Psycho‐Oncology最新文献

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Survivorship Needs in Patients With Head and Neck Cancer in Regional, Rural and Remote Areas: A Systematic Review 地区、农村和偏远地区头颈部癌症患者的生存需求:系统回顾
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-09-17 DOI: 10.1002/pon.9311
Poorva Pradhan, Ashleigh R. Sharman, Carsten E. Palme, Michael S. Elliott, Jonathan R. Clark, Rebecca L. Venchiarutti
{"title":"Survivorship Needs in Patients With Head and Neck Cancer in Regional, Rural and Remote Areas: A Systematic Review","authors":"Poorva Pradhan, Ashleigh R. Sharman, Carsten E. Palme, Michael S. Elliott, Jonathan R. Clark, Rebecca L. Venchiarutti","doi":"10.1002/pon.9311","DOIUrl":"https://doi.org/10.1002/pon.9311","url":null,"abstract":"ObjectiveUnderstanding survivorship issues among people with head and neck cancer (HNC) is important as survival rates increase. Most research has focused on urban patients, leaving a gap in understanding the challenges faced by those in rural areas. This study aims to summarise the literature on survivorship needs for people with HNC in rural areas.MethodsPubMed, PsycINFO, Scopus, Medline, CINAHL, Web of Science, and Embase were searched from database inception to 10 July 2024, with no restriction on publication period, country, or language. Data on study aims, country, methodology, and major findings related to HNC survivors in rural areas were extracted. Study quality was assessed using the Joanna Briggs Institute critical appraisal checklists.ResultsTwenty‐one studies met the inclusion criteria. Eight studies were qualitative, 11 were quantitative, and two adopted a mixed‐methods approach. Results demonstrate the impact of complex treatments on physical (<jats:italic>n</jats:italic> = 13) and psychosocial (<jats:italic>n</jats:italic> = 14) functioning. This study also emphasises multifaceted challenges, including reduced access to specialised services, resulting in greater travel and financial burden, extending to caregivers. Hence, primary healthcare services are crucial in supporting these patients closer to home.ConclusionsAddressing the gaps in equitable post‐treatment care requires an even distribution of healthcare funding and workforce in rural areas. Future research could target these issues to develop tailored interventions or models of care, such as shared care, to ease access and financial burden.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Depression on Adherence to Diabetes Self‐Management Behaviors in Breast Cancer Survivors 抑郁症对乳腺癌幸存者坚持糖尿病自我管理行为的影响
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-09-13 DOI: 10.1002/pon.9309
Devarshi Vasa, Lauren Guerra, Mita S. Goel, Yael Tobi Harris, Jenny J. Lin
{"title":"The Impact of Depression on Adherence to Diabetes Self‐Management Behaviors in Breast Cancer Survivors","authors":"Devarshi Vasa, Lauren Guerra, Mita S. Goel, Yael Tobi Harris, Jenny J. Lin","doi":"10.1002/pon.9309","DOIUrl":"https://doi.org/10.1002/pon.9309","url":null,"abstract":"ObjectiveBreast cancer survivors (BCS) have higher rates of depression which is associated with lower adherence to medications, diet, and physical activity. Managing diabetes (DM) requires adherence to several of these self‐management behaviors (SMB), and BCS have an increased risk of DM. We investigated whether depressive symptoms were associated with adherence to DM SMB in a cohort of BCS.MethodsBCS with DM were surveyed semiannually for 2 years. Depression was assessed with the Hospital Anxiety and Depression Scale (HADS). Adherence to DM medication, diet, and physical activity was self‐reported using the Medication Adherence Report Scale (MARS), Summary of Diabetes Self‐Care Activities Assessment (SDSCA), and International Physical Activity Questionnaire (IPAQ), respectively. Using generalized linear equation modeling, the association of depressive symptoms with nonadherence to SMB was assessed, adjusting for age, race, marital status, education level, and beliefs about cancer and DM risk.ResultsAmong 244 BCS with DM, those who were nonadherent to medication, diet, and/or physical activity had higher depression scores (<jats:italic>p</jats:italic> &lt; 