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. 2023;41(6):645-660.
doi: 10.1080/07347332.2023.2250774. Epub 2023 Sep 1.

Diving deeper into distress screening implementation in oncology care

Elizabeth A Rohan  1 , Jennifer E Boehm  1 , Ruvini Samarasinha  1 , Karen Stachon  2 , M Shayne Gallaway  3   4 , Grace Huang  5 , Diane Ng  5 , Nanmathi Manian  5
Affiliations

Diving deeper into distress screening implementation in oncology care

Elizabeth A Rohan et al. J Psychosoc Oncol. 2023.

Abstract

Background: Responding to calls for additional research that identifies effective distress screening (DS) processes, including referral practices subsequent to screening and receipt of recommended care, we engaged in qualitative research as part of a larger (mixed methods) study of distress screening. This qualitative inquiry of oncology professionals across different facilities in the United States examined routine DS implementation, facilitators and challenges staff encounter with DS processes, and staff members' perceived value of DS.

Participants and methods: We conducted key informant interviews and focus groups with staff in 4 Commission on Cancer (CoC)-accredited oncology facilities (a total of 18 participants) to understand implementation of routine DS within oncology care. We used a rigorous data analysis design, including inductive and deductive approaches.

Results: Respondents believe DS enhances patient care and described ways to improve DS processes, including administering DS at multiple points throughout oncology care, using patient-administrated DS methods, and enhancing electronic health records infrastructure to better collect, record, and retrieve DS data. Respondents also identified the need for additional psychosocial staff at their facilities to provide timely psychosocial care.

Conclusions: Results reinforce the value of DS in cancer care, including the importance of follow-up to screening with psychosocial oncology providers. Understanding and resolving the barriers and facilitators to implementing DS are important to ensure appropriate psychosocial care for people with cancer. Insights from oncology staff may be used to enhance the quality of DS and subsequent psychosocial care, which is an essential component of oncology care.

Keywords: Cancer; cancer survivors; distress; distress management; distress screening; oncology; psychosocial; survivorship.

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Conflict of interest statement

Disclosure statement

The findings and conclusions in this manuscript are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. No potential conflict of interest was reported by the author(s).

References

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