Implementation of a Psycho-Oncology Program according to international recommendations applied in a Brazilian Public Service

Bergerot, Cristiane Decat; Zayat, Carolina Gaue; Azevedo, Isadora Miranda de; Okuma, Getulio Yuzo; Pedras, Renata Nunes; Manhães, Maria Fernanda Marcusso; Domenico, Edvane Birelo Lopes De

doi:10.22491/1678-4669.20170036

Cited by 4 publications

(4 citation statements)

References 18 publications

(28 reference statements)

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“…Finally, treatment within the public hospital system in Brazil is fraught with challenges pertaining to resource availability, and limited social services and psychological resources may certainly have an impact on our findings, assuming that few patients received support. Before we started the screening program, we noted that less than 5% of patients received psychosocial support …”

Section: Discussionmentioning

confidence: 99%

Assessment of distress and quality of life in rare cancers

Bergerot

Philip

et al. 2018

Psycho-Oncology

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Section: Discussionmentioning

confidence: 99%

Assessment of distress and quality of life in rare cancers

Bergerot

Philip

et al. 2018

Psycho-Oncology

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“…A large proportion of patients reported moderate to severe distress, close to the one described among patients with metastatic cancer Mitchell et al, 2011) and higher than the one reported in a sample of Brazilian patients treated in private or public health care settings (Bergerot et al, 2016;Bergerot et al, 2017). This difference can be understood by the epidemiological characteristic of this disease (rare cancers), age group (young age is a risk factor), site of disease and treatment modalities (Acquati et al, 2018;Bergerot et al, 2018;Carpentier et al, 2011;Giese-Davis et al, 2012;Horick et al, 2017;Hoyt et al, 2013).…”

Section: Discussionmentioning

confidence: 81%

Biopsychosocial needs of survivors of testicular cancer and evidence of validation of a brief scale

Manhães

Okuma

Pedras

et al. 2019

Estud. psicol. (Campinas)

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The favorable prognosis of testicular cancer does not minimize immediate and late biopsychosocial implications. This study sought to determine these needs, and to evaluate the evidence of validation of a brief and specific scale for this population. A sample of 29 survivors of testicular cancer (n = 29) was assessed for distress (Distress Thermometer), anxiety and depression (Hospital Anxiety and Depression Scale), quality of life and cognitive impairment (Functional Assessment of Chronic Illness Therapy-General and Cognitive Function), and specific needs (Cancer Assessment for Young Adults-Testicular). It was observed a high prevalence of distress (41.4%), a low prevalence of anxiety (6.9%) and depression (6.9%), and a moderate impact on quality of life and cognition. Self-image and sexual function were the most preponderant problems. The evidence of validation of Cancer Assessment for Young Adults-Testicular12 was verified in the psychometric analysis. Notably, biopsychosocial needs identified on global scales, and particularly in Cancer Assessment for Young Adults-Testicular12, assisted in understanding these specificities and in therapeutic planning.

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“…The programme proposal was presented and discussed with the staff. With the approval of the team, the process was gradually implemented (Bergerot et al 2017) [ 79 ]…”

Section: Resultsmentioning

confidence: 99%

“…An alternative ideology asserts success as being related to a health system guideline’s ability to achieve its recommended target and improve care [ 78 ]. Only a small proportion of studies included in our review compared guideline targets with real-world changes or leveraged patient-level outcomes to identify improvements in quality of life and health outcomes [ 75 , 79 ]. The integration of patient- and population-level outcomes may be an important component in the evaluation of health system guidelines in LMICs, as an ultimate goal of a resilient and sustainable health system is to better serve patients and families.…”

Section: Discussionmentioning

confidence: 99%

Strategies to adapt and implement health system guidelines and recommendations: a scoping review

Breneol

Curran

Marten

et al. 2022

Health Res Policy Sys

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Background Evidence-based health system guidelines are pivotal tools to help outline the important financial, policy and service components recommended to achieve a sustainable and resilient health system. However, not all guidelines are readily translatable into practice and/or policy without effective and tailored implementation and adaptation techniques. This scoping review mapped the evidence related to the adaptation and implementation of health system guidelines in low- and middle-income countries. Methods We conducted a scoping review following the Joanna Briggs Institute methodology for scoping reviews. A search strategy was implemented in MEDLINE (Ovid), Embase, CINAHL, LILACS (VHL Regional Portal), and Web of Science databases in late August 2020. We also searched sources of grey literature and reference lists of potentially relevant reviews. All findings were reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Results A total of 41 studies were included in the final set of papers. Common strategies were identified for adapting and implementing health system guidelines, related barriers and enablers, and indicators of success. The most common types of implementation strategies included education, clinical supervision, training and the formation of advisory groups. A paucity of reported information was also identified related to adaptation initiatives. Barriers to and enablers of implementation and adaptation were reported across studies, including the need for financial sustainability. Common approaches to evaluation were identified and included outcomes of interest at both the patient and health system level. Conclusions The findings from this review suggest several themes in the literature and identify a need for future research to strengthen the evidence base for improving the implementation and adaptation of health system guidelines in low- and middle-income countries. The findings can serve as a future resource for researchers seeking to evaluate implementation and adaptation of health system guidelines. Our findings also suggest that more effort may be required across research, policy and practice sectors to support the adaptation and implementation of health system guidelines to local contexts and health system arrangements in low- and middle-income countries.

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Implementation of a Psycho-Oncology Program according to international recommendations applied in a Brazilian Public Service

Cited by 4 publications

References 18 publications

Assessment of distress and quality of life in rare cancers

Assessment of distress and quality of life in rare cancers

Biopsychosocial needs of survivors of testicular cancer and evidence of validation of a brief scale

Strategies to adapt and implement health system guidelines and recommendations: a scoping review

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