Perceived benefits of and barriers to psychosocial risk screening in pediatric oncology by health care providers

Barrera, Maru; Alexander, Sarah; Shama, Wendy; Mills, Denise; Desjardins, Léandra; Hancock, Kelly

doi:10.1002/pbc.27429

Cited by 20 publications

(28 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Barriers to implementing the systematic psychosocial screening programs in pediatric oncology include challenges at the institutional, provider/staff, and patient/parent/caregiver levels. Many institutions have limited psychosocial resources available; thus allocating provider or staff time to conduct or review psychosocial screening is an impediment in the organizational context 18–21 . Timely reporting and communication of screening results to relevant teams within an institution can also be difficult 18,20 .…”

Section: Introductionmentioning

confidence: 99%

“…Timely reporting and communication of screening results to relevant teams within an institution can also be difficult 18,20 . Institutional technical support for psychosocial screening is necessary to overcome barriers to secure data storage of screening results and integration of psychosocial screening into patients' electronic health records (EHR) 19,20 . Electronic screening (e‐screening) efforts can be employed to overcome institutional barriers associated with paper administration, 21–23 yet digital solutions can be hindered when organizations do not adopt formalized plans for screening or by e‐screening plans that do not fit within existing clinical workflows at the institution 21 .…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, staff may disagree about who should be responsible for screening (e.g., nurses, social workers, and psychologists) and be concerned about increased workload stemming from screening 18,20 . Achieving consistency in screening can also be challenging when staff hold differing opinions about which screening tool should be used and how often it should be administered 19 . Clinicians have many factors to attend to during a patients' medical appointments, and thus may forget to review or respond to screening results 21 .…”

Section: Introductionmentioning

confidence: 99%

“…Many institutions have limited psychosocial resources available; thus allocating provider or staff time to conduct or review psychosocial screening is an impediment in the organizational context. [18][19][20][21] Timely reporting and communication of screening results to relevant teams within an institution can also be difficult. 18,20 Institutional technical support for psychosocial screening is necessary to overcome barriers to secure data storage of screening results and integration of psychosocial screening into patients' electronic health records (EHR).…”

Section: Introductionmentioning

confidence: 99%

“…18,20 Institutional technical support for psychosocial screening is necessary to overcome barriers to secure data storage of screening results and integration of psychosocial screening into patients' electronic health records (EHR). 19,20 Electronic screening (e-screening) efforts can be employed to overcome institutional barriers associated with paper administration, [21][22][23] yet digital solutions can be hindered when organizations do not adopt formalized plans for screening or by e-screening plans that do not fit within existing clinical workflows at the institution. 21 Beliefs that psychosocial needs are not relevant to oncology treatment or fears that screening will uncover more needs than can be met by staff are among the barriers to screening noted by providers and staff.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Using formative evaluation to plan for electronic psychosocial screening in pediatric oncology

et al. 2020

View full text Add to dashboard Cite

Objective To demonstrate how formative research methods can be used to plan for implementation of evidence‐based psychosocial screening in pediatric oncology. Methods Multidisciplinary pediatric oncology professionals participated in focus groups to adapt the distress thermometer for electronic administration and develop health systems processes to promote psychosocial screening in the pediatric oncology outpatient clinic setting. Seven 1‐hour focus groups were conducted using a structured guide based on the reach, efficacy, adoption, implementation, and maintenance framework and transcribed verbatim. Two independent raters coded transcripts using a quasi‐deductive approach with high inter‐coder reliability (Cohen kappa >0.80). Results Participants' (N = 44) responses were used to identify overarching topics related to the adoption, implementation, and maintenance of electronic screening (e‐screening) including: barriers to meeting families' psychosocial needs, identification of champions, suggestions to adapt the proposed e‐screening program, perceived barriers to e‐screening, and potential impact of carrying out e‐screening. Following review of qualitative data, we employed specific implementation strategies to promote adoption, implementation, and maintenance of an e‐screening program. Conclusions Perceived barriers to the implementation of psychosocial screening remain substantial, yet enthusiasm for using electronic health records (EHRs) technology to help meet patient needs through regular assessment was evident among pediatric oncology professionals. Electronic administration of screening and integration of results into the EHR in real time were identified as critical needs to overcome barriers to e‐screening. Formative research including qualitative data from stakeholders can be used to tailor implementation strategies to successfully support the adoption, implementation, and maintenance of e‐screening programs in pediatric oncology.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Using formative evaluation to plan for electronic psychosocial screening in pediatric oncology

et al. 2020

View full text Add to dashboard Cite

show abstract

Sharing psychosocial risk screening information with pediatric oncology healthcare providers: Service utilization and related factors

