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Focusing on cancer patients' intentions to use psychooncological support: A longitudinal, mixed-methods study.

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Title: Focusing on cancer patients' intentions to use psychooncological support: A longitudinal, mixed-methods study.
Authors: Tondorf, T., Grossert, A., Rothschild, S. I., Koller, M. T., Rochlitz, C., Kiss, A., Schaefert, R., Meinlschmidt, G., Hunziker, S., Zwahlen, D.
Source: Psycho-Oncology. Jun2018, Vol. 27 Issue 6, p1656-1663. 8p. 2 Diagrams, 3 Charts.
Subjects: Longitudinal method, Psychological distress, Semi-structured interviews, Medical care, Quality of life, Mental health, Tumor treatment, Tumors & psychology, Adaptability (Personality), Comparative studies, Counseling, Intention, Research methodology, Medical cooperation, Research, Social support, Evaluation research, Patients' attitudes
Abstract: Objective: Distress screening programs aim to ensure appropriate psychooncological support for cancer patients, but many eligible patients do not use these services. To improve distress management, we need to better understand patients' supportive care needs. In this paper, we report the first key finding from a longitudinal study that focused on patients' intentions to use psychooncological support and its association with distress and uptake of the psychooncology service.Methods: We conducted a prospective, observational study in an Oncology Outpatient Clinic and assessed distress, intention to use psychooncological support, and uptake of the psychooncology service by using the Distress Thermometer, a semistructured interview, and hospital records. We analyzed data with a mixed-methods approach.Results: Of 333 patients (mean age 61 years; 55% male; 54% Distress Thermometer ≥ 5), 25% intended to use the psychooncology service (yes), 33% were ambivalent (maybe), and 42% reported no intention (no). Overall, 23% had attended the psychooncology service 4 months later. Ambivalent patients reported higher distress than patients with no intention (odds ratio = 1.18, 95% confidence interval [1.06-1.32]) but showed significantly lower uptake behavior than patients with an intention (odds ratio = 14.04, 95% confidence interval [6.74-29.24]). Qualitative analyses revealed that ambivalent patients (maybe) emphasized fears and uncertainties, while patients with clear intentions (yes/no) emphasized knowledge, attitudes, and coping concepts.Conclusions: We identified a vulnerable group of ambivalent patients with high distress levels and low uptake behavior. To optimize distress screening programs, we suggest addressing and discussing patients' supportive care needs in routine clinical practice. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Focusing on cancer patients' intentions to use psychooncological support: A longitudinal, mixed-methods study.
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  Data: <searchLink fieldCode="AR" term="%22Tondorf%2C+T%2E%22">Tondorf, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Grossert%2C+A%2E%22">Grossert, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Rothschild%2C+S%2E+I%2E%22">Rothschild, S. I.</searchLink><br /><searchLink fieldCode="AR" term="%22Koller%2C+M%2E+T%2E%22">Koller, M. T.</searchLink><br /><searchLink fieldCode="AR" term="%22Rochlitz%2C+C%2E%22">Rochlitz, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Kiss%2C+A%2E%22">Kiss, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Schaefert%2C+R%2E%22">Schaefert, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Meinlschmidt%2C+G%2E%22">Meinlschmidt, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Hunziker%2C+S%2E%22">Hunziker, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Zwahlen%2C+D%2E%22">Zwahlen, D.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jun2018, Vol. 27 Issue 6, p1656-1663. 8p. 2 Diagrams, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Semi-structured+interviews%22">Semi-structured interviews</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Tumor+treatment%22">Tumor treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors+%26+psychology%22">Tumors & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Adaptability+%28Personality%29%22">Adaptability (Personality)</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Intention%22">Intention</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
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  Data: <bold>Objective: </bold>Distress screening programs aim to ensure appropriate psychooncological support for cancer patients, but many eligible patients do not use these services. To improve distress management, we need to better understand patients' supportive care needs. In this paper, we report the first key finding from a longitudinal study that focused on patients' intentions to use psychooncological support and its association with distress and uptake of the psychooncology service.<bold>Methods: </bold>We conducted a prospective, observational study in an Oncology Outpatient Clinic and assessed distress, intention to use psychooncological support, and uptake of the psychooncology service by using the Distress Thermometer, a semistructured interview, and hospital records. We analyzed data with a mixed-methods approach.<bold>Results: </bold>Of 333 patients (mean age 61 years; 55% male; 54% Distress Thermometer ≥ 5), 25% intended to use the psychooncology service (yes), 33% were ambivalent (maybe), and 42% reported no intention (no). Overall, 23% had attended the psychooncology service 4 months later. Ambivalent patients reported higher distress than patients with no intention (odds ratio = 1.18, 95% confidence interval [1.06-1.32]) but showed significantly lower uptake behavior than patients with an intention (odds ratio = 14.04, 95% confidence interval [6.74-29.24]). Qualitative analyses revealed that ambivalent patients (maybe) emphasized fears and uncertainties, while patients with clear intentions (yes/no) emphasized knowledge, attitudes, and coping concepts.<bold>Conclusions: </bold>We identified a vulnerable group of ambivalent patients with high distress levels and low uptake behavior. To optimize distress screening programs, we suggest addressing and discussing patients' supportive care needs in routine clinical practice. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.4735
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      – TitleFull: Focusing on cancer patients' intentions to use psychooncological support: A longitudinal, mixed-methods study.
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