wetenschapsdag 2023 | 91 Sessie 3b: Chirurgie Voorbij de Scalpel x2 Auteurs S.C. Musters, D. Bloemberg, S. van Dieren, E.J. Nieveen van Dijkum, A.M. Eskes Abstract titel ARTIS-II stepped wedge study of a family involvement program after cancer surgery: study protocol Background Oncological patients depend on family caregivers after surgery, however, family caregivers often feel unprepared to deliver care after discharge. Therefore, we developed a family involvement program (FIP) which led to a reduction in home care dependence. Applicability of the FIP in other settings is unknown and therefore, we aim to determine strategies to sustainably implement the FIP in oncological surgical care. Also, we aim to evaluate the effect of the FIP on patient and family caregiver outcomes. Methods In this hybrid stepped wedge cluster study the FIP will be implemented on surgical wards in six hospitals, starting in December 2023. Each ward will have a control- and transition period followed by an implementation period in which the FIP will be implemented according to our logic model, Normalization Process Theory and Grol & Wensing’s model. Adult patients, scheduled for oncological surgery with an expected hospital stay of at least three days will be eligible for inclusion. Patients need to appoint a family caregiver who is able deliver basic care and is able to be present during hospitalization for at least 8 hours per day. The FIP is comprised of involvement of family caregivers in basic care such as early mobilization, encouraging oral intake, breathing exercises, oral care and supporting active orientation. Patients and family caregivers will have access to a mobile app, which contains written and visual information about basic care activities. Based on power calculations we aim to include 612 patients. The primary outcome is the amount of patients needing home care at discharge and secondary outcomes include patient reported experiences, patient health confidence and caregiver burden and caregiver quality of life. Results NA Conclusion This study will provide hospitals insight how to safely involve family caregivers during hospitalization and how to prepare family caregivers for their role after discharge.
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