Unmet needs in people with high-grade glioma: defining criteria for stepped care intervention.

Faris, MM; Dhillon, HM; Campbell, R; Halkett, GKB; Miller, A; Chan, RJ; Haydon, HM; Sansom-Daly, UM; Koh, E-S; Ownsworth, T; Nowak, AK; Kelly, B; Leonard, R; Pike, KE; Legge, DM; Pinkham, MB; Agar, MR; BRAINS Program Group,; Shaw, J

Unmet needs in people with high-grade glioma: defining criteria for stepped care intervention.

Faris, MM Dhillon, HM Campbell, R Halkett, GKB Miller, A Chan, RJ Haydon, HM Sansom-Daly, UM Koh, E-S Ownsworth, T Nowak, AK Kelly, B Leonard, R Pike, KE Legge, DM Pinkham, MB Agar, MR BRAINS Program Group, Shaw, J

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Publisher:: OXFORD UNIV PRESS
Publication Type:: Journal Article
Citation:: JNCI Cancer Spectr, 2024, 8, (4), pp. pkae034
Issue Date:: 2024-07-01

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Field	Value	Language
dc.contributor.author	Faris, MM
dc.contributor.author	Dhillon, HM
dc.contributor.author	Campbell, R
dc.contributor.author	Halkett, GKB
dc.contributor.author	Miller, A
dc.contributor.author	Chan, RJ
dc.contributor.author	Haydon, HM
dc.contributor.author	Sansom-Daly, UM
dc.contributor.author	Koh, E-S
dc.contributor.author	Ownsworth, T
dc.contributor.author	Nowak, AK
dc.contributor.author	Kelly, B
dc.contributor.author	Leonard, R
dc.contributor.author	Pike, KE
dc.contributor.author	Legge, DM
dc.contributor.author	Pinkham, MB
dc.contributor.author	Agar, MR
dc.contributor.author	BRAINS Program Group,
dc.contributor.author	Shaw, J
dc.date.accessioned	2024-08-01T03:59:30Z
dc.date.available	2024-04-27
dc.date.available	2024-08-01T03:59:30Z
dc.date.issued	2024-07-01
dc.identifier.citation	JNCI Cancer Spectr, 2024, 8, (4), pp. pkae034
dc.identifier.issn	2515-5091
dc.identifier.issn	2515-5091
dc.identifier.uri	http://hdl.handle.net/10453/179914
dc.description.abstract	BACKGROUND: We aimed to define levels of unmet supportive care needs in people with primary brain tumor and to reach expert consensus on feasibility of addressing patients' needs in clinical practice. METHODS: We conducted secondary analysis of a prospective cohort study of people diagnosed with high-grade glioma (n = 116) who completed the Supportive Care Needs Survey-Short Form during adjuvant chemoradiation therapy. Participants were allocated to 1 of 3 categories: no need ("no need" for help on all items), low need ("low need" for help on at least 1 item, but no "moderate" or "high" need), or moderate/high need (at least 1 "moderate" or "high" need indicated). Clinical capacity to respond to the proportion of patients needing to be prioritized was assessed. RESULTS: Overall, 13% (n = 5) were categorized as no need, 23% (n = 27) low need, and 64% (n = 74) moderate/high need. At least 1 moderate/high need was reported in the physical and daily living domain (42%) and the psychological (34%) domain. In recognition of health system capacity, the moderate/high need category was modified to distinguish between moderate need ("moderate" need indicated for at least 1 item but "high" need was not selected for any item) and high need (at least 1 "high" need indicated). Results revealed 24% (n = 28) moderate need and 40% (n = 46) high need. Those categorized as high need indicated needing assistance navigating the health system and information. CONCLUSIONS: Using four step allocations resulted in 40% of patients indicating high need. Categories may facilitate appropriate triaging and guide stepped models of healthcare delivery.
dc.format	Print
dc.language	eng
dc.publisher	OXFORD UNIV PRESS
dc.relation	Medical Research Future FundMRFBC000016
dc.relation.ispartof	JNCI Cancer Spectr
dc.relation.isbasedon	10.1093/jncics/pkae034
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	3211 Oncology and carcinogenesis
dc.subject.mesh	Humans
dc.subject.mesh	Glioma
dc.subject.mesh	Brain Neoplasms
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Aged
dc.subject.mesh	Health Services Needs and Demand
dc.subject.mesh	Adult
dc.subject.mesh	Chemoradiotherapy, Adjuvant
dc.subject.mesh	Activities of Daily Living
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Glioma
dc.subject.mesh	Brain Neoplasms
dc.subject.mesh	Activities of Daily Living
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Health Services Needs and Demand
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Chemoradiotherapy, Adjuvant
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Glioma
dc.subject.mesh	Brain Neoplasms
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Aged
dc.subject.mesh	Health Services Needs and Demand
dc.subject.mesh	Adult
dc.subject.mesh	Chemoradiotherapy, Adjuvant
dc.subject.mesh	Activities of Daily Living
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Surveys and Questionnaires
dc.title	Unmet needs in people with high-grade glioma: defining criteria for stepped care intervention.
dc.type	Journal Article
utslib.citation.volume	8
utslib.location.activity	England
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	University of Technology Sydney/All Manual Groups
pubs.organisational-group	University of Technology Sydney/All Manual Groups/Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2024-08-01T03:59:27Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	8
utslib.citation.issue	4

Abstract:

BACKGROUND: We aimed to define levels of unmet supportive care needs in people with primary brain tumor and to reach expert consensus on feasibility of addressing patients' needs in clinical practice. METHODS: We conducted secondary analysis of a prospective cohort study of people diagnosed with high-grade glioma (n = 116) who completed the Supportive Care Needs Survey-Short Form during adjuvant chemoradiation therapy. Participants were allocated to 1 of 3 categories: no need ("no need" for help on all items), low need ("low need" for help on at least 1 item, but no "moderate" or "high" need), or moderate/high need (at least 1 "moderate" or "high" need indicated). Clinical capacity to respond to the proportion of patients needing to be prioritized was assessed. RESULTS: Overall, 13% (n = 5) were categorized as no need, 23% (n = 27) low need, and 64% (n = 74) moderate/high need. At least 1 moderate/high need was reported in the physical and daily living domain (42%) and the psychological (34%) domain. In recognition of health system capacity, the moderate/high need category was modified to distinguish between moderate need ("moderate" need indicated for at least 1 item but "high" need was not selected for any item) and high need (at least 1 "high" need indicated). Results revealed 24% (n = 28) moderate need and 40% (n = 46) high need. Those categorized as high need indicated needing assistance navigating the health system and information. CONCLUSIONS: Using four step allocations resulted in 40% of patients indicating high need. Categories may facilitate appropriate triaging and guide stepped models of healthcare delivery.

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http://hdl.handle.net/10453/179914