0.01). In adjusted analyses, higher depression scores were independently associated with dietary (OR = 1.16, <jats:italic>p</jats:italic> &lt; 0.001) and physical activity nonadherence (OR = 1.18, <jats:italic>p</jats:italic> &lt; 0.001) but not with medication nonadherence. Concerns about medications was independently associated with medication nonadherence (OR = 1.17, <jats:italic>p</jats:italic> = 0.024).ConclusionsHigher depression scores are associated with nonadherence to DM SMB in this cohort of BCS. These findings highlight the importance of addressing depressive symptoms in BCS to help improve adherence to DM medications, diet, and physical activity.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Family Caregivers of Cancer Patients: Burdens and Support Preferences of Partner, Parent and Adult‐Child Caregivers 癌症患者的家庭照顾者:伴侣、父母和成年子女照护者的负担和支持偏好
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-09-12 DOI: 10.1002/pon.9310
Martina Breuning, Sophia Mählmann, Hedy Kerek‐Bodden, Susanne Oettlin, Joachim Weis
{"title":"Family Caregivers of Cancer Patients: Burdens and Support Preferences of Partner, Parent and Adult‐Child Caregivers","authors":"Martina Breuning, Sophia Mählmann, Hedy Kerek‐Bodden, Susanne Oettlin, Joachim Weis","doi":"10.1002/pon.9310","DOIUrl":"https://doi.org/10.1002/pon.9310","url":null,"abstract":"ObjectiveThe aim of this study is to (1) identify similarities and differences in psychosocial burdens and support needs experienced by parent, partner and adult‐child caregivers and (2) identify support needs of family caregivers regarding peer support programs.MethodsSemi‐structured interviews (<jats:italic>n</jats:italic> = 30) were conducted with family caregivers of cancer patients. Interviews were transcribed and analyzed by inductive content analysis to identify themes.ResultsTen categories of burden were identified for all three groups of caregivers. Partners emphasized the time burden through caregiving, parents and adult‐child caregivers accentuated the emotional burden. All caregivers wished for peer‐to‐peer exchange which will provide the feeling not to be alone, to share emotions and to prepare for what will come next. Preferences for matching with peers with similar prognosis for their sick relative and similar living conditions were found.ConclusionsPartner, parent and adult‐child caregivers describe similar burdens of caregiving. They wish for peer support programs that allow them to share their experiences with persons who understand their situation. Therefore, caregivers desire a good match with peers to enhance the positive outcome of peer exchange.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142186150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reproductive Concerns Among Young Adult Women With Breast Cancer: A Systematic Review and Meta-Analysis. 患有乳腺癌的年轻成年女性对生殖问题的关注:系统回顾与元分析》。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-08-01 DOI: 10.1002/pon.9304
Li Hu, Binbin Xu, Pui Hing Chau, Kris Yuet Wan Lok, Jojo Yan Yan Kwok, Edmond Pui Hang Choi, Ying Lau
{"title":"Reproductive Concerns Among Young Adult Women With Breast Cancer: A Systematic Review and Meta-Analysis.","authors":"Li Hu, Binbin Xu, Pui Hing Chau, Kris Yuet Wan Lok, Jojo Yan Yan Kwok, Edmond Pui Hang Choi, Ying Lau","doi":"10.1002/pon.9304","DOIUrl":"https://doi.org/10.1002/pon.9304","url":null,"abstract":"<p><strong>Objectives: </strong>Systemic cancer treatments pose threats to fertility, leading to concerns regarding fertility and parenthood in young adult women with breast cancer (YAWBC). This systematic review aimed to synthesize existing evidence on reproductive concerns (RCs) among YAWBC and identify areas where further research in needed.</p><p><strong>Methods: </strong>A systematic review was conducted. Nine English and Chinese databases were searched for studies from inception to June 2023. A meta-analysis was employed to pool RC levels measured using the Reproductive Concerns After Cancer scale (RCAC scale; possible total scores: 18-90). Narrative synthesis was conducted in cases where a meta-analysis could not be performed.