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Focusing on cancer patients' intentions to use psychooncological support: A longitudinal, mixed-methods study.
Tondorf, T; Grossert, A; Rothschild, S I; Koller, M T; Rochlitz, C; Kiss, A; Schaefert, R; Meinlschmidt, G; Hunziker, S; Zwahlen, D.
Afiliación
  • Tondorf T; Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
  • Grossert A; Department Medical Oncology, University Hospital Basel, Basel, Switzerland.
  • Rothschild SI; Clinical Psychology and Psychotherapy, Department of Psychology, University of Basel, Basel, Switzerland.
  • Koller MT; Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
  • Rochlitz C; Department Medical Oncology, University Hospital Basel, Basel, Switzerland.
  • Kiss A; Clinical Psychology and Psychotherapy, Department of Psychology, University of Basel, Basel, Switzerland.
  • Schaefert R; Department Medical Oncology, University Hospital Basel, Basel, Switzerland.
  • Meinlschmidt G; Swiss Transplant Cohort Study (STCS), University Hospital Basel, Basel, Switzerland.
  • Hunziker S; Department Medical Oncology, University Hospital Basel, Basel, Switzerland.
  • Zwahlen D; Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Psychooncology ; 27(6): 1656-1663, 2018 06.
Article en En | MEDLINE | ID: mdl-29656415
OBJECTIVE: Distress screening programs aim to ensure appropriate psychooncological support for cancer patients, but many eligible patients do not use these services. To improve distress management, we need to better understand patients' supportive care needs. In this paper, we report the first key finding from a longitudinal study that focused on patients' intentions to use psychooncological support and its association with distress and uptake of the psychooncology service. METHODS: We conducted a prospective, observational study in an Oncology Outpatient Clinic and assessed distress, intention to use psychooncological support, and uptake of the psychooncology service by using the Distress Thermometer, a semistructured interview, and hospital records. We analyzed data with a mixed-methods approach. RESULTS: Of 333 patients (mean age 61 years; 55% male; 54% Distress Thermometer ≥ 5), 25% intended to use the psychooncology service (yes), 33% were ambivalent (maybe), and 42% reported no intention (no). Overall, 23% had attended the psychooncology service 4 months later. Ambivalent patients reported higher distress than patients with no intention (odds ratio = 1.18, 95% confidence interval [1.06-1.32]) but showed significantly lower uptake behavior than patients with an intention (odds ratio = 14.04, 95% confidence interval [6.74-29.24]). Qualitative analyses revealed that ambivalent patients (maybe) emphasized fears and uncertainties, while patients with clear intentions (yes/no) emphasized knowledge, attitudes, and coping concepts. CONCLUSIONS: We identified a vulnerable group of ambivalent patients with high distress levels and low uptake behavior. To optimize distress screening programs, we suggest addressing and discussing patients' supportive care needs in routine clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Apoyo Social / Aceptación de la Atención de Salud / Consejo / Neoplasias Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychooncology Asunto de la revista: NEOPLASIAS / PSICOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Apoyo Social / Aceptación de la Atención de Salud / Consejo / Neoplasias Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychooncology Asunto de la revista: NEOPLASIAS / PSICOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido