assessment tool in a community oncology setting without significant differences seen in responders compared to non-responders. Using the PDSA methodology, we identified unmet needs across various domains, addressing key concerns at 1-year survivorship visits and developed a follow-up plan to provide informational resources for each identified need. Domain Total Responsesn=42 (%) Physical Well Being Fatigue 29 (69%)17 (40%) Emotional/Social Wellbeing Fear of cancer coming back 32 (76%)29 (69%) Staying Healthy Eating Healthy 26 (62%)20 (48%) Sexual Health/Fertility Interest /Ability in sexual activity 7 (17%)5 (12%) Practical Taking care of myself 23 (55%)19 (45%) Informational Needs Supplements / Herbs / Vitamins 31 (74%)18 (43%) Displaying the most reported category in each domain.