Journal of Psychosocial Oncology最新文献

{"title":"COVID-19, a natural experiment. Did it create an opportunity to reduce racial disparities in psychosocial oncology and change how we deliver care?","authors":"Amy K Siston, Kristen C Jacobson, Marie B Tobin","doi":"10.1080/07347332.2025.2458693","DOIUrl":"https://doi.org/10.1080/07347332.2025.2458693","url":null,"abstract":"<p><strong>Purpose: </strong>There is evidence to support the acceptability of telehealth among oncology patients, but inconsistencies regarding access and use in underserved populations.</p><p><strong>Aims: </strong>This study used the COVID-19 pandemic as a natural experiment to test whether implementation of telehealth for patients referred to a psychosocial oncology (PSO) service would 1) increase PSO access and utilization and 2) reduce racial disparities.</p><p><strong>Methods: </strong>Demographic, medical and appointment completion data for patients referred to a PSO service at an NCI-Designated Comprehensive Cancer Center from March, 2018 to March, 2022 were examined. Descriptive and multivariate logistical regression analyses at both the patient and visit level were conducted. Outcomes were patient follow-up (i.e. ≥ one scheduled PSO appointment) and visit outcome (completed vs. canceled/no-show).</p><p><strong>Results: </strong>The sample included 934 White and 610 Black adult patients (69.8% female) aged 18-95 (<i>M</i> = 56.0, SD = 15.3) who scheduled 5,782 PSO visits. Follow-up rates significantly increased post-COVID among White (66.2%-72.2%; <i>Z</i> = 2.17, <i>p</i> = .03), but not Black patients (73.6%-70.4%; <i>Z</i> = 0.88, <i>p</i> = .38). Among <i>N</i> = 1,089 patients who scheduled at least one PSO appointment, telehealth had a significant effect on visit outcomes (<i>X</i>² = 466.6, df = 2, <i>p</i> < .001). Completed appointments increased (52.5%-79.2%), while rates of canceled (21.8%-11.2%) and no-show appointments (25.7%-9.6%) decreased. Moreover, telehealth resulted in a significantly greater increase in completed appointments for Black patients (44.7%-74.3%), in comparison to White patients (59.4%-81.4%; <i>X</i>² = 4.02, df = 1, <i>p</i> = .045).</p><p><strong>Conclusions: </strong>Black patients were less likely than White patients to show an increase in follow-up with PSO services following onset of COVID. However, among patients with one or more scheduled appointments, the use of telehealth significantly decreased racial disparities in appointment completion rates. Findings suggest that the relationship between telehealth and racial disparities in PSO care is nuanced.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More than an extra set of ears: A video-based analysis exploring the role of companions in routine oncology visits.","authors":"Berit Hofset Larsen, Jennifer Gerwing, Tonje Lundeby, Pål Gulbrandsen, Reidun Førde","doi":"10.1080/07347332.2025.2457964","DOIUrl":"https://doi.org/10.1080/07347332.2025.2457964","url":null,"abstract":"<p><strong>Purpose: </strong>Patients with advanced cancer commonly bring a companion to medical appointments, often a family member. Despite increasing focus on family involvement, few studies are based on observations of real-life consultations. This study aimed to explore how companions contribute to the information exchange process during advanced cancer outpatient visits.</p><p><strong>Methods: </strong>Data were ten videos of routine oncology visits. We identified when and how companions participated using microanalysis of clinical interaction.</p><p><strong>Findings: </strong>Companion participation varied greatly. They tended to speak up spontaneously, contributing medical, personal, and contextual information that might otherwise have remained unsaid. They both brought information into the discussion and facilitated information exchanged between the physician and patient. Companions displayed few of their own concerns.</p><p><strong>Conclusions: </strong>The findings suggest that companions may be an important resource during oncology visits, not only for the patient, but also for healthcare providers aiming for person-centered care to the individual patient.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed methods pilot study of a virtual therapeutic writing intervention for adolescent/young adults with cancer.","authors":"Chelsea S Rapoport, Alyssa K Choi, Siloh Radovsky, Melinda A Chen, Mary Devereaux, Megan Korhummel, Shea O'Donnell, Vanessa L Malcarne, Dennis J Kuo","doi":"10.1080/07347332.2025.2454497","DOIUrl":"https://doi.org/10.1080/07347332.2025.2454497","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and acceptability of a virtual therapeutic writing intervention for AYAs with cancer.</p><p><strong>Methods: </strong>A single-arm pilot study of the intervention was conducted at Rady Children's Hospital San Diego. The six-session intervention was facilitated by a writing coach over two to three months, during which time participants produced written work regarding their experiences with cancer. Primary outcomes were measures of acceptability and feasibility, assessed via quantitative and qualitative methods.