COT-7 Online supports for opening of the tumor treating field

Background: EF-14 trial showed the efficacy of tumor treating fields (TTF), and TTF was approved as a standard therapy for glioblastoma in Japan. In TTF opening, Device Support Specialist (DSS) explains how to use it for the patient and the family. Because there is no DSS in Yamaguchi prefecture, DSS has to come to our hospital across other prefectures. On the other hand, COVID-19 is still spreading and it is sometimes tough to move from a big city to countryside. Here, we would present the experiences of TTF opening with online DSS support. Method: From June 2020, Zoom was used for 4 patients, and from June 2021, iPad/Face-Time was used for one patient. TTF was introduced via online DSS support with direct support from our nurse in our out clinic. After that, initial times of TTF change were performed via online DSS support in patient’s home. Two patients who used Zoom had trouble to connect to internet, however finally completed with relative helps.Conclusion: Online medicine should be absolutely spreading in country sides. Now, we change from Zoom to iPad, because the old patients in country sides were hard to use internet utility. We should make efforts to provide patients more brief methods of online support.

Introduction to the Co-Production of Core Competencies for Digital Peer Support: Efforts to Promote Consistency and Standardization of Best Practices (Preprint)

UNSTRUCTURED As digital peer support is quickly expanding across the globe in wake of the COVID-19 pandemic, standardization in the training and delivery of digital peer support can advance the professionalism of this field. While telehealth competencies exist for other fields of mental health practice such as social work, psychiatry, and psychology, limited research has been done to develop and promote digital peer support competencies. The goal of this manuscript is to introduce the co-production of core-competencies which can guide digital peer-support. Peer support specialists were recruited through a listserv and participated in a 1-hour virtual focus group. A total of four focus groups were conducted with 59 peer support specialists from 11 states and 3 countries. Analysis was conducted using RADar, and eleven themes were identified: (1) protecting the rights of service users; (2) technical knowledge and skill in the practice of digital peer support; (3) available technologies; (4) equity of access; (5) digital communication skills; (6) performance-based training; (7) monitoring digital peer support and addressing digital crisis; (8) peer support competencies; (9) self-care (emerging); (10) separating work from personal life (emerging); and (11) whole health (emerging). The introduction of digital peer support core competencies is an initial first step to promote the standardization of best practices in digital peer support. The established competencies can potentially act as a guide for training and skill development to be integrated into state peer support specialist competencies and enhance competencies endorsed by the Substance Abuse for Mental Health Services Administration.

COT-02 The opening of tumor treating fields with online support system

Background: EF-14 trial showed the efficacy of tumor treating fields (TTF), and TTF was approved as a standard therapy for glioblastoma. In TTF opening, Device Support Specialist (DSS) should explain how to use it for the patient and family. However no DSS does always stay in our Yamaguchi prefecture, and DSS has to come to our hospital across other prefectures. On the other hand, COVID-19 infection is still spreading and it is sometimes tough to move from a big city to countryside. Here, we would present the first experience of TTF opening with online DSS support. A case report: A 68 years old man had right hemiparesis. MRI showed multiple lesions in the left hemisphere, and biopsy showed glioblastoma. After 1 month from chemo and radiotherapy, TTF was introduced. DSS from Tokyo explained how to use TTF via PC camera with TV monitor. A skilled neurosurgeon and special nurse also helped them in front of him. His head and the attached array were well checked from DSS with PC camera moving around him. Everything was smooth and he started TTF. Conclusion: Online medicine should be absolutely spreading. In countryside, it is hard that DSS comes to our hospital from a big city. TTF opening could be favorable via online system with skilled medical stuffs.