PMID- 26850486
OWN - NLM
STAT- MEDLINE
DCOM- 20161026
LR  - 20190918
IS  - 1540-1413 (Electronic)
IS  - 1540-1405 (Linking)
VI  - 14
IP  - 2
DP  - 2016 Feb
TI  - Evaluating the Impact of Provincial Implementation of Screening for Distress on 
      Quality of Life, Symptom Reports, and Psychosocial Well-Being in Patients With 
      Cancer.
PG  - 164-72
AB  - BACKGROUND: Although a number of accreditation agencies and professional 
      societies recommend routine screening for distress (SFD) for patients with 
      cancer, it has been integrated very slowly into clinical practice. OBJECTIVES: 
      This evaluation investigated the impact of a large-scale SFD intervention on 
      patients' quality of life, symptom reports, and psychosocial well-being. The SFD 
      intervention involved (1) completion of the SFD tool by patients, (2) discussion 
      between patient and provider about the concerns indicated, and (3) provision of 
      appropriate assessments/interventions based on priority concerns. PATIENTS AND 
      METHODS: This quality improvement work included a pre-evaluation and 
      postevaluation of the impact of implementation on patients' well-being. Patients 
      in cohort 1 (N=740) were surveyed before implementation, whereas patients in 
      cohort 2 (N=534) were surveyed 10 months after the implementation at 17 clinics 
      province-wide. As part of the implementation, providers received training on 
      assessing and responding to patient priority concerns with the standardized tool. 
      RESULTS: No differences were seen in total score of quality of life between the 
      cohorts. Fewer patients in cohort 2 than in cohort 1 reported health problems, 
      including tiredness, drowsiness, poor appetite, nausea, anxiety, and poor 
      well-being. Similarly, significantly fewer patients in cohort 2 endorsed problems 
      relating to emotional, practical, informational, spiritual, social, and physical 
      aspects of well-being. CONCLUSIONS: Results showed significantly improved 
      psychological and physical symptoms and psychosocial well-being after routine SFD 
      was implemented, suggesting that a large-scale SFD intervention is beneficial for 
      patients when it is integrated into existing clinical practice and community 
      resources.
CI  - Copyright (c) 2016 by the National Comprehensive Cancer Network.
FAU - Watson, Linda
AU  - Watson L
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Groff, Shannon
AU  - Groff S
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Tamagawa, Rie
AU  - Tamagawa R
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Looyis, Jennifer
AU  - Looyis J
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Farkas, Sydney
AU  - Farkas S
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Schaitel, Brent
AU  - Schaitel B
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - DeIure, Andrea
AU  - DeIure A
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Faris, Peter
AU  - Faris P
AD  - CancerControl Alberta, Alberta Health Services, Alberta
FAU - Bultz, Barry D
AU  - Bultz BD
AD  - Department of Psychosocial Resources, Tom Baker Cancer Center, Calgary
AD  - Department of Oncology, University of Calgary, Calgary, Canada
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Natl Compr Canc Netw
JT  - Journal of the National Comprehensive Cancer Network : JNCCN
JID - 101162515
SB  - IM
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neoplasms/*complications/*psychology
MH  - Quality of Life/*psychology
MH  - Stress, Psychological/*diagnosis/*etiology/*psychology
EDAT- 2016/02/07 06:00
MHDA- 2016/10/27 06:00
CRDT- 2016/02/07 06:00
PHST- 2016/02/07 06:00 [entrez]
PHST- 2016/02/07 06:00 [pubmed]
PHST- 2016/10/27 06:00 [medline]
AID - 14/2/164 [pii]
AID - 10.6004/jnccn.2016.0019 [doi]
PST - ppublish
SO  - J Natl Compr Canc Netw. 2016 Feb;14(2):164-72. doi: 10.6004/jnccn.2016.0019.