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Support Care Cancer. 2020 Jun;28(6):2605-2614. doi: 10.1007/s00520-019-05059-7. Epub 2019 Oct 15.

A core competency framework for prostate cancer peer navigation.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

P K Flora, J L Bender, A S Miller, L Parvin, S Soheilipour, N Maharaj, E Milosevic, A Matthew, A Kazanjian

Affiliations

  1. ELLICSR, Princess Margaret Cancer Centre, University Health Network, 585 University Avenue, Munk Building, B PMB 130, Toronto, ON, M5G2C4, Canada.
  2. ELLICSR, Princess Margaret Cancer Centre, University Health Network, 585 University Avenue, Munk Building, B PMB 130, Toronto, ON, M5G2C4, Canada. [email protected].
  3. School of Population and Public Health, Faculty of Medicine, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T1Z3, Canada.

PMID: 31616997 DOI: 10.1007/s00520-019-05059-7

Abstract

PURPOSE: Trained peer navigators can offer valuable peer support and mentorship to cancer patients and caregivers due to their highly relevant and unique perspective about the disease experience. In order to define the role of prostate cancer (PC) peer navigators within the cancer care system, it is important to establish the essential competencies of a PC peer navigator. We systematically identified and verified a set of core competencies for PC peer navigators and present a competency framework for PC peer navigators.

METHODS: In phase 1, we conducted formative research consisting of a literature review and environmental scan as well as a secondary analysis of qualitative interviews. In phase 2, we drafted and mapped competencies. Finally in phase 3, expert stakeholders completed an anonymous survey to indicate whether they endorsed the competencies and to rank the importance of each competency to the peer navigator role. Open-ended feedback was also provided for each competency.

RESULTS: Six core competency domains emerged: (1) self as navigator, (2) communication, (3) knowledge/information, (4) facilitate patient-centred care, (5) eHealth/technology, and (6) caregiver needs. Forty-seven core competency statements were mapped to these domains. Expert stakeholders (n = 27) included cancer survivors, caregivers, and healthcare providers. Most (89%) of core competency statements were endorsed by stakeholders and received high priority ratings, whereas only five of the competencies were less uniformly endorsed.

CONCLUSIONS: This is the first attempt to list core competencies for PC peer navigators and may offer guidance for standardizing the PC peer navigator role and training.

Keywords: Competency framework; Peer navigation; Peer support; Prostate cancer; eHealth

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