Feasibility and preliminary effectiveness of a psychosocial support program for adolescent and young adult cancer patients in clinical practice: a retrospective observational study
Takatoshi Hirayama,Maiko Fujimori,Yoshinori Ito,Yuji Ishida,Akemi Tsumura,Miwa Ozawa,Naoko Maeda,Kazuhiko Yamamoto,Sakie Takita,Makiko Morita,Kyoko Tanaka,Keizo Horibe,Tatsuo Akechi +12 more
TLDR
In this paper , the feasibility and preliminary effectiveness of a psychosocial support program based on the DTPL-J for AYAs in clinical practice was evaluated using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation framework.Abstract:
Abstract Purpose Adolescent and young adult cancer patients (AYAs) often experience profound psychological distress, with various unmet supportive care needs that can be alleviated with appropriate screening and attention by healthcare workers. The Distress Thermometer and Problem List-Japanese version (DTPL-J) is our previously developed screening tool to facilitate individual support of AYAs. This study evaluated the feasibility and preliminary effectiveness of a psychosocial support program based on the DTPL-J for AYAs in clinical practice. Methods This multicenter, retrospective, observational study included 19 of 126 wards and 9 of 75 outpatient clinics at 8 institutions in Japan. Over 200 patients were expected to participate during the eligibility period. Patients participated in a support program at least once, and approximately once a month based on the DTPL-J results. The program was evaluated using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) implementation framework. Results The screening rate of the 361 participants was 90.3%, suggesting high feasibility. Distress Thermometer scores, the number of supportive care needs, and the rates of AYAs with high distress were significantly reduced 1 month after screening ( p < 0.05), suggesting the preliminary effectiveness of the program. The program was continued at the 8 institutions as part of routine care after the study. Conclusion Analysis using the RE-AIM suggested the sufficient feasibility and preliminary effectiveness of a psychosocial support program based on the DTPL-J for AYAs. Trial registration University Hospital Medical Information Network (UMIN CTR) UMIN000042857. Registered 25 December 2020—Retrospectively registered. read more
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Feasibility of an Electronic Patient-Reported Outcome Tool for Screening Distress and Supportive Care Needs of Adolescents and Young Adults with Cancer.
Takatoshi Hirayama,Hiroto Ishiki,Yuko Yanai,Saki Horiguchi,Akiko Sugisawa,Jun Sato,Rebekah Kojima,Ryoko Udagawa,Yuki Kojima,Eriko Satomi +9 more
TL;DR: In this paper , an ePRO tool based on the Distress Thermometer and Problem List (DTPL-J) version for AYAs was implemented in a clinical setting for 3 months.
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