</p><p><strong>Results: </strong>Study enrollment and retention rates were 75% and 83%, respectively. Participants rated all intervention sessions as highly enjoyable, helpful, useful, and satisfactory. Qualitatively, participants reported that the intervention helped them cope with their cancer and they would recommend the study to others with cancer.</p><p><strong>Conclusions: </strong>This virtual therapeutic writing study is feasible and acceptable among AYAs with cancer. A randomized controlled trial should be conducted to test the efficacy of the intervention for improving psychosocial outcomes.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The patient and caregiver experience of CAR T-cell therapy: A qualitative analysis.","authors":"Maija Reblin, Irene Liang, Djin L Tay, Kedar Kirtane, Dana Ketcher","doi":"10.1080/07347332.2025.2460060","DOIUrl":"https://doi.org/10.1080/07347332.2025.2460060","url":null,"abstract":"<p><strong>Background/purpose: </strong>Immunotherapies, such as CAR-T, have revolutionized cancer treatment for some cancers. However, these treatments often require active participation of a family member or friend to act as a caregiver at home for several weeks after infusion. Given the novelty of CAR-T, there is a need to better understand the experience of patients receiving these treatments and their caregivers.</p><p><strong>Methods: </strong>As part of a larger study, patients receiving CAR-T and their caregivers were recruited to participate in semi-structured interviews about their experiences in treatment within a week of hospital discharge. Guided by the Dyadic Cancer Outcomes framework and using an inductive approach, trained coders qualitatively analyzed interview transcripts to identify key themes.</p><p><strong>Results: </strong>Ten patients and nine of their caregivers participated in interviews in 2021. Three key themes surrounding CAR-T experiences were identified: individual, relational, and contextual. Firstly, the CAR-T experience impacted physical and psychosocial aspects of life for patients and caregivers. Secondly, the isolating and intensive nature of caregiving after discharge affected relationships between patients and caregivers. Thirdly, social contexts such as food, housing, and travel costs complicated the treatment experience.</p><p><strong>Conclusions: </strong>Although CAR-T is a novel treatment, the experiences of patients and especially caregivers are often similar to those receiving other forms of cancer treatment. However, due to the requirement of a constantly-present caregiver in the weeks after therapy, these experiences may have been intensified. Future work is needed to develop inclusive, family-centered programs to help support patients and their caregivers through cancer treatments.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of multicaregiving and singular caregiving among cancer caregivers and associations with caregiver well-being.","authors":"Katrina R Ellis, Youngmee Kim, Kelli Peterman, Hillary Hecht, Rachel Cannady, Kassandra Alcaraz","doi":"10.1080/07347332.2025.2450253","DOIUrl":"https://doi.org/10.1080/07347332.2025.2450253","url":null,"abstract":"<p><strong>Purpose: </strong>Compare demographic, care provision, and health-related characteristics of individuals fulfilling multiple illness-related caregiving roles (i.e. multicaregiving) versus singular (cancer only) caregiving and investigate factors associated with caregivers' mental and physical functioning.</p><p><strong>Design: </strong>Cross-sectional national survey.</p><p><strong>Participants: </strong>Family caregivers who self-reported illness-related caregiving for cancer survivors only (singular caregivers: <i>n</i> = 465) or for one or more family members with illnesses in addition to the cancer survivors (multicaregivers: n = 109).</p><p><strong>Methods: </strong>Descriptive, logistic, and linear regression analysis.</p><p><strong>Findings: </strong>Singular caregivers and multicaregivers were similar on demographic, care provision, and health characteristics. Caregiving group was not associated with caregivers' mental or physical functioning. Several caregiver and care recipient characteristics were associated with mental and physical functioning for singular caregivers; however, only age was associated with multicaregivers' mental functioning.</p><p><strong>Conclusions: </strong>Uncovering correlates of multicaregiving can help describe who may serve in these roles and how concurrent care responsibilities may influence caregivers' well-being.