Psycho-oncology best practice guidelines and a service perspective: conceptualising the fit and towards bridging the gap

Coleman, Niamh; Hession, Natalie; Connolly, Allison

doi:10.1080/03033910.2011.613980

Cited by 7 publications

(2 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinical practice guidelines systematically evaluate and summarize the latest scientific evidence for specific symptoms or conditions and synthesize findings into actionable recommendations for clinical practice. Given the growing knowledge base on psychological interventions specific to PSO, guidelines have been developed that provide clinicians with evidence-based recommendations, e.g., for screening, assessment, and treatment of cancer-related distress, depression, fear of cancer recurrence, and for psychosocial support of cancer survivors [ 11 , 16 , 17 ]. Researchers have noted that there are extensive variations in the usage of clinical practice guidelines, pointing out challenges such as insufficient research on the complex processes of guideline implementation, difficulty in keeping guidelines up to date with the newest evidence, knowledge and attitude barriers at the clinician level, patient concerns about the stigma of needing counselling, as well as resource barriers at the systemic level [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Practice in Psychosocial Oncology from the Perspective of Canadian Service Directors

Mackay

Dewez

et al. 2023

Current Oncology

View full text Add to dashboard Cite

Evidence-based practices facilitate the effective delivery of psychological services, yet research on the implementation of evidence-based practices in psychosocial oncology (PSO) is scarce. Responding to this gap, we interviewed a diverse sample of 16 directors of Canadian psychosocial oncology services about (a) how evidence-based practices in psychosocial oncology are being implemented in clinical care and how the service quality is monitored and (b) what are barriers and facilitators to evidence-based practice in psychosocial oncology services? Responses were grouped according to three main themes emerging from the data: screening for distress and referral to PSO services, delivery of evidence-based PSO services, and monitoring of PSO services. Our findings highlight facilitators and barriers to evidence-based practice in psychosocial oncology, which were related to the political, social, economic, and geographic contexts. The stepped care model was identified as a science-informed approach to improve the cost-effectiveness of triage systems and treatment delivery while facilitating more equitable access to services. Other facilitators included electronic screening and referral systems as well as protected time for clinicians to communicate more within their teams and participate in knowledge exchange. High caseloads presented a major barrier to acquiring and implementing evidence-based practices. Recommen–dations include increased support for evidence-based onboarding and continued training as well as for data collection regarding service needs, quality, and quantity to inform service monitoring and advocacy for more financial resources. Our findings are relevant to healthcare decision makers, implementation researchers, as well as service directors and practitioners providing psychosocial oncology care.

show abstract

Section: Introductionmentioning

confidence: 99%

Evidence-Based Practice in Psychosocial Oncology from the Perspective of Canadian Service Directors

Mackay

Dewez

et al. 2023

Current Oncology

View full text Add to dashboard Cite

show abstract

“…Psychosocial interventions have been demonstrated effective in improving HRQOL in different cancer populations [ 240 , 241 ] and psychosocial support is recommended by international clinical guidelines for cancer care [ 45 , 242 , 243 ]. Specifically for the HNC population, psycho-educational programs, cognitive behavioral training, psychotherapy, group support, and pharmacological interventions for both patients and caregivers have been proposed [ 218 , 244 , 245 ].…”

Section: Psychosocial and Economic Impact Of Oropharyngeal Dysphagia mentioning

confidence: 99%

European white paper: oropharyngeal dysphagia in head and neck cancer

Baijens

Walshe

Aaltonen

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe. Methods Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion. Results Twenty-four sections on HNC-specific OD topics. Conclusion This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers.

show abstract

Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients

Galway

Black

Cantwell

et al. 2012

Cochrane Database of Systematic Reviews

151

116

View full text Add to dashboard Cite

The significant variation that was observed across participants, mode of delivery, discipline of 'trained helper' and intervention content makes it difficult to arrive at a firm conclusion regarding the effectiveness of psychosocial interventions for cancer patients. It can be tentatively concluded that nurse-delivered interventions comprising information combined with supportive attention may have a beneficial impact on mood in an undifferentiated population of newly diagnosed cancer patients.

show abstract

Psycho-oncology best practice guidelines and a service perspective: conceptualising the fit and towards bridging the gap

Cited by 7 publications

References 34 publications

Evidence-Based Practice in Psychosocial Oncology from the Perspective of Canadian Service Directors

Evidence-Based Practice in Psychosocial Oncology from the Perspective of Canadian Service Directors

European white paper: oropharyngeal dysphagia in head and neck cancer

Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients

Contact Info

Product

Resources

About