BACKGROUND: There is considerable uncertainty regarding the acceptability of routine distress screening. METHODS: In an unfunded implementation study, the authors asked 50 clinicians (chemotherapy nurses and treatment radiographers/radiation technologists) to implement a screening program for distress as part of routine care and to record their feedback after each clinical encounter. In total, 379 patients were screened using a simple paper-and-pencil versions of distress thermometer and the emotion thermometer (ET). RESULTS: Across all screening applications, clinicians believed that screening was useful during 43% of assessments and was not useful during 35.9% of assessments, and they were unsure or neutral in 21.1% of assessments. The application of the screening program assisted staff in changing their clinical opinion after 41.9% of assessments, and clinicians believed that the screening program helped with communication in >50% of assessments. However, 37.5% believed that screening was impractical for routine use, and more chemotherapy nurses than radiographers rated the screening program as "not useful." On multivariate analysis, 3 variables were associated with high staff satisfaction with screening, namely, receipt of prior training, talking with the patient about psychosocial issues, and improved detection of psychological problems. A favorable perception of screening also was linked to a change in clinical opinion. CONCLUSIONS: Opinions of cancer clinicians regarding routine distress screening were mixed: Approximately 33% considered screening not useful/impractical, whereas >50% n believed promoted good communication and/or helped with recognition. Clinicians who were more positive about screening gained greater benefits from screening in terms of communication and recognition. Cancer 2012; 118:6260-9. (C) 2012 American Cancer Society.
机构:
Mayo Clin Phoenix, Div Hematol Oncol, Phoenix, AZ USAMayo Clin Phoenix, Div Hematol Oncol, Phoenix, AZ USA
Khera, Nandita
Holland, Jimmie C.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, 1275 York Ave, New York, NY 10021 USAMayo Clin Phoenix, Div Hematol Oncol, Phoenix, AZ USA
Holland, Jimmie C.
Griffin, Joan M.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin Rochester, Kern Ctr Sci Hlth Care Delivery, Div Hlth Care Policy & Res, Rochester, MN USAMayo Clin Phoenix, Div Hematol Oncol, Phoenix, AZ USA
机构:
Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York, NY 10022 USAMem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York, NY 10022 USA
Holland, Jimmie C.
[J].
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK,
2013,
11
(5.5):
: 687
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689