Translating Research on the Distress Thermometer Into Practice

Tavernier, Susan S.

doi:10.1188/14.cjon.s1.26-30

Cited by 12 publications

(9 citation statements)

References 42 publications

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“…Also, item-level correlation analyses showed significant correlations between symptoms, financial difficulties, work/daily activities, and cognitive function. Others have examined the DT with respect to the HADS, 12,[16][17][18] and our study complements that research by examining the DT in relation to other dimensions of HRQoL. Research in psycho-oncology has made evident that cancer care involves more than clinical treatment of the disease, and patients' experiences of psychosocial concerns has gained a greater attention within the cancer community.…”

Section: Discussionmentioning

confidence: 64%

“…Several studies 12,16,17 have tested the validity of the DT with the Hospital Anxiety and Depression Scale (HADS), also using HADS to determine specificity and sensitivity for identifying clinical cases. 18 Based on a validation study examining a Swedish translation of an earlier version of the DT (version 1.2004) in relation to HADS, Thalén-Lindström et al 17 suggested that, with a cutoff threshold for significance of ≥4, the DT is valid for screening purposes and has the ability to measure changes in distress over time.…”

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confidence: 99%

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Swedish Version of the Distress Thermometer: Validity Evidence in Patients With Colorectal Cancer

Sarenmalm¹,

Nasic²,

Håkanson³

et al. 2018

J Natl Compr Canc Netw

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The objective of this study was to validate the NCCN Distress Thermometer (DT), including the accompanying Problem List (PL), in a Swedish population of patients diagnosed with colorectal cancer (CRC). A total of 488 patients diagnosed with CRC completed the DT/PL and EORTC core quality-of-life questionnaire (QLQ-C30) before surgery. Construct validity of the PL was analyzed using a confirmatory factor analysis. Internal consistency reliability (ICR) was tested using Cronbach's alpha coefficient. Correlations between the reported PL areas and QLQ-C30 function scales were used to explore convergent validity. Discriminant validity was examined by evaluating associations between the DT and QLQ-C30 measures of overall health-related quality of life (HRQoL). Findings showed that the Swedish translation of the DT/PL is consistent with the original English version. The DT has good ICR, with the total number of reported problems significantly correlating with DT scores (=0.67; <.001). Analysis of convergent validity indicated that the PL areas significantly correlated with QLQ-C30 function scales, with emotional problems showing the highest correlation (=0.76; <.001), and item-level correlation analyses showed significant correlations between symptoms. There was also good discriminant validity between the DT and the QLQ-C30 in terms of HRQoL, including overall health status (=-0.49; <.001) and overall quality of life (=-0.57; <.001). Furthermore, there was good discriminant validity between the DT and QLQ-C30 regarding poor, moderate, and excellent HRQoL. These findings provide validity evidence regarding the DT, including the PL. Findings also show that the DT has good potential for screening distress-related practical, family, emotional, and physical problems during the cancer trajectory in Swedish-speaking patients. Additionally, the DT seems to be an effective screening tool to detect patients with poor, moderate, and excellent HRQoL.

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Section: Discussionmentioning

confidence: 64%

mentioning

confidence: 99%

Swedish Version of the Distress Thermometer: Validity Evidence in Patients With Colorectal Cancer

Sarenmalm¹,

Nasic²,

Håkanson³

et al. 2018

J Natl Compr Canc Netw

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“…Many cancer survivors have moderate to severe unmet needs, often as consequences of treatment (Carey et al 2012 ). Changing the way cancer survivors are supported remains an ongoing priority (Tavernier 2014 ). Much of this work has focused on better understanding and acting on people’s individual holistic needs (Rooney et al 2014 ), and various tools and strategies have been developed to facilitate this agenda (Henry et al 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Validation of the electronic Holistic Needs Assessment

Snowden

Fleming

2015

SpringerPlus

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Macmillan Cancer Support UK have developed an electronic Holistic Needs Assessment (eHNA) to: (1) help people living with cancer express all their needs, (2) help those helping them better target support. eHNA consists of 48 items each ranked from zero (no problem) to 10. There has been no psychometric analysis of this tool and so its validity and reliability are untested. The aim of this study was to evaluate the psychometric properties of the eHNA by examining its construct validity. Objectives were to (a) test whether the eHNA measured holistic concerns and (b) analyse the factor structure of the eHNA. Objectives were achieved through a secondary analysis of 5421 responses to eHNA using concurrent application of Rasch analysis and principal component analysis. All the items bar one fit with the Rasch rating model and were equivalently important to people. Differential item functioning was evident according to whether people were described as curative or not. A 12-factor solution explained 46 % variance. Of this the emotional/spiritual factor explained the most variance accounting for 15 %. The eHNA was internally consistent and conceptually coherent with the construct of holistic needs assessment. Clinical focus is best directed to the individual items highlighted by the patient except where patients check too many problems for the clinician to accurately prioritise. In these cases only, the emotional/spiritual factor may help identify appropriate clinical action. Strengths and weaknesses of the analyses are discussed, particularly in relation to ‘at risk’ subsamples such as those classified as non-curative.

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“…Their mental status was assessed using the National Comprehensive Cancer Networkrecommended Distress Thermometer (8). A self-evaluation of mental distress, this tool includes 11 items that are scored on a scale ranging from 0 to 10, where 0= no stress and 10= extreme stress.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Feasibility and outcomes of modified enhanced recovery after surgery for nursing management of aged patients undergoing esophagectomy

Li¹,

Zheng²,

Zhang³

et al. 2017

J. Thorac. Dis.

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Background: The aim of this study was to determine whether a modified enhanced recovery after surgery (mERAS) protocol has a positive effect on the recovery of aged patients with esophageal cancer undergoing esophagectomy. Methods: Consecutive patients were selected between January 2015 and June 2016 and were randomly assigned to a control group (traditional nursing care) or an observation group (mERAS protocol). We analyzed the outcomes of the patients, including surgical outcomes, postoperative complications, mental health status, and quality of life (QOL). Results: Altogether, 110 patients who were >60 years of age were included in the study. They were evenly divided into two groups, with 55 patients in each. For the observation group, the thoracic drainage time was 1.07±0.26 days, first jejunal feeding time was at 11.71±1.81 h, time of first postoperative flatus was at 12.00±1.75 h, and length of postoperative stay was 8.31±1.25 days. There was no anastomotic leakage in the observation group, and the incidence of postoperative pulmonary infection was 5.45%. All the above indexes in the observation group were better than those for the patients receiving traditional nursing care. In addition, patients in the observation group had a lower level of mental suffering (P<0.05) and higher QOL (P<0.05). Conclusions: mERAS protocols could result in better postoperative recovery and reduce postoperative complications in aged patients undergoing esophagectomy. Hence, mERAS protocols could be useful in reducing patients' mental suffering and improving their QOL.

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Translating Research on the Distress Thermometer Into Practice

Cited by 12 publications

References 42 publications

Swedish Version of the Distress Thermometer: Validity Evidence in Patients With Colorectal Cancer

Swedish Version of the Distress Thermometer: Validity Evidence in Patients With Colorectal Cancer

Validation of the electronic Holistic Needs Assessment

Feasibility and outcomes of modified enhanced recovery after surgery for nursing management of aged patients undergoing esophagectomy

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