Etkin-Spigelman

Hancock

Nathan

et al. 2021

Pediatric Blood & Cancer

Self Cite

View full text Add to dashboard Cite

Background: Psychosocial morbidity in pediatric oncology patients and their caregivers is widely recognized. Although routine systematic psychosocial screening has been proposed as a standard of care, screening is still limited. The present study assessed whether supplying the patient's treating team of healthcare providers with psychosocial risk screening information near diagnosis would increase the rate of documented psychosocial contacts, particularly for patients/families with elevated risk.The effect of demographic and clinical factors was also examined.Procedures: Ninety-three families with a child/youth newly diagnosed with cancer participated. Families were randomly assigned to a care as usual control group (n = 44) or an intervention group (n = 49) where the treating team was provided with a summary of family psychosocial risk, measured by the Psychosocial Assessment Tool (PAT). The PAT was completed by the primary caregiver, who also provided demographic information. The number of psychosocial intervention contacts documented in the medical charts was examined. Results:The rate of psychosocial intervention did not significantly differ between the groups (P > 0.05). The intensity of the child's cancer treatment was found to be the only significant predictor of the number of documented psychosocial intervention contacts (β = 0.396, P < 0.001).Conclusions: Clinical factors appear to be more predictive of the rate of psychosocial intervention provided to pediatric oncology patients and their families than informing the treating team of family psychosocial risk. Additional research is required to address the gap between psychosocial risk screening, psychosocial intervention, and family outcomes.

show abstract

A qualitative examination of the benefits and challenges of a psychosocial screening intervention in pediatric oncology: “Support comes to us”

Hancock

Barrera

Prasad

et al. 2022

Pediatric Blood & Cancer

Self Cite

View full text Add to dashboard Cite

Background: Pediatric cancer diagnosis and treatment can have detrimental mental health effects on parents (caregivers) and their children/adolescents (youth). Psychosocial screening and intervention have been recognized as standards of care in pediatric oncology. The most effective psychosocial interventions to support those in need post screening have not been determined. Aims: This qualitative study aimed to investigate the perceived benefits and challenges for caregiver and youth participants in the screening-intervention arm of an Enhanced Psychosocial Screening Intervention (EPSI) pilot study. Methods: EPSI consists of a psychosocial navigator (PSN) who shares screening results conducted near diagnosis (T1) and monthly for 1 year (T2) with treating teams and families. All 17 caregiver-youth dyads who had completed EPSI were invited to participate in a semi-structured interview.Results: Ten caregivers and nine youth participated. Identified themes were grouped into benefits and challenges of EPSI: feeling supported and cared for (support comes to us regularly, having someone to talk to); and feeling empowered through knowledge of resources and services were perceived as benefits. Caregivers were challenged by feeling overwhelmed, and youth by screening questions perceived as too repetitive.Conclusions: Regular monthly contacts for a year by the PSN with screening results and recommendations were perceived as beneficial by youth newly diagnosed with cancer and their caregivers who participated in EPSI. Feeling that support came to them and they had someone to talk to was a critical component. While information about psychosocial resources was not always used right away, it did evoke feelings of being empowered.

show abstract

Perceived benefits of and barriers to psychosocial risk screening in pediatric oncology by health care providers

Abstract: These findings highlight the importance of addressing HCPs' perceptions of benefits, barriers, and practical issues regarding implementing psychosocial risk screening.

Cited by 20 publications

References 21 publications

Using formative evaluation to plan for electronic psychosocial screening in pediatric oncology

Using formative evaluation to plan for electronic psychosocial screening in pediatric oncology

Sharing psychosocial risk screening information with pediatric oncology healthcare providers: Service utilization and related factors

A qualitative examination of the benefits and challenges of a psychosocial screening intervention in pediatric oncology: “Support comes to us”

Contact Info

Product

Resources

About