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective cognitive functioning in patients with cancer: A network approach.","authors":"Gabriel Baník, Ivana Piterová, Matúš Adamkovič, Denisa Fedáková, Michal Kentoš, Miroslava Bozogáňová, Mária Dědová","doi":"10.1080/07347332.2024.2449000","DOIUrl":"https://doi.org/10.1080/07347332.2024.2449000","url":null,"abstract":"<p><strong>Purpose: </strong>The current study aimed to (1) examine the sociodemographic, clinical and psychological factors related to subjective cognitive functioning (SCF); (2) analyze the complex mutual interconnections between SCFs; and (3) address patients' perspectives on SCF and supportive care.</p><p><strong>Method: </strong>A heterogeneous sample of oncological patients (<i>N</i> = 566) was recruited.Items inquiring about the senses, attention, memory, spatial functions, decision-making and speech were administered. A network of subjectively perceived changes in cognitive functions was estimated while three open-ended questions addressed patients' perspectives on SCF.</p><p><strong>Results: </strong>Within the network, deficits in spatial perception, attention focus and problem-solving ability had the highest strength index while the deficits related to the senses were the least influential.</p><p><strong>Conclusion: </strong>The findings indicate that psychological-based interventions focused on higher cognitive functions could improve patients' quality of life. The presence of supportive care and available information could strengthen SCF intervention and prevention for patients with cancer.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-affirmation intervention for patients newly diagnosed with advanced cancer: a preliminary efficacy trial.","authors":"Mei Bai, David Cella, Sangchoon Jeon, Rang Govindarajan, Michael J Birrer","doi":"10.1080/07347332.2025.2450013","DOIUrl":"https://doi.org/10.1080/07347332.2025.2450013","url":null,"abstract":"<p><strong>Objective: </strong>Cancer diagnosis represents a life crisis. It remains unclear whether/what psychosocial intervention may enhance cancer patients' quality of life (QoL) during existential plight. This study aimed to examine preliminary efficacy of a brief writing intervention for patients newly diagnosed with advanced cancer with a focus on affirming personally important values and beliefs.</p><p><strong>Methods: </strong>This is a single-arm pilot study testing effect of a 4-week home-based self-affirmation writing intervention for patients newly diagnosed with advanced cancer using interrupted time series design (NCT05235750). Patients were eligible if they were newly diagnosed (within 8 weeks) with advanced stage (III or IV) or recurrent cancer. Longitudinal analyses were performed using generalized linear mixed model incorporating the correlation of repeated measures. All statistical analyses were performed at 5% significance level using SAS^® (version 9.4).</p><p><strong>Results: </strong>Fifty-seven patients newly diagnosed with advanced stage cancer with a mean age of 63 years balanced in gender were enrolled. Intent-to-treat analysis revealed significant post-intervention change for Faith as measured by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 item scale (FACIT-Sp-12) (ES 0.23, <i>p</i> = .05) and Ge6 \"I worry that my condition will get worse\" as measured by the Functional Assessment of Cancer Therapy - General (FACT-G) (ES 0.26, <i>p</i> = .10). When comparing changes pre- and post-intervention, Ge6 remained clinically significant (ES_Δ 0.36, <i>p</i> = .27).</p><p><strong>Conclusions: </strong>Self-affirmation <i>via</i> writing showed initial short-term efficacy in relieving cancer-specific existential concerns (Ge6 \"I worry that my condition will get worse\") and may be a promising innovative intervention approach that warrant randomized experiments to verify. Further research is also needed to find out who may most likely benefit from this intervention.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-23"},"PeriodicalIF":1.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moderators of interdependent psychological distress in cancer survivor-caregiver dyads.","authors":"Chris Segrin, Alla Sikorskii, Nathan Cunicelli, Terry Badger","doi":"10.1080/07347332.2025.2450012","DOIUrl":"https://doi.org/10.1080/07347332.2025.2450012","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to test dyadic interdependence in psychological distress (anxiety and depressive symptoms) and explore moderators of interdependence among cancer survivors in treatment and their informal caregivers.</p><p><strong>Methods: </strong>Cancer survivors and their caregivers completed measures of anxiety and depressive symptoms, social support, social isolation, and burden of other symptoms, at three points in time over the course of 17 weeks.</p><p><strong>Results: </strong>In 315 dyads, depressive symptoms and anxiety were transmitted from caregivers to survivors. Survivors with high symptom burden or low social support were especially influenced by caregivers' depressive symptoms. Caregivers who had high social isolation or low social support were most likely to be influenced by survivors' depressive symptoms.