Which cancer patient completes a psychosocial intervention program?

Gilbar, Ora; Neuman, Ran

doi:10.1002/pon.608

Cited by 15 publications

(12 citation statements)

References 40 publications

(43 reference statements)

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“…After screening for psychosocial dysfunction, 86% of the eligible participants were recruited to the intervention study, with a very low 3-month attrition rate of fewer than 10%. It is postulated that limiting the intervention to participants with known psychosocial distress may account for the high level of adherence with the intervention and this is in keeping with previous research [8,11], which found that those who comply with psychosocial interventions are usually in greater psychological distress. Furthermore, it may be suggested that because the study design was quasiexperimental in nature it permitted participants to 'selfselect' into the experimental or control group and this may also have contributed to high recruitment and completion rates.…”

Section: Discussionmentioning

confidence: 66%

Development and evaluation of a problem-focused psychosocial intervention for patients with head and neck cancer

Semple¹,

Dunwoody²,

Kernohan³

et al. 2008

Support Care Cancer

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Section: Discussionmentioning

confidence: 66%

Development and evaluation of a problem-focused psychosocial intervention for patients with head and neck cancer

Semple¹,

Dunwoody²,

Kernohan³

et al. 2008

Support Care Cancer

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“…30 Another noteworthy finding is the extent to which perceived support from friends and family was a major theme differentiating between women who accepted the referral and those who did not. Although social support has not been found to predict completion of a psychosocial program, 31 it is a key predictor of psychological outcomes among patients with cancer 32 and their caregivers. 33 However, measures of distress, such as the DT, fail to take into account the amount and quality of the social support patients receive from their network.…”

Section: Discussionmentioning

confidence: 99%

Insights Into Preferences for Psycho-Oncology Services Among Women With Gynecologic Cancer Following Distress Screening

Lambert

Kelly

Boyes

et al. 2014

J Natl Compr Canc Netw

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Much attention has been given to implementing routine screening programs in cancer care to improve the management of distress following diagnosis. Although patients might screen positive for distress, several studies have found that most then refuse additional psychosocial support. To inform the development of successful models of distress screening, this qualitative study explored preferences for psychosocial care among 18 women diagnosed with a gynecologic cancer who scored at least 4 on the Distress Thermometer (DT). Participants were recruited from a gynecologic oncology outpatient clinic in Newcastle, Australia, and interviewed. Unanimously, participants felt that completing the DT was an integral part of their cancer care. However, half then refused the referral to see a psychologist. These women typically reported that a referral was not needed, because their rating on the DT reflected transient stressors or physical distress. Many also spoke about their need to cope with the challenges they were facing on their own and the extensive social support they already had in place to help them overcome these challenges. In contrast, women who accepted referral to the psychologist often struggled to cope with several losses they felt had existential and long-term effects. Commonly, these women reported not having the social support they needed, managing several concurrent life stressors, and/or not having the repertoire of coping skills they required to "remain afloat." Findings from this study begin to bridge the gap between clinicians' and patients' expectations of how psychosocial services should be used in response to distress screening.

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“…Some investigators have pointed out the dearth of non-European American samples and the typical low statistical power of research in this area 29. Other research has noted the high levels of drop-out associated with psychosocial interventions for cancer patients 30, 31. Such methodological shortcomings may bias estimates of treatment efficacy 26, 32.…”

Section: Interventions For Cancer Patientsmentioning

confidence: 99%

Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients

Moyer

Sohl

Knapp-Oliver

et al. 2009

Cancer Treatment Reviews

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The considerable amount of research examining psychosocial interventions for cancer patients makes it important to examine its scope and methodological quality. This comprehensive overview characterizes the field with as few exclusions as possible. A systematic search strategy identified 673 reports comprising 488 unique projects conducted over a 25-year time span. Although the literature on this topic has grown over time, the research was predominantly conducted in the United States (57.0%), largely with breast cancer patients (included in 70.5% of the studies). The intervention approach used most frequently was cognitive behavioral (32.4%), the treatment goal was often improving quality of life generally (69.5%), and the professionals delivering the interventions were typically nurses (29.1%) or psychologists (22.7%). Overall, there was some discrepancy between the types of interventions studied and the types of supportive services available to and sought by cancer patients. Strengths of this research include using randomized designs (62.9%), testing for baseline group equivalence (84.5%), and monitoring treatment, which rose significantly from being used in 48.1% to 64.4% of projects over time. However, deficiencies in such areas as examining treatment mechanisms and the adequacy of reporting of methodology, essential for useful syntheses of research on these interventions, remain to be addressed. Methodological challenges related to the complexity of this applied research, such as participants seeking treatment outside of research, contamination, and reactions to randomization, also were apparent. Future research could benefit from closer interactions between academic and voluntary sectors and expanding the diversity of participants. Key termscancer; psychosocial; intervention; treatment; quality of life Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptCancer Treat Rev. Author manuscript; available in PMC 2010 August 1. Interventions for Cancer PatientsAt most recent report, more than 11 million Americans were living with cancer. 1 Cancer's diagnosis, treatment, and aftermath present challenges that can contribute to psychological morbidity and can compromise quality of life. Diagnosis involves many stressors and can provoke worries about functioning, social value, finances, burden on one's family, and death. 2,3 Cancer treatments produce side effects, such as fatigue, nausea, and changes in appearance and functioning that can be difficult to cope with. [4][5][6][7] After treatment is complete, stressors involve continued med...

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Which cancer patient completes a psychosocial intervention program?

Cited by 15 publications

References 40 publications

Development and evaluation of a problem-focused psychosocial intervention for patients with head and neck cancer

Development and evaluation of a problem-focused psychosocial intervention for patients with head and neck cancer

Insights Into Preferences for Psycho-Oncology Services Among Women With Gynecologic Cancer Following Distress Screening

Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients

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