Work

PRECEDE-PROCEED model for discharge preparation in first-cycle colorectal cancer chemotherapy: a quasi-experimental study

Year: 2026

Type: article

Abstract: Objective The aim of this study was to evaluate the impact of discharge preparation guided by the PRECEDE-PROCEED model of health education in patients with colorectal cancer undergoing their first cycle of chemotherapy. Methods A total of 168 patients with colorectal cancer receiving their first chemotherapy cycle in the Department of Medical Oncology between January and August 2025 were assigned to either the control group ( n = 82, routine health education) or the experimental group ( n = 86, PRECEDE-PROCEED intervention) based on admission time. Outcomes including readiness for hospital discharge, quality of discharge guidance, home care experience, and readmission rate were compared between the groups. Results Patients in the experimental group demonstrated significantly higher mean scores for total hospital discharge readiness (100.70 ± 3.80 vs 85.77 ± 3.53, p < 0.001), total discharge guidance quality (141.12 ± 3.59 vs 134.28 ± 4.21, p < 0.001), and home care experience on the 5th and 10th days after discharge (28.63 ± 1.95 vs 24.73 ± 2.63, p < 0.001 and 31.19 ± 2.12 vs 26.49 ± 1.86, p < 0.001) compared with the control group. No statistically significant difference was observed between the groups in terms of unplanned readmission within 3 weeks ( p > 0.05). Conclusion Health education based on the PRECEDE-PROCEED model enhanced discharge readiness, the quality of discharge guidance, and the home care experience of patients with colorectal cancer receiving their first cycle of chemotherapy, although it did not significantly reduce unplanned readmission within 3 weeks. These findings suggest that integrating the PRECEDE-PROCEED model into discharge preparation may serve as a low-cost, high-impact intervention to improve transition safety and patient experience in first-cycle CRC chemotherapy.

Source: Frontiers in Oncology

DOI: 10.3389/fonc.2026.1734836