Building on Existing Tools to Improve Cancer and Chronic Disease Prevention and Screening in Primary Care for Wellness of Cancer Survivors and Patients: The BETTER WISE Project
Although most patients have multiple risk factors for cancer and chronic disease, most family physician guidelines and resources are focused on one specific disease, organ system, or lifestyle risk. Furthermore, cancer survivors and patients living in poverty are less likely to achieve prevention and screening goals. The BETTER WISE project uses an integrated, tailored, multifaceted approach that proactively targets patients in the family practice setting in order to comprehensively address prevention and screening for cancer and chronic disease. It has already been shown that patients enrolled in the BETTER Program achieve more prevention and screening targets than patients receiving usual care. This project expands the approach to include a focus on cancer survivors and patients experiencing poverty. Using a randomized clinical trial methodology, this project will allow the research team to determine if patients enrolled in the BETTER approach have improved cancer surveillance and prevention and screening outcomes compared to standard care. Patients aged 40 to 65 will be invited to participate in 16 clinics across Alberta, Ontario, and Newfoundland and Labrador. The intervention includes an initial patient health survey and a review of the patient’s medical record, followed by a one-hour motivational interview with a prevention practitioner. Together, the patient and practitioner will set the patient’s prevention and screening goals and the goals will be assessed for achievement, then revised, and re-assessed every six months for two years.