Electronic supportive care screening tool for NESB radiotherapy patients

In 2020–21, WCMICS partnered with Western Health to develop an electronic supportive care screening tool (e-SCST), to meet the particular needs of radiotherapy patients from non-English speaking backgrounds (NESB). The aim was to enhance the experience of people with cancer, their carers, and family, by providing equitable access and a systematic approach to cancer supportive care screening, using a validated electronic tool translated into languages other than English. Health literacy and languages other than English were a specific consideration.

Outcomes

Co-designed infographics were incorporated to complement each problem item, and then translated. Patients can complete the tool on a portable mobile device with results automatically emailed to the health service.

Evaluation included utility testing:

• 100% of pilot patients rated the e-SCST as simple to follow and use
• 95% of patients acknowledged it was important to discuss their concerns during treatment
• 83% of screening results were documented as being discussed with patients.

SC actions following screening were also evaluated. The most common reported by patients was discussion and not needing any additional information (39%), followed by staff arranging a referral to another healthcare professional (28%).

This pilot highlighted the value of using a translated e-SCST in a culturally diverse population. The inclusion of infographics supported health literacy needs. Addressing unmet SC needs using an equitable and systematic approach empowered and enhanced the experience of people with cancer and their families during radiotherapy treatment.