</p><p><strong>Results: </strong>Twenty-four cross-sectional studies across seven countries were included in this review. The prevalence of RCs among YAWBC ranged from 21.75% to 80%. The pooled mean total score on the overall RCAC scale was 55.84 (95% confidence interval: 53.26-58.43). \"Personal health,\" \"child's health,\" and \"fertility potential\" were the top three types of RCs among YAWBC. Sociodemographic, clinical, and psychosocial factors were found to be associated with RCs among YAWBC. Additionally, significant correlations among RCs, nonadherence to treatment, depression, and quality of life were also identified among YAWBC.</p><p><strong>Conclusion: </strong>RCs are a common issue among YAWBC, and age, parenthood status, fertility desire, and chemotherapy treatment are important factors associated with RCs among these women. Further research is needed to clarify RC-related factors to provide evidence aimed at tailoring interventions to mitigate RCs among YWBC.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
If They'd Said You Should Only Drink Five Units I'd Have Listened: A Mixed Methods Study of Alcohol Consumption Following a Diagnosis of Breast Cancer. 如果他们说你只能喝五个单位,我一定会听:乳腺癌诊断后的酒精消费混合方法研究》。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-08-01 DOI: 10.1002/pon.9305
Emma L Davies, Lucy McGeagh, Lauren Matheson, Julie Bennett, Sara Matthews, Jo Brett, Eila Watson
{"title":"If They'd Said You Should Only Drink Five Units I'd Have Listened: A Mixed Methods Study of Alcohol Consumption Following a Diagnosis of Breast Cancer.","authors":"Emma L Davies, Lucy McGeagh, Lauren Matheson, Julie Bennett, Sara Matthews, Jo Brett, Eila Watson","doi":"10.1002/pon.9305","DOIUrl":"https://doi.org/10.1002/pon.9305","url":null,"abstract":"<p><strong>Objectives: </strong>As part of a wider study describing the impact of a breast cancer diagnosis on lifestyle behaviours, this paper describes the impact of a breast cancer diagnosis on alcohol consumption and factors influencing consumption.</p><p><strong>Methods: </strong>Cross-sectional online survey of 140 people (138 women) and interviews with 21 women diagnosed with breast cancer in the last 10 years.</p><p><strong>Results: </strong>Of the 100 survey participants who drank alcohol 25% were drinking at increasing or higher risk levels and 17% strongly wanted to change their drinking behaviour. The habitual aspects of alcohol consumption were the strongest predictor of current alcohol consumption behaviours. Social norms and perceptions about conflicting information were substantial barriers to change.</p><p><strong>Conclusions: </strong>Breast cancer survivors need accurate information about the risks of alcohol consumption and guidelines in order to make informed decisions about making changes to their behaviour. Interventions to support breast cancer survivors to reduce alcohol consumption need to focus on the development of healthy habits and may benefit from a focus which includes partners and friends.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep Composition of Patients With Colorectal Cancer and Their Sleep-Partner Caregivers: Physical Health Correlates of Sleep Diary and Actigraphy Measurements. 结直肠癌患者及其睡眠伴侣照顾者的睡眠构成:睡眠日记和活动记录仪测量的身体健康相关性
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-08-01 DOI: 10.1002/pon.9302
Amanda Ting, Thomas C Tsai, Jamie M Zeitzer, Armando Mendez, Youngmee Kim
{"title":"Sleep Composition of Patients With Colorectal Cancer and Their Sleep-Partner Caregivers: Physical Health Correlates of Sleep Diary and Actigraphy Measurements.","authors":"Amanda Ting, Thomas C Tsai, Jamie M Zeitzer, Armando Mendez, Youngmee Kim","doi":"10.1002/pon.9302","DOIUrl":"10.1002/pon.9302","url":null,"abstract":"<p><strong>Background: </strong>Disturbed sleep is frequently identified in adult patients with cancer and their caregivers, with detrimental impact on physical health. Less known is the extent to which self-reported and actigraph-measured sleep patterns are similar between patients and their sleep-partner caregivers, and how these different modes of sleep measurements are related to physical health.