Effects of a Provincial-Wide Implementation of Screening for Distress on Healthcare Professionals' Confidence and Understanding of Person-Centered Care in Oncology

Tamagawa, Rie; Groff, Shannon L.; Anderson, Jennifer; Champ, Sarah; DeIure, Andrea; Looyis, Jennifer; Faris, Peter; Watson, Linda

doi:10.6004/jnccn.2016.0135

Cited by 17 publications

(10 citation statements)

References 27 publications

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“…For example, in a study comparing patients who received care either before (n = 740) or after (n = 534) implementation of routine distress screening and appropriate interventions, patients in the post-implementation cohort showed significant improvements in psychological and physical symptoms as well as psychosocial wellbeing [21]. Follow-up analyses in this study assessed clinician confidence in managing distress and demonstrated significant improvements therein [22]. Similarly, in a large randomized controlled trial conducted by Basch et al, investigators found that patients who participated in weekly symptom monitoring via tablet computers actually had improved overall quality of life over time [23].…”

Section: Distress Is Measurable and Actionablementioning

confidence: 79%

Assessing Psychological Toxicity and Patient-Reported Distress as the Sixth Vital Sign in Cancer Care and Clinical Trials

LeBlanc

Kamal

2017

AMA Journal of Ethics

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As the number of available cancer therapies continues to grow, there is increasing interest in their impact on cancer patients' lived experiences. Screening for distress is one way to measure psychological dimensions of cancer patients' experiences, and doing so is increasingly part of standard operations at major cancer centers across the US. To date, however, most clinical trials have not adequately captured patients' experiences as part of their outcome assessments, so clinicians lack data needed to guide their responses to psychological features of patients' illness experiences. As distress becomes the "sixth vital sign" in routine cancer care, we argue that clinical trials should assess patients' experiences in the same way that they robustly screen for adverse events and toxicities. New interventions are needed to address distress.

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Section: Distress Is Measurable and Actionablementioning

confidence: 79%

Assessing Psychological Toxicity and Patient-Reported Distress as the Sixth Vital Sign in Cancer Care and Clinical Trials

LeBlanc

Kamal

2017

AMA Journal of Ethics

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“…In addition, integrating emotion management into tobacco treatment could interplay with organization‐level characteristics. Tamagawa and colleagues 38 found that when distress screening was implemented, healthcare professionals reported greater confidence in managing distress; however, these results were observed only in cancer centers that had “site‐based navigators” (e.g., psychologists and social workers available for complex distress management). To avoid such unintended consequences, tobacco cessation treatment may need to consider program components that assess patients' willingness to participate in emotional management to support patient‐centered decision making, reduce patient burden, and support patients' desire to manage their emotional problems on their own 39,40 .…”

Section: Discussionmentioning

confidence: 99%

Negative affect and the utilization of tobacco treatment among adult smokers with cancer

et al. 2020

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Objective We investigated the patterns of tobacco treatment utilization among US adult smokers with cancer and the role of negative affect as potential individual‐level psychosocial barriers and facilitators influencing quit attempts and tobacco treatment utilization. Methods We analyzed data from the adult sample in Wave 1 (2013–2014) of the Population Assessment of Tobacco and Health (PATH) Study. Using structural equation modeling, we examined (1) the association between cancer diagnosis and negative affect (e.g., depressive mood, anxiety, and distress) and (2) the associations between negative affect and smoking cessation behaviors (i.e., quit attempts and tobacco treatment utilization). Results Compared to adults without cancer, cancer survivors were more likely to have attempted to quit tobacco use in the past 12 months (p < 0.05) and experienced increased negative affect (p < 0.01). However, negative affect appeared to be a psychological barrier to quit attempts, as it was associated with lower likelihood of attempting to quit (p < 0.05). On the other hand, among past‐12‐month quit attempters, negative affect was related to higher likelihood of using any type of tobacco treatment (p < 0.001). Conclusions Negative affect may be a potential underlying mechanism in the relationship between cancer diagnosis status and quit attempts and tobacco treatment utilization, influencing the utilization of tobacco treatment among smokers with cancer. Research is needed to investigate whether integrating emotional management in the oncology setting may effectively aid smoking cessation among patients with cancer.

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“…Health care providers review the completed ppf with patients so as to understand which symptoms or concerns are most troublesome for the patient and to identify symptoms that require further clinical assessment and intervention. A process of shared decision-making with the patient is meant to follow, with the goal of identifying and putting into action the most meaningful clinical responses 20 . The health care provider then documents the patient's priority concern, clinical responses, and any referrals to other providers that have been initiated.…”

Section: Ppf Surveymentioning

confidence: 99%

Patient-Reported Outcomes in Alberta: Rationale, Scope, and Design of a Database Initiative

Cuthbert

Watson

et al. 2019

Current Oncology

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Background The collection of patient reported outcomes (pros) is a standard of care in many cancer organizations. In Alberta, pros have been integrated into routine clinical practice since 2012. This longitudinal collection of pros provides a wealth of data and a unique research opportunity to improve cancer care. The goal of this pro data initiative is to establish a robust repository of information for ongoing clinical care and research focused on pros. In this paper, we describe the rationale, scope, and design of this initiative.Implementation The initiative consists of pros and other administrative health data from the province of Alberta. Retrieval of health data from a variety of provincially governed sources will create a platform of information on pros, health outcomes, cancer data, other health conditions, and demographics. The aims of the initiative are to use the data to inform best practices at the point of care; to conduct health services research, particularly clinical epidemiology studies; and to evaluate a variety of pro-related outcomes.Discussion Because this effort represents our first to integrate routinely collected pros with other administrative health data, a unique and robust data repository will be created. The ability to integrate various types of data will provide a comprehensive mechanism to evaluate a variety of outcomes. Because cancer care in Alberta is governed by a single health care system, the data linkages will include population health and psychosocial cancer data. We anticipate that research related to this initiative will ultimately help to inform more patient-centred care.

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Effects of a Provincial-Wide Implementation of Screening for Distress on Healthcare Professionals' Confidence and Understanding of Person-Centered Care in Oncology

Abstract: Implementation of SFD was beneficial for HCPs' confidence and awareness of person-centeredness. Factors comprising different models of care, such as having site-based navigators and caring for single or multiple tumors, influenced outcomes.

Cited by 17 publications

References 27 publications

Assessing Psychological Toxicity and Patient-Reported Distress as the Sixth Vital Sign in Cancer Care and Clinical Trials

Assessing Psychological Toxicity and Patient-Reported Distress as the Sixth Vital Sign in Cancer Care and Clinical Trials

Negative affect and the utilization of tobacco treatment among adult smokers with cancer

Patient-Reported Outcomes in Alberta: Rationale, Scope, and Design of a Database Initiative

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