Aim: Building on previous PhotoVoice study findings, this study explored the feasibility of adding the novel combination of PhotoVoice and TiM to a geriatric assessment (using eRFA) to inform enhanced supportive care decisions.
Methods: A cross-sectional mixed-methods study; new patients who were diagnosed with cancer, attended the Albury-Wodonga Regional Cancer Centre, were ≥70 years of age, and scored ≤14 on the G8 were eligible to participate. A convenience sample n=17 patients completed the Photo-eRFA-TiM assessment. PhotoVoice involved the collection of 2 patient supplied photos; one of the patient’s identity and the other of someone or something important to them. The combined Photos, eRFA and TiM assessments were used to prompt discussions at the weekly ‘Enhanced Supportive Care’ multidisciplinary team (MDT) case meeting to drive supportive care discussion. n=8 patients and n=3 MDT members completed semi-structured interviews focussed on their experience of the Photo-eRFA-TiM approach to geriatric assessment and its utility for informing cancer care decisions.
Results: All patients completed the eRFA and 14 patients completed the TiM and PhotoVoice components; some patients required assistance to complete one or more assessment components. Supplying the photos occurred via a variety of means - digital, electronic transmission and in-person. Preliminary findings suggested that implementing the Photo-eRFA-TiM was feasible, assessments were easy to complete, would be best timed to early in the care journey and enabled clinicians to gain a deeper understanding of the patient and see them beyond the disease.
Conclusion: Based on preliminary findings, the Photo-eRFA-TiM assessment appears feasible and acceptable to older adult patients undergoing cancer care. Incorporation of photos and questions about what matters to individuals through PhotoVoice and TiM may guide person centred enhanced supportive care.