</p><p><strong>Methods: </strong>Patients diagnosed with colorectal cancer and their sleep-partner caregivers (81 dyads) completed a questionnaire for physical functioning and collected saliva samples for seven consecutive days, from which cortisol slope was quantified. Additionally, participants completed a daily sleep diary and wore actigraph for 14 consecutive days, from which sleep duration, sleep onset latency (SOL), and duration of wake after sleep onset (WASO) were calculated.</p><p><strong>Results: </strong>Participants reported sleep patterns that fell within or close to the optimal range, which were similar between patients and their caregivers. Self-reported and actigraph-measured sleep duration had moderate levels of agreement (ICC = 0.604), whereas SOL and WASO had poor agreement (ICC = 0.269). Among patients, longer self-reported WASO was associated with poorer physical health and flatter cortisol slope (p ≤ 0.013). Among caregivers, longer self-reported SOL was associated with poorer physical functioning, actigraph-measured WASO was associated with steeper cortisol slope, and longer self-reported sleep markers studied than actigraph-measured were associated with poorer physical functioning (p ≤ 0.042).</p><p><strong>Conclusion: </strong>Findings suggest that employing multiple assessment modes for sleep and physical health is vital for comprehensive understanding of sleep health. Furthermore, when addressing patients' sleep health, it may be beneficial to include their sleep-partner caregivers who may experience similar disturbed sleep.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11328964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141913750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prostate Cancer Related Sexual Dysfunction and Barriers to Help Seeking: A Scoping Review. 与前列腺癌相关的性功能障碍和求助障碍:范围界定综述》。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-08-01 DOI: 10.1002/pon.9303
Megan Charlick, Tenaw Tiruye, Kerry Ettridge, Michael O'Callaghan, Sally Sara, Alexander Jay, Kerri Beckmann
{"title":"Prostate Cancer Related Sexual Dysfunction and Barriers to Help Seeking: A Scoping Review.","authors":"Megan Charlick, Tenaw Tiruye, Kerry Ettridge, Michael O'Callaghan, Sally Sara, Alexander Jay, Kerri Beckmann","doi":"10.1002/pon.9303","DOIUrl":"https://doi.org/10.1002/pon.9303","url":null,"abstract":"<p><strong>Objective: </strong>Despite available support, sexuality needs are the most frequently reported unmet need among men with prostate cancer, which may be due to low help-seeking rates. Using the Ecological Systems Framework as a theoretical foundation, we conducted a scoping review of the available literature to understand what factors impact help-seeking behaviour for sexual issues after prostate cancer treatment among men who had received treatment.</p><p><strong>Methods: </strong>Following PRISMA guidelines, a systematic search on Medline, PsychInfo, Embase, Emcare, and Scopus was conducted to identify studies of adult prostate cancer patients post-treatment, which reported barriers and/or facilitators to help-seeking for sexual health issues. Quality appraisals were conducted using Joanna Briggs Institute appraisal tools, and results were qualitatively synthesised.</p><p><strong>Results: </strong>Of the 3870 unique results, only 30 studies met inclusion criteria. In general, studies were considered moderate to good quality, though only six used standardised measures to assess help-seeking behaviour. Barriers and facilitators for sexual help-seeking were identified across all five levels of the Ecological Systems Framework, including age, treatment type, and previous help seeking experience (individual level), healthcare professional communication and partner support (microsystem), financial cost and accessibility of support (meso/exosystem), and finally embarrassment, masculinity, cultural norms, and sexuality minority (macrosystem).</p><p><strong>Conclusions: </strong>Addressing commonly reported barriers (and inversely, enhancing facilitators) to help-seeking for sexual issues is essential to ensure patients are appropriately supported. Based on our results, we recommend healthcare professionals include sexual wellbeing discussions as standard care for all prostate cancer patients, regardless of treatment received, age, sexual orientation, and partnership status/involvement.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Web-Based Interventions on Depression and Anxiety in Cancer Caregivers: A Systematic Review and Meta-Analysis. 基于网络的干预措施对癌症护理人员抑郁和焦虑的疗效:系统回顾与元分析》。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.9301
