Distress in Oncology: Not Just a Psychosocial Phenomenon

Deshields, Teresa L.; Howrey, Hillary L; Vanderlan, Jessica R.

doi:10.1200/jop.18.00222

Cited by 4 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The singleitem Distress Thermometer remains the most commonly used self-report screening tool. Recently, Deshields et al 10 recommended a more global, comprehensive assessment considering multiple components of distress, including physical symptoms. They suggested use of the combined Distress Thermometer and Problem List or the Edmonton Symptom Assessment Scale (ESAS) to better account for physical sources of distress.…”

Section: Discussionmentioning

confidence: 99%

Update on the Implementation of NCCN Guidelines for Distress Management by NCCN Member Institutions

Donovan

Deshields

Corbett³

et al. 2019

Journal of the National Comprehensive Cancer Network

Self Cite

View full text Add to dashboard Cite

The first NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Distress Management were published in 1999. Since then, a number of other organizations have advocated for distress screening. Previous surveys of distress screening showed modest progress in implementation of the NCCN Guidelines for Distress Management by NCCN Member Institutions (MIs); this review examined whether further progress has been made. Representatives appointed to the NCCN Distress Management Panel or their designee were asked to complete an online survey in the summer of 2018. The survey was developed based on similar surveys performed in 2005 and 2012 and a survey of psychosocial staffing conducted in NCCN MIs in 2012. New items solicited details about triaging, rescreening, formal screening protocols, and tracking of distressed patients. The survey was completed by representatives from 23 of 27 NCCN MIs (85%). Among the responding institutions, 20 (87%) currently conduct routine screening for distress and 3 are piloting routine screening. All respondents reported use of a self-report measure to screen for distress, with the Distress Thermometer most often used. A total of 70% of respondents rescreen patients for distress and 83% reported having a formal distress screening protocol in place. Once triaged, 65% of institutions who routinely screen for distress track clinical contacts and referrals; 70% track rates of adherence to screening protocols. Findings suggest wide acceptance and implementation of the NCCN Guidelines. Most respondents reported the existence of a formal distress screening protocol, with routine tracking of clinical contacts and referrals and rates of protocol adherence. Clinical experience and the American College of Surgeons Commission on Cancer accreditation standard for cancer centers appear to have resulted in greater adoption and implementation of the guidelines, but considerable opportunities for improvement remain.

show abstract

Section: Discussionmentioning

confidence: 99%

Update on the Implementation of NCCN Guidelines for Distress Management by NCCN Member Institutions

Donovan

Deshields

Corbett³

et al. 2019

Journal of the National Comprehensive Cancer Network

Self Cite

View full text Add to dashboard Cite

show abstract

“…Distress in an individual extends along a continuum, ranging from common normal feelings of vulnerability, sadness, and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual crisis. As a result, high distress levels in cancer care associates with poorer health outcomes, poorer quality of life, increased morbidity and mortality, increased health care costs, treatment noncompliance, and longer hospital stays (Cochrane et al, 2022;Carlson et al, 2020;Deshields et al, 2018). Thus, recognizing and reducing distress by deve loping personalized psychosocial support is an important component of cancer care (Ercolano et al, 2018;Schiel et al, 2014, Jacobsen et al, 2011.…”

Section: Personalization In Cancer Carementioning

confidence: 99%

Assessment of Health Care Professionals’ Perspectives on Personalized Psychosocial Support Development in Routine Cancer Care

Šamrejienė,

Šimanskienė

2023

Management of Organizations: Systematic Research

View full text Add to dashboard Cite

The article assesses health care professionals’ perspectives on personalized psychosocial support (PPS) development in routine cancer care. Using the methodology of an explanatory longitudinal research design, the factors that condition the development of PPS in the organization are identified from a retrospective and prospective point of view. The results of the research support the evidence regarding the implementation of a person-centered approach in different cancer care settings around the globe and identifies the gaps in developing PPS in cancer care that may be applied to PPS development elsewhere in the country.

show abstract

“…The COVID‐19 pandemic may be a new source of distress, including financial distress, the risk of being immunocompromised, and increased social isolation 237 . Most patients who screen positive for distress cite physical (49%), followed by emotional (42%) and then practical (28%) concerns 238 . Family problems and nutritional concerns are also prevalent.…”

Section: Processesmentioning

confidence: 99%

“…237 Most patients who screen positive for distress cite physical (49%), followed by emotional (42%) and then practical (28%) concerns. 238 Family problems and nutritional concerns are also prevalent.…”

Section: Triage To Relevant Servicesmentioning

confidence: 99%

Addressing distress management challenges: Recommendations from the consensus panel of the American Psychosocial Oncology Society and the Association of Oncology Social Work

Deshields

Gregorio

Flowers

et al. 2021

CA A Cancer J Clinicians

Self Cite

View full text Add to dashboard Cite

Distress management (DM) (screening and response) is an essential component of cancer care across the treatment trajectory. Effective DM has many benefits, including improving patients' quality of life; reducing distress, anxiety, and depression; contributing to medical cost offsets; and reducing emergency department visits and hospitalizations. Unfortunately, many distressed patients do not receive needed services. There are several multilevel barriers that represent key challenges to DM and affect its implementation. The Consolidated Framework for Implementation Research was used as an organizational structure to outline the barriers and facilitators to implementation of DM, including: 1) individual characteristics (individual patient characteristics with a focus on groups who may face unique barriers to distress screening and linkage to services), 2) intervention (unique aspects of DM intervention, including specific challenges in screening and psychosocial intervention, with recommendations for resolving these challenges), 3) processes for implementation of DM (modality and timing of screening, the challenge of triage for urgent needs, and incorporation of patient-reported outcomes and quality measures), 4) organization-inner setting (the context of the clinic, hospital, or health care system); and 5) organization-outer setting (including reimbursement strategies and health-care policy). Specific recommendations for evidence-based strategies and interventions for each of the domains of the Consolidated Framework for Implementation Research are also included to address barriers and challenges.

show abstract

Distress in Oncology: Not Just a Psychosocial Phenomenon

Cited by 4 publications

References 8 publications

Update on the Implementation of NCCN Guidelines for Distress Management by NCCN Member Institutions

Update on the Implementation of NCCN Guidelines for Distress Management by NCCN Member Institutions

Assessment of Health Care Professionals’ Perspectives on Personalized Psychosocial Support Development in Routine Cancer Care

Addressing distress management challenges: Recommendations from the consensus panel of the American Psychosocial Oncology Society and the Association of Oncology Social Work

Contact Info

Product

Resources

About