Changes in psychosocial distress and the number and types of problems reported by patients with cancer when routine screening is integrated within cancer services

Faris, MM; Shepherd, HL; Butow, PN; Kelly, P; He, S; Grimison, P; Kelly, B; Shaw, JM; Beale, P; Clayton, J; Cuddy, J; Davies, F; Dhillon, H; Geerligs, L; Girgis, A; Hack, T; Harris, M; Kirsten, L; Lindsay, T; Lovell, M; Luckett, T; Masya, L; Murphy, M; Newby, J; Piro, D; Rankin, N; Shaw, T; Viney, R; Yim, J

Changes in psychosocial distress and the number and types of problems reported by patients with cancer when routine screening is integrated within cancer services

Faris, MM Shepherd, HL Butow, PN Kelly, P He, S Grimison, P Kelly, B Shaw, JM Beale, P Clayton, J Cuddy, J Davies, F Dhillon, H Geerligs, L Girgis, A Hack, T Harris, M Kirsten, L Lindsay, T Lovell, M

Luckett, T

Masya, L Murphy, M Newby, J Piro, D Rankin, N Shaw, T Viney, R

Yim, J

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Publisher:: Wolters Kluwer
Publication Type:: Journal Article
Citation:: Journal of Psychosocial Oncology Research and Practice, 2024, 6, (2), pp. 131
Issue Date:: 2024-04-01

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Field	Value	Language
dc.contributor.author	Faris, MM
dc.contributor.author	Shepherd, HL
dc.contributor.author	Butow, PN
dc.contributor.author	Kelly, P
dc.contributor.author	He, S
dc.contributor.author	Grimison, P
dc.contributor.author	Kelly, B
dc.contributor.author	Shaw, JM
dc.contributor.author	Beale, P
dc.contributor.author	Clayton, J
dc.contributor.author	Cuddy, J
dc.contributor.author	Davies, F
dc.contributor.author	Dhillon, H
dc.contributor.author	Geerligs, L
dc.contributor.author	Girgis, A
dc.contributor.author	Hack, T
dc.contributor.author	Harris, M
dc.contributor.author	Kirsten, L
dc.contributor.author	Lindsay, T
dc.contributor.author	Lovell, M https://orcid.org/0000-0002-1407-2748
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409
dc.contributor.author	Masya, L
dc.contributor.author	Murphy, M
dc.contributor.author	Newby, J
dc.contributor.author	Piro, D
dc.contributor.author	Rankin, N
dc.contributor.author	Shaw, T
dc.contributor.author	Viney, R https://orcid.org/0000-0002-0039-9635
dc.contributor.author	Yim, J
dc.date.accessioned	2024-09-18T03:50:27Z
dc.date.available	2024-09-18T03:50:27Z
dc.date.issued	2024-04-01
dc.identifier.citation	Journal of Psychosocial Oncology Research and Practice, 2024, 6, (2), pp. 131
dc.identifier.issn	2637-5974
dc.identifier.issn	2637-5974
dc.identifier.uri	http://hdl.handle.net/10453/180839
dc.description.abstract	Background: The impact of patient-reported outcome measures on patient outcomes in longitudinal clinical studies is poorly understood. This observational study explored longitudinal changes in distress and problems reported by cancer patients screened and managed in accordance with a clinical pathway for anxiety and depression (ADAPT CP), implemented over 12 months. Methods: Patients reported distress using the Distress Thermometer and indicated reasons for distress using the 39-item Problem List across five domains: practical, social, emotional, spiritual/religious, and physical. Repeat screening occurred on average 3 monthly (quarterly). Results: Six hundred sixty patients from 10 participating services completed 1,256 screening events over 12 months, reporting 8,645 problems. On average, more emotional (27-34%) and physical (19-22%) issues were reported across all quarters than practical (7-9%) and social (8-9%) issues. Distress and emotional, physical, practical, and social problems reduced from initial to follow-up screens, although the decrease in emotional problems over time was not significantly different than that of the other problems. Worry, fatigue, sleep difficulties, health of family members, and insurance/finances were more persistent problems. Conclusions: Although distress and the change in the number of emotional concerns over time did not differ from other problems, rescreening is recommended within oncology settings to allow patients to indicate new or persistent problems and hospital staff to monitor and assess needs. Emotional concerns are high in oncology patients, suggesting the need for the prioritization of psychosocial care. These problems can persist over time due to their clinically challenging nature or because access to, or implementation of, evidence-based interventions are not yet widespread.
dc.language	en
dc.publisher	Wolters Kluwer
dc.relation.ispartof	Journal of Psychosocial Oncology Research and Practice
dc.relation.isbasedon	10.1097/OR9.0000000000000131
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Changes in psychosocial distress and the number and types of problems reported by patients with cancer when routine screening is integrated within cancer services
dc.type	Journal Article
utslib.citation.volume	6
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres/IMPACCT
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres/Centre for Health Economics Research and Evaluation
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Economics Research and Evaluation (CHERE)
pubs.organisational-group	University of Technology Sydney/UTS Groups/Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT)
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2024-09-18T03:50:25Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	6
utslib.citation.issue	2

Abstract:

Background: The impact of patient-reported outcome measures on patient outcomes in longitudinal clinical studies is poorly understood. This observational study explored longitudinal changes in distress and problems reported by cancer patients screened and managed in accordance with a clinical pathway for anxiety and depression (ADAPT CP), implemented over 12 months. Methods: Patients reported distress using the Distress Thermometer and indicated reasons for distress using the 39-item Problem List across five domains: practical, social, emotional, spiritual/religious, and physical. Repeat screening occurred on average 3 monthly (quarterly). Results: Six hundred sixty patients from 10 participating services completed 1,256 screening events over 12 months, reporting 8,645 problems. On average, more emotional (27-34%) and physical (19-22%) issues were reported across all quarters than practical (7-9%) and social (8-9%) issues. Distress and emotional, physical, practical, and social problems reduced from initial to follow-up screens, although the decrease in emotional problems over time was not significantly different than that of the other problems. Worry, fatigue, sleep difficulties, health of family members, and insurance/finances were more persistent problems. Conclusions: Although distress and the change in the number of emotional concerns over time did not differ from other problems, rescreening is recommended within oncology settings to allow patients to indicate new or persistent problems and hospital staff to monitor and assess needs. Emotional concerns are high in oncology patients, suggesting the need for the prioritization of psychosocial care. These problems can persist over time due to their clinically challenging nature or because access to, or implementation of, evidence-based interventions are not yet widespread.

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http://hdl.handle.net/10453/180839