Myoungsuk Kim, Kelly R Tan, Lorinda A Coombs
{"title":"Efficacy of Web-Based Interventions on Depression and Anxiety in Cancer Caregivers: A Systematic Review and Meta-Analysis.","authors":"Myoungsuk Kim, Kelly R Tan, Lorinda A Coombs","doi":"10.1002/pon.9301","DOIUrl":"10.1002/pon.9301","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of web-based interventions in depression and anxiety among informal caregivers of patients with cancer.</p><p><strong>Methods: </strong>Databases such as PubMed, Cochrane, Web of Science, Embase, CINAHL, and PsycINFO were systematically searched from inception to April 15, 2024. Eligible studies encompassed randomized controlled trials (RCTs) focusing on web-based interventions tailored to informal caregivers of patients with cancer. The effect size was calculated as the standardized mean difference (SMD) with a 95% confidence interval (CI) utilizing a random effects model. The risk of bias was assessed independently utilizing Cochrane's Risk of Bias Tool (version 2.0) for RCTs.</p><p><strong>Results: </strong>A total of 12 RCTs were incorporated into this meta-analysis. Web-based interventions demonstrated a significant effect in ameliorating depression among informal caregivers of patients with cancer compared to the control group (SMD = -0.21, 95% CI = -0.36 to -0.05, p < 0.01, I<sup>2</sup> = 15%). Additionally, a significant effect was also observed in alleviating anxiety (SMD = -0.20, 95% CI = -0.36 to -0.05, p = 0.77, I<sup>2</sup> = 0%).</p><p><strong>Conclusions: </strong>Web-based interventions might be effective in reducing depression and anxiety among informal caregivers of patients with cancer. Nevertheless, several studies with an overall high risk of bias were included. As a result of the limited number and heterogeneity of the studies included in the subgroup analysis, deriving definitive conclusions on the most effective intervention components was challenging. Therefore, further studies incorporating high-quality research are warranted.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mixed-methods evaluation of a face-to-face educational intervention for health and social care professionals to deliver family-centred cancer supportive care when a parent with dependent children is at end of life. 对医疗和社会护理专业人员进行面对面教育干预的混合方法评估,以便在有受抚养子女的父母临终时提供以家庭为中心的癌症支持性护理。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6374
Jeffrey R Hanna, Cherith J Semple
{"title":"Mixed-methods evaluation of a face-to-face educational intervention for health and social care professionals to deliver family-centred cancer supportive care when a parent with dependent children is at end of life.","authors":"Jeffrey R Hanna, Cherith J Semple","doi":"10.1002/pon.6374","DOIUrl":"https://doi.org/10.1002/pon.6374","url":null,"abstract":"<p><strong>Objective: </strong>To deliver and evaluate an educational intervention to equip health and social care professionals (professionals) on how best to support parents at end of life with cancer concerning their dependent children (<18).</p><p><strong>Methods: </strong>An evidence-based and theory-driven face-to-face educational intervention was developed and evaluated using three levels of Kirkpatrick's Model of Evaluation. Pre-test, post-test surveys were completed immediately before-and-after the intervention using a validated self-efficacy scale and single-item questions evaluating perceived usefulness and relevance (levels one/two). Qualitative interviews ≥ 3-months post-intervention explored if, and how the intervention impacted professionals' practice (level three). Fourteen sessions were delivered at oncology settings to 347 professionals between 2021 and 2023. Two hundred seventy four professionals completed the pre-test survey, with 239 completing the post-test survey. Fourteen professionals were interviewed between three-and 19-months post-intervention.