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8/10/2019 Role of Patient Advocacy Groups in Cancer Research
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ROLE OF PATIENT
ADVOCACY GROUPS
IN CANCER
RESEARCH
8/10/2019 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