Role of Patient Advocacy Groups in Cancer Research

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    ROLE OF PATIENT

    ADVOCACY GROUPS

    IN CANCER

    RESEARCH

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    WHAT IS ADVOCACY?

    Advocacy means set of actions whose main objective is to

    sensitize with a view to influencing decisions about a cause or

    policy in a stated direction and is done by pleading or arguing

    in favor of something.

    In patient advocacy, patients are the objects of the stated good

    to arise from such actions

    Patient advocate is a liaison between patients and healthcare

    providers (HCPs) in order to improve or maintain high quality of

    healthcare for the patients.

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    WHATARETHESHAREDGOALSOFCANCER

    RESEARCHERSANDPATIENTADVOCATES?

    First and foremost is the conquest of cancer, a life-

    threatening disease.

    A secondary goal that supports the first is the advancement

    of the policies and processes involved in cancer research

    that will make those cures possible. And, advocates have

    been strong voices for that research infrastructure.

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    Cancer researchers and patient

    advocates share the goal of

    answeringquestionsthat advance

    patient care, improve quality of life,

    and enhance cancer survivorship.

    In addition, both parties seek to

    ensure that clinical studies are well-

    designed and ethical,minimizing

    patient burdens.

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    HOWHASTHEROLEOFPATIENTADVOCATES

    INCANCERRESEARCHEVOLVED?

    There was a time when researchers did not recognize advocates

    ability to contribute to scientific discussions to the extent that

    they do today.

    However, that has changed dramatically during the past decade.

    Advocates are increasingly considered a valuable and important

    part of the scientific peer-review process.

    In addition to becoming an important part of the peer-review

    process, advocates are also working within the research programs.

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    Advocacy representation is often required by the funding

    organization. This gives advocates the opportunity to

    understand the issues and represent the patient in a new

    way.

    Patient advocacy groups these days lead training programs,develop patient and advocate educational materials, and

    gathers feedback from the community to advance the

    research.

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    WHATROLEDOPATIENTADVOCATESPLAYIN

    CANCERRESEARCH?

    For example, they have played an important role in fundraisingfor

    cancer research.

    At a national level, patient advocates lobby the government to

    give money to cancer and raise funds through philanthropic

    organizations. At the local level, there are innumerable examples

    of advocates raising money for research.

    Patient groups exist to tackle the inequalities of access to

    treatment and information that exist.

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    In addition, advocacy groups educate patients about various

    types of cancer, why clinical trials are important, where they can

    access clinical trials, and how they can maintain a good quality of

    life. In many of these areas, advocacy groups have led the way

    and have been a positive force for improvement.

    An increasing number of advocates are also serving on the many

    advisory boards and committees that comprise some of the

    infrastructure of cancer research.

    In these settings, advocates bring the patient perspective to the

    planning and implementation of clinical studies.

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    They participate in discussionsabout which research topics to

    pursue and suggest ways to minimize patient burdens in clinical

    trial protocols, develop patient-friendly consent forms and

    educational materials, and reduce disparities in clinical trial

    participation by increasing awareness and using culturally

    appropriate materials and methods.

    The advocates also bring a certain level of seriousness to the

    discussions, emphasizing the impact of the research on the lives ofreal men and women down the road.

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    WHATARETHEOPPORTUNITIESTOENHANCETHE

    RELATIONSHIPBETWEENCANCERRESEARCHERS

    ANDPATIENTADVOCATES?

    Advocates can improve their knowledge of the scientific and

    clinical issues in cancer research so they can be well-prepared to

    engage in discussions with researchers.

    Researchers need to recognize the value that advocates bring to

    the research and reach out to them as valuable allies in this fight

    against cancer.

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    Researchers and advocates should increasingly engage in joint

    problem-solving around key research issues, such as boosting

    participation in clinical trials, enhancing participant informed

    consent, determining mandatory versus voluntary tissue sample

    requirements, providing research results to participants, and

    educating the public and newly diagnosed patients about bio-specimen research

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    A FEW CASES OF IMPORTANCE

    In Italy, Europa Donna influenced the Italian government to fundreconstruction surgery at the same time as the initial breast

    surgery rather than subjecting women to two separate procedures.

    Pressure from the global CML patient community in the form of a

    letter writing campaign persuaded the Polish Government to

    prescribe Glivec to patients with CML.

    In the UK, the National Cancer Research Institute (NCRI) has

    patient representation on all strategic committees, working

    groups, clinical studies groups and funding and awards

    committees.

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    In 1991, the USA National Breast Cancer Coalition (NBCC) was

    founded with the mission to eradicate breast cancer through

    political activism and grassroots advocacy. As a result of intensive

    lobbying, the NBCC succeeded in having money appropriated from

    the Department of Defence that had been used for Stars Wars to

    fund breast cancer research.

    European Cancer Patient Coalition (ECPC) is also calling on

    governments to ensure that all new cancer cases and all deaths

    that have cancer as the underlying cause are recorded in cancer

    registries.

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    RECENT CONCERNS

    The Internet is an important source of information and support for

    cancer patients. Many web-based networks, such as the German

    Leukamie-Online, provide support to patients by rapidly spreading

    news about new research and treatment options.

    On the down side patients surfing the net are exposed to many

    inherent dangers and there is a huge amount of cancer related

    information on the Internet, much of which is of dubious quality.

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    There is a concern that many patients do not possess the

    necessary skills to critically appraise the information contained

    on different sites and a real danger that theyll end up on sites

    promoting alternative cancer treatments that dont work.

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    THANK YOU