</p><p><strong>Conclusion: </strong>Psychological distress is transmitted within dyads during cancer treatment. Dyadic interdependence was most pronounced from caregivers to survivors. Symptom burden, social isolation, and low social support enhanced this dyadic interdependence.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participants' perceptions support the coexistence of benefits and burdens of cancer clinical trial participation.","authors":"Kim Mooney-Doyle, Kathleen A Knafl, Liming Huang, Gwenyth R Wallen, Connie M Ulrich","doi":"10.1080/07347332.2024.2366996","DOIUrl":"10.1080/07347332.2024.2366996","url":null,"abstract":"<p><strong>Background: </strong>To advance oncology treatment for adults, comprehensive understanding of how and why people decide to enroll in, remain in, and withdraw from cancer clinical trials is needed. While quantitative findings provide insights into these benefits and burdens, they provide limited understanding of how adults with cancer appraise their situation and approach decisions to undertake a clinical trial. The goal of this mixed methods analysis was to conceptualize participants' assessment of benefits and burdens related to cancer clinical trial participation.</p><p><strong>Materials and methods: </strong>This sub-group analysis of 21 participants was part of a larger sequential, explanatory mixed methods study. We used Creamer's integrated approach to linking quantitative and qualitative data to assess convergence, with qualitative data explaining quantitative results. Participants were grouped into four categories based on quantitative benefit/burden scores and thematic analysis of their qualitative data was used to describe these categories.</p><p><strong>Results: </strong>Across groups participants varied in descriptions of benefits and burdens of cancer clinical trial participation and reasons for participating. Those reporting high benefit/low burden described \"seizing the opportunity to participate;\" those reporting low benefit/low burden described \"taking responsibility\" through trial participation; those reporting low benefit/high burden described how they were \"willing to endure,\" and those with high benefit/high burden emphasized \"deciding to act.\"</p><p><strong>Conclusions: </strong>Participants' qualitative descriptions of benefits and burdens were more nuanced and dynamic than reflected in their quantitative ratings. Thus, current measures may be missing important concepts, such as logistic challenges of trial participation. Our results have implications for consenting procedures and decisional support guidance offered to patients and their caregivers.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"88-104"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sedentary time transitions and associations with quality of life in cancer survivors during the COVID-19 pandemic.","authors":"Alyssa R Neville, Allyson Tabaczynski, Alexis Whitehorn, Denise Bastas, Linda Trinh","doi":"10.1080/07347332.2024.2346560","DOIUrl":"10.1080/07347332.2024.2346560","url":null,"abstract":"<p><strong>Background: </strong>Patterns in sedentary time (SED) and its impact on quality of life (QoL) in cancer survivors during the COVID-19 pandemic remains unknown. The purpose of this study was to 1) compare total and domain-specific SED before and during the pandemic; and 2) examine its association with QoL in a global sample of cancer survivors.</p><p><strong>Methods: </strong>In an online survey, cancer survivors retrospectively self-reported domain-specific SED (e.g. transportation, television) before and during the pandemic via the Domain-Specific Sitting Time Questionnaire. QoL was assessed via the Functional Assessment of Cancer Therapy (FACT)-General and FACT-Fatigue. Paired <i>t</i>-tests compared daily SED before and during the pandemic. Analysis of covariance compared QoL among: those who remained high (>8 h/day), remained low (<8 h/day), increased (<8 h/day to >8 h/day), or decreased (>8 h/day to <8 h/day) daily SED.</p><p><strong>Results: </strong>Among cancer survivors (<i>N</i> = 477, M_age=48.5 ± 15.4), 60.8% reported that their SED remained high, 19.7% remained low, 7.5% increased SED, and 11.9% decreased SED. Computer and television screen time significantly increased (<i>p's</i><.001), while SED during transportation significantly decreased (<i>p</i><.001). Sub-group analyses revealed that those who reduced SED who were normal or underweight (<i>p</i>=.042) or were meeting physical activity guidelines (<i>p</i>=.031) had significantly less fatigue than those who increased or remained high in SED, respectively. Those who remained high in SED with <3 comorbidities (<i>p's</i> =.005) had significantly better social well-being than those who increased SED.</p><p><strong>Conclusions: </strong>As we transition to a post-pandemic era, behavioral strategies for cancer survivors should focus on reducing screen time to improve QoL and fatigue.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"16-33"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}