Stepped Care - Optimising Psycho-oncological Care Provision by Structured Screening and Diagnosis

Conditions

Cancer

Keywords

Cancer patients, Psycho-oncological Care Provision, Structured Screening, Stepped care

Brief summary

The study will examine whether the provision of psychosocial support services for cancer patients in acute care can be optimized by the use of a structured combination of screening procedures with physician interviews and structured patient pathways. There is strong evidence that a third of all cancer patients in acute care are suffering from mental health conditions and that a third expresses the need for professional psycho-oncological support. However, physicians and nurses do not always identify these patients in need for support. Screening questionnaires are significantly better to identify distressed patients however the use of screenings alone does not necessarily improve the patients' emotional well-being. Purpose of this study is to evaluate a psychosocial stepped care model which aims to decrease the patients' distress.

Susanne Singer, Helge Danker, Jürgen Meixensberger, Susanne Briest, Andreas Dietz et al. (9 authors)

Journal of Cancer Research and Clinical Oncology2019-09-109 citations

10.1007/s00432-019-03018-7

The effects of multi-disciplinary psycho-social care on socio-economic problems in cancer patients: a cluster-randomized trial.

Singer S, Roick J, Meixensberger J, Schiefke F, Briest S, Dietz A, Papsdorf K, Mössner J, Berg T, Stolzenburg JU, Niederwieser D, Keller A, Kersting A, Danker H.

2017-12-2113 citations

10.1007/s00520-017-4024-x

Effect of a structured psycho-oncological screening and treatment model on mental health in cancer patients (STEPPED CARE): study protocol for a cluster randomized controlled trial

Susanne Singer, Helge Danker, Susanne Briest, Arne Dietrich, Andreas Dietz et al. (16 authors)

Trials2014-12-0123 citations

10.1186/1745-6215-15-482

Interventions

OTHERStepped Care

Step 1: Screening for psychosocial distress Step 2: If a patient is moderately or highly distressed according to step 1, the physician performs a brief structured interview and arranges, if necessary, appropriate psychosocial care Step 3: psychosocial care as indicated by step 2

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

No

Inclusion criteria

* patients in acute care for cancer * written informed consent * 18 years and older * ability to complete questionnaires

Exclusion criteria

\- insufficient command of German

Design outcomes

Primary

Measure	Time frame	Description
Mental condition	from baseline until 6 months	Hospital Anxiety and Depression Scale, HADS

Secondary

Measure	Time frame	Description
Social functioning	from baseline until 6 months	Role Functioning Subscale, EORTC QLQ-C30
Satisfaction with treatment	at discharge from acute care hospital, 6 months after admission to acute care hospital	Quality of Care from the Patients Perspective, QPP
Comorbid mental disorders	at discharge from acute care hospital, 6 months after admission to acute care hospital	Structured Clinical Interview for DSM-IV, SCID
Use of healthcare services	6 months after admission to acute care hospital	Questionnaire from the German Federal Health Survey (Bundesgesundheitssurvey)

Countries

Germany

Outcome results

None listed