</p><p><strong>Results: </strong>Quantitative findings demonstrated a statistically significant improvement in self-efficacy post-educational intervention (p < 0.001). Qualitative data highlighted professionals gained new approaches to progress end of life conversations with parents, despite some familial resistance to sharing the reality of the situation with children. Positive intervention content shaping clinical practice included the bereaved parent's lived experience, communication framework and roleplay videos. Some professionals considered a booster session and opportunities to practice conversations necessary to further consolidate learning into practice.</p><p><strong>Conclusions: </strong>Evidence and theory-driven education can positively impact professionals' provision of family-centred cancer care. Future studies should explore the impact of this educational intervention on familial outcomes. Alongside a sustainable delivery of this intervention, advanced communication skills programmes should incorporate parent-child end of life conversations.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Confirmatory validation of the Mesothelioma Psychological Distress Tool-Patients: A brief patient-reported outcome measure assessing psychological distress in malignant mesothelioma patients. 间皮瘤患者心理压力工具的确认验证:评估恶性间皮瘤患者心理压力的简短患者报告结果测量法。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6371
Michela Bonafede, Isabella Giulia Franzoi, Maria Domenica Sauta, Alessandro Marinaccio, Carolina Mensi, Sabrina Rugarli, Enrica Migliore, Ilaria Cozzi, Domenica Cavone, Luigi Vimercati, Federica Grosso, Marinella Bertolotti, Giulia Raimondi, Marco Innamorati, Antonella Granieri
{"title":"Confirmatory validation of the Mesothelioma Psychological Distress Tool-Patients: A brief patient-reported outcome measure assessing psychological distress in malignant mesothelioma patients.","authors":"Michela Bonafede, Isabella Giulia Franzoi, Maria Domenica Sauta, Alessandro Marinaccio, Carolina Mensi, Sabrina Rugarli, Enrica Migliore, Ilaria Cozzi, Domenica Cavone, Luigi Vimercati, Federica Grosso, Marinella Bertolotti, Giulia Raimondi, Marco Innamorati, Antonella Granieri","doi":"10.1002/pon.6371","DOIUrl":"https://doi.org/10.1002/pon.6371","url":null,"abstract":"<p><strong>Objective: </strong>Psychological suffering in patients with Malignant Mesothelioma (MM) is different from the one experienced by patients with other cancers due to its occupational or environmental etiology and its peculiar symptomatology and prognosis (i.e., poor prognosis, reduced effectiveness of the therapies, poor quality of residual life, and advanced age at the time of diagnosis). Therefore, the Mesothelioma Psychological Distress Tool-Patients (MPDT-P) has been developed to evaluate the specific profile of psychological suffering in this population. This paper describes the item selection, factor analysis, and psychometric evaluation of the revised MPDT-P.</p><p><strong>Methods: </strong>The analyses of the current work aimed to confirm the factorial structure found in the first version of the MPDT-P. In the case of nonfit, it aimed to find an alternative structure and causes of nonfit in the model. The search for the fit of the factorial model was conducted using a Bayesian approach.</p><p><strong>Results: </strong>The two-factor model reported in the first version of the instrument did not fit the data. Confirmatory Bayesian analyses showed adequate fit for the three-factor solution. Based on the content of the items, we labeled the factors as dysfunctional emotions, claims for justice, and anxieties about the future.</p><p><strong>Conclusions: </strong>Integrating the MPDT-P into clinical practice could help clinicians gain insight into the specific suffering related to MM and investigate potential differences related to different occupational and environmental exposure contexts.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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