Usefulness of the nurse‐assisted screening and psychiatric referral program

Shimizu, Ken; Akechi, Tatsuo; Okamura, Mutsumi; Oba, Akira; Fujimori, Maiko; Akizuki, Nobuya; Uchitomi, Yosuke

doi:10.1002/cncr.20992

Cited by 58 publications

(54 citation statements)

References 40 publications

(33 reference statements)

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“…Among the three studies that met criterion 1, the effectiveness of intervention was shown in one study (19), but the others had a negative primary outcome (17,18). Among the five studies that met criterion 2, three had negative study outcomes (21,22,24) and two studies that set a surrogate endpoint as a process measure, such as the number of referrals to psycho-oncology services, had positive outcomes (20,23). All six studies that met criteria 3 or 4, which targeted systematically screened patients with depression, had positive results (25)(26)(27)(28)(29)(30).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies used the Distress Thermometer (DT) (19,22) or the Distress and Impact Thermometer (20,23,24), which is a modified version of the DT (31), as a screening instrument; four studies (30) were also used in one study each. In the studies that met criteria 3 or 4, Structured Clinical Interview for DSM-IV (SCID) or Composite International Diagnostic Interview were used to confirm the diagnosis of major depressive disorders (25 -27, 29, 30).…”

Section: Resultsmentioning

confidence: 99%

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Effects of Integrated Psychosocial Care for Distress in Cancer Patients

Shimizu

2013

Japanese Journal of Clinical Oncology

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Background: Despite some clinical guidelines for incorporating integrated psychosocial care (combining psychological screening and psychological intervention, including adequate collaboration with mental health specialists) into routine oncology practice, definitive empirical evidence regarding the effectiveness of such care remains unavailable. Here the findings of recent experimental studies are reviewed to provide guidance regarding this issue. Methods: Comparative studies examining integrated psychosocial care were reviewed. Results: Studies examining interventions that include both screening and psychological care have produced contradictory results regarding effectiveness, but all the studies that have examined the effect of psychological care after the identification of distress using systematic screening have shown positive results. Conclusions: Integrated psychosocial care may affect patients with significant distress, but the adequacy of introducing such care into routine oncology practice remains debatable.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effects of Integrated Psychosocial Care for Distress in Cancer Patients

Shimizu

2013

Japanese Journal of Clinical Oncology

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“…A related limitation is that, although the DT has been shown to be associated with other instruments, including the ESAS, [27] it has also been reported to have not optimal sensitivity-specificity with respect to clinical interviews, which remain the golden standard for psychosocial assessment. A third limitation, as of other studies with the same aims [15,16], is that we compared the results of the screening phase (Study 2) with available data in usual care phase (Study 1). The comparison group was not systematically controlled, and the proportion of gender and cancer sites differed between the groups.…”

Section: Discussionmentioning

confidence: 99%

“…More education seems to be necessary to overcome the problem. With regard to this, Shimizu et al [15] developed an educational approach for nurses with the aim to offer instruction on how to effectively integrate screening tools into clinical practice and * Correspondence to: Clinica Psichiatrica Università di Ferrara, Corso Giovecca 203, 44100 Ferrara, Italy. E-mail: luigi.grassi@unife.it eventually to improve the low rate of distressed patients receiving psychosocial intervention (2.5% in their experience).…”

Section: Introductionmentioning

confidence: 99%

Educational intervention in cancer outpatient clinics on routine screening for emotional distress: an observational study

Grassi

Rossi²,

Caruso

et al. 2011

Psycho-Oncology

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Purpose: To examine the possible effect of an educational model on distress screening in newly diagnosed cancer patients referred to Psycho-oncology service (POS).Methods: We examined the differences in distress and problems among newly diagnosed cancer patients referred to POS by cancer care professionals' according to their clinical judgement (2-year period; Study-1) and after an educational intervention on the Distress Thermometer (DT) and Problem List (PL), with referral to those reporting cut-off scores indicative of 'caseness' (DT44) (1-year period; Study-2).Results: In Study-1, 153 (6.7%) of 2268 new patients were referred and seen by the POS, which submitted each patient to the DT/PL. About one-third of the patients (31%) were not DT-cases (scores o 4) and showed lower levels of emotional and relational problems than those who resulted DT-cases. In Study-2, of all newly diagnosed cancer patients (n 5 1107), 583 (52.6%) were administered to the DT/PL by nurses. Two-hundred and eighty-four (52.2%) resulting DT-cases were referred to POS and, of these, 133 (12% of all new patients; 22.81% of those screened; 46.8% of cases) were seen by the POS. There were significant differences in problems between not referred (DT-non-cases) and referred patients (DT-cases).Conclusions: Because of the observational nature of the study, the conclusions should be drawn with caution. The implementation of the routine use of DT/PL seemed to determine a higher (79% increase) and more accurate referral of patients but the rate of acceptance was not high, confirming that more effort is necessary in implementing optimal psychosocial care in oncology.

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“…We have developed several types of psychosocial intervention strategies for alleviating the psychological distress of cancer patients, including a multi-faceted psychosocial intervention program [10], a pharmacological treatment algorithm [11], and a nurse-assisted screening and psychiatric referral program [12]. Based on these experiences, we have now set out to examine the needs of patients in order to develop a novel intervention program that will be more acceptable and satisfying to individual patients.…”

Section: Introductionmentioning

confidence: 99%

Patient's perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan

et al. 2011

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Objective: A needs assessment can be used as a direct index of what patients perceive they need help with. The purposes of this study were to investigate the association between patients' perceived needs and psychological distress and/or quality of life (QOL) and to clarify the characteristics of patients with a high degree of unmet needs.Methods: Randomly selected ambulatory female patients with breast cancer participated in this study. The patients were asked to complete the Short-form Supportive Care Needs Survey questionnaire, which covers five domains of need (health system and information, psychological, physical, care and support, and sexuality needs); the Hospital Anxiety and Depression Scale; and the European Organization for Research and Treatment of Cancer QLQ-C 30.Results: Complete data were available for 408 patients. The patients' needs were significantly associated with both psychological distress (r 5 0.63, po0.001) and QOL (r 5 À0.52, po0.001). A multiple regression analysis revealed that employment status (without full-time /part-time job), duration since diagnosis (less than 6 months), advanced stage, and a lower performance status were significantly associated with higher total needs. Only sexuality needs were significantly associated with a younger age, while the other domains were significantly associated with duration since diagnosis, advanced stage, and a lower performance status.Conclusions: Moderate to strong associations exist between patients' needs and psychological distress and/or QOL. The characteristics associated with patients' needs are multi-factorial, and interventions to respond to patients' needs may be one possible strategy for ameliorating psychological distress and enhancing QOL.

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Usefulness of the nurse‐assisted screening and psychiatric referral program

Cited by 58 publications

References 40 publications

Effects of Integrated Psychosocial Care for Distress in Cancer Patients

Effects of Integrated Psychosocial Care for Distress in Cancer Patients

Educational intervention in cancer outpatient clinics on routine screening for emotional distress: an observational study

Patient's perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan

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