Antje Frey Nascimento1, Theresa Tondorf1,2,3, Sacha I Rothschild2, Michael T Koller4, Christoph Rochlitz2, Alexander Kiss3, Rainer M Schaefert3,5, Gunther P Meinlschmidt3,5,6,7, Sabina Hunziker3,5, Jens Gaab1, Diana Zwahlen2,3. 1. Division of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, Switzerland. 2. Medical Oncology Department, University Hospital Basel, Basel, Switzerland. 3. Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland. 4. Swiss Transplant Cohort Study (STCS), University Hospital Basel, Basel, Switzerland. 5. Faculty of Medicine, University of Basel, Basel, Switzerland. 6. Division of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University, Berlin, Germany. 7. Division of Clinical Psychology and Epidemiology, Faculty of Psychology, University of Basel, Basel, Switzerland.
Abstract
OBJECTIVE: Highly distressed cancer patients often do not use psycho-oncological services (POS). Research on predictors of POS uptake has mainly focused on patient-related variables and less on communication variables, so we examined the link between patient-oncologist communication (ie, talking about psychosocial distress, providing detailed information, and recommending POS) and POS uptake. METHODS: We conducted a prospective, observational study in an Oncology Outpatient Clinic in Switzerland. Predictors (ie, patient-related variables and patient's reports of the patient-oncologist communication) were assessed via semistructured interviews, and information on outpatient POS uptake was assessed after 4 months. For statistical analysis, a multivariate logistic regression was performed. RESULTS: Of 333 participants (mean age 61 years; 55% male; 54% distress thermometer ≥5), 77 (23%) had used POS during a 4-month period. Patients who reported an oncologist-recommended POS (odds ratio [OR] = 6.27, 95% confidence interval [CI] = 3.14-12.85) and those who were not sure if they had received a recommendation (OR = 4.64, 95% CI = 1.83-11.97) were more likely to attend POS than those who reported receiving no recommendation. Talking about psychosocial distress (OR = 0.74, 95% CI = 0.38-1.46) and providing detailed information about POS did not predict POS uptake (OR = 1.06, 95% CI = 0.46-2.38). CONCLUSIONS: Oncologists' expert recommendations to attend POS were strongly associated with patients' uptake of POS. The central role played by oncologists should be accounted for in stepped psycho-oncological care when POS referral pathways are defined.
OBJECTIVE: Highly distressed cancerpatients often do not use psycho-oncological services (POS). Research on predictors of POS uptake has mainly focused on patient-related variables and less on communication variables, so we examined the link between patient-oncologist communication (ie, talking about psychosocial distress, providing detailed information, and recommending POS) and POS uptake. METHODS: We conducted a prospective, observational study in an Oncology Outpatient Clinic in Switzerland. Predictors (ie, patient-related variables and patient's reports of the patient-oncologist communication) were assessed via semistructured interviews, and information on outpatientPOS uptake was assessed after 4 months. For statistical analysis, a multivariate logistic regression was performed. RESULTS: Of 333 participants (mean age 61 years; 55% male; 54% distress thermometer ≥5), 77 (23%) had used POS during a 4-month period. Patients who reported an oncologist-recommended POS (odds ratio [OR] = 6.27, 95% confidence interval [CI] = 3.14-12.85) and those who were not sure if they had received a recommendation (OR = 4.64, 95% CI = 1.83-11.97) were more likely to attend POS than those who reported receiving no recommendation. Talking about psychosocial distress (OR = 0.74, 95% CI = 0.38-1.46) and providing detailed information about POS did not predict POS uptake (OR = 1.06, 95% CI = 0.46-2.38). CONCLUSIONS: Oncologists' expert recommendations to attend POS were strongly associated with patients' uptake of POS. The central role played by oncologists should be accounted for in stepped psycho-oncological care when POS referral pathways are defined.
Authors: Michael Kusch; Hildegard Labouvie; Vera Schiewer; Natalie Talalaev; Jan C Cwik; Sonja Bussmann; Lusine Vaganian; Alexander L Gerlach; Antje Dresen; Natalia Cecon; Sandra Salm; Theresia Krieger; Holger Pfaff; Clarissa Lemmen; Lisa Derendorf; Stephanie Stock; Christina Samel; Anna Hagemeier; Martin Hellmich; Bernd Leicher; Gregor Hültenschmidt; Jessica Swoboda; Peter Haas; Anna Arning; Andrea Göttel; Kathrin Schwickerath; Ullrich Graeven; Stefanie Houwaart; Hedy Kerek-Bodden; Steffen Krebs; Christiana Muth; Christina Hecker; Marcel Reiser; Cornelia Mauch; Jennifer Benner; Gerdamarie Schmidt; Christiane Karlowsky; Gisela Vimalanandan; Lukas Matyschik; Lars Galonska; Annette Francke; Karin Osborne; Ursula Nestle; Markus Bäumer; Kordula Schmitz; Jürgen Wolf; Michael Hallek Journal: BMC Health Serv Res Date: 2022-04-22 Impact factor: 2.908
Authors: Michelle Normen; Femil E Sahaya; Kshitija Kulkarni; E Vidhubala; Hemant D Shewade; Jeyashree Kathiresan Journal: Indian J Palliat Care Date: 2021-10-21