{"id":873,"date":"2023-08-09T14:22:14","date_gmt":"2023-08-09T14:22:14","guid":{"rendered":"https:\/\/blogs.exeter.ac.uk\/apex\/?p=857"},"modified":"2025-07-03T08:17:21","modified_gmt":"2025-07-03T08:17:21","slug":"optimise-suspected-cancer-referrals-in-people-with-anxiety-osca","status":"publish","type":"post","link":"https:\/\/sites.exeter.ac.uk\/apex\/2023\/08\/09\/optimise-suspected-cancer-referrals-in-people-with-anxiety-osca\/","title":{"rendered":"Optimise Suspected-Cancer referrals in people with Anxiety (OSCA)"},"content":{"rendered":"<p>Five days before Christmas we received the wonderful news that our NIHR School for Primary Care Research grant application \u201cOSCA\u201d had been successful. Our study focuses on attendance at suspected-cancer investigations in people with anxiety and\/or depression. The ideas arose from NIHR programme grant \u201cSpotting Cancer Among Comorbidities\u201d and from people\u2019s stories about how their anxiety and depression impacted whether they turned up to appointments arranged by their family doctor to test if cancer was causing their symptoms.<\/p>\n<p>In the New Year, we started planning to ensure we\u2019d be ready for our September start. Our study duration \u2013 11 months \u2013 meant that even a slight delay would risk our not completing on schedule. We honed in on ethics and recruitment of a qualitative researcher as the most time-critical tasks. I focused on the former and Liz on the latter.<\/p>\n<p>As an ethics newbie, I was overwhelmed by the number of acronyms, regulatory bodies involved and forms that needed to be completed. Raff Calitri, Pam Baxter, Mary Carter and Grace McCutchan (University of Cardiff), in particular, provided sound guidance as I navigated the Integrated Research Application System. With their support, I actually found it a really useful process \u2013 feedback that the ethics committee confessed they didn\u2019t often receive. The usefulness lay in having the space to walk through and imagine every step of the study and make contingency plans. To our delight we got ethics approval on 25<sup>th<\/sup> July, in plenty of time.<\/p>\n<p>Meanwhile, Liz was navigating the hoops required to recruit a researcher in post. Getting the right balance of essential and desirable criteria that are needed for the job <strong>and<\/strong> likely held by someone at a graduate research assistant grade was hard. As we sat grading our 74 applications, we decided in retrospect that we could have tightened our criteria. We invited a shortlist of ten for interview, of whom three candidates were outstanding. After much deliberation, Luke, Liz and I offered the post to someone with vast experience of listening to people\u2019s stories about being diagnosed with and treated for cancer.<\/p>\n<p>Of the many lessons learned since January, a number stand out. We hadn\u2019t appreciated that the amount of work to set up a study is similar regardless of its study duration \u2013 we\u2019ve decided to avoid applying for multiple small grants in future. Secondly, there\u2019s a lot to be said for naming a researcher on a grant application. Not only does it support them with their career, but it saves on hours of work recruiting a researcher in post. That said, by opening the field we have recruited someone who brings a new skillset to our group. Finally, we will delay choosing an acronym. Our original plan was to study how to <strong>O<\/strong>ptimise <strong>S<\/strong>uspected-<strong>C<\/strong>ancer referrals in people with <strong>A<\/strong>nxiety and\/or depression (hence OSCA). Over time, our research focus shifted and, try as we might, we couldn\u2019t shoehorn attendance at suspected-cancer appointments into \u201cOSCA\u201d, but by then it seemed impossible to change it on the IT systems. One of the first questions that the ethics committee asked us was \u201cwhy OSCA?\u201d to which we had a very lame answer.<\/p>\n<p>Sarah Price &amp; Liz Shepherd<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Five days before Christmas we received the wonderful news that our NIHR School for Primary Care Research grant application \u201cOSCA\u201d had been successful. Our study focuses on attendance at suspected-cancer investigations in people with anxiety and\/or depression. The ideas arose from NIHR programme grant \u201cSpotting Cancer Among Comorbidities\u201d and from people\u2019s stories about how their [&hellip;]<\/p>\n","protected":false},"author":989,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[39],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Optimise Suspected-Cancer referrals in people with Anxiety (OSCA) - Exeter Collaboration for Academic Primary Care (APEx) Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.exeter.ac.uk\/apex\/2023\/08\/09\/optimise-suspected-cancer-referrals-in-people-with-anxiety-osca\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Optimise Suspected-Cancer referrals in people with Anxiety (OSCA) - Exeter Collaboration for Academic Primary Care (APEx) Blog\" \/>\n<meta property=\"og:description\" content=\"Five days before Christmas we received the wonderful news that our NIHR School for Primary Care Research grant application \u201cOSCA\u201d had been successful. Our study focuses on attendance at suspected-cancer investigations in people with anxiety and\/or depression. 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