The Distress Thermometer: a rapid and effective tool for the oncology social worker

O'Donnell, Eileen

doi:10.1108/09526861311319573

Cited by 42 publications

(35 citation statements)

References 8 publications

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“…Patients sometimes find it difficult to discuss distress in a way that their cancer care team understands. Several international studies have been undertaken to establish the DT's reliability and validity as a screening instrument . It uses a scale ranging from 0 to 10, as ‘no distress’ to ‘extreme distress’ respectively.…”

Section: Methodsmentioning

confidence: 99%

“…Several international studies have been undertaken to establish the DT's reliability and validity as a screening instrument. 8 It uses a scale ranging from 0 to 10, as 'no distress' to 'extreme distress' respectively. As the DT is a tool frequently used by nurses and allied health staff in this department, patients were already familiar with its use.…”

Section: Survey Developmentmentioning

confidence: 99%

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Deep inspiration breath hold in breast cancer: Development and analysis of a patient experience questionnaire

et al. 2018

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This study produced a useful tool to measure patient experience during DIBH treatment. It demonstrated that the use of the technique was acceptable to patients and did not increase their distress. It provided a compelling case for the provision of tailored, well-communicated information, consistent routine and emotional support for patients throughout their entire treatment. The tool could be employed to assess the patient experience as new technologies are introduced into RT.

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Section: Methodsmentioning

confidence: 99%

Section: Survey Developmentmentioning

confidence: 99%

Deep inspiration breath hold in breast cancer: Development and analysis of a patient experience questionnaire

et al. 2018

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“…The Patient Health Questionnaire for Depression and Anxiety (PHQ‐4) and the NCCN Distress Thermometer are easy‐to‐use tools to identify psychological distress . A score of greater than or equal to three or four are suggested cutoffs on the Distress Thermometer . Both subjective and objective measures of financial toxicity should be included, as objective measurement (such as comparison of OOP cost to income) alone is not reliable …”

Section: Strategies To Reduce Financial Toxicitymentioning

confidence: 99%

Financial toxicity in cancer care: Prevalence, causes, consequences, and reduction strategies

Lentz

Benson

Kircher

2019

Journal of Surgical Oncology

247

229

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Financial toxicity is the adverse impact of a cancer diagnosis on a patient’s financial well‐being resulting from direct or indirect costs. Potential consequences of financial toxicity include material loss, psychological distress, and/or maladaptive coping strategies. This review will summarize the prevalence, causes, and consequences of financial toxicity, with an emphasis on strategies to anticipate and reduce its burden. Improvement will require multilevel, coordinated efforts between stakeholders including patients, providers, health systems, payers, manufacturers, and policymakers.

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“…Patients scoring 4 or above were regarded as requiring intervention. The measure has been used extensively in research among cancer patients and has been recommended for clinical use (Donovan, Grassi, Mcginty, & Jacobsen, 2014;Mitchell, 2007;O'donnell, D'alton, O'malley, Gill, & Canny, 2013) Patients can complete the screening measure on their own such that it would not use the limited clinical visit time. Only patients who will score above the cut-off score can be flagged for the oncologist to further discussion with the patient.…”

Section: Routine Systematic Screening Of Mental Health Distress By mentioning

confidence: 99%

Oncologists’ identification of mental health distress in cancer patients: Strategies and barriers

et al. 2018

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The purpose of this research was to examine oncologists' perspectives on indicators of mental health distress in patients: what strategies they use to identify these indicators, and what barriers they face in this task. Twenty-three oncologists were interviewed, and the grounded theory method of data collection and analysis was used. Oncologists perceived distress to be a normative part of having cancer and looked for affective, physical, verbal and behavioural indicators using a number of strategies. Barriers to identification of mental health distress included difficulty in differentiating between mental health distress and symptoms of the disease, and lack of training. A systematic, time-efficient assessment of symptoms of emotional distress is critical for identification of psychiatric disorders among patients and differentiating normative emotional responses from psychopathology. Clinical bias and misdiagnosis can be a consequence of an ad hoc, intuitive approach to assessment, which can have consequences for patients and their families. Once elevated risk is identified for mental health distress, the patient can be referred to specialised care that can offer evidence-based treatments.

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The Distress Thermometer: a rapid and effective tool for the oncology social worker

Abstract: This was the first time that this internationally recognised tool was used to such an extent and to positive effect in an Irish context.

Cited by 42 publications

References 8 publications

Deep inspiration breath hold in breast cancer: Development and analysis of a patient experience questionnaire

Deep inspiration breath hold in breast cancer: Development and analysis of a patient experience questionnaire

Financial toxicity in cancer care: Prevalence, causes, consequences, and reduction strategies

Oncologists’ identification of mental health distress in cancer patients: Strategies and barriers

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