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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
1,012
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
University of Leipzig, Dept. Psychosomatic Medicine and Psychotherapy
Leipzig, Germany
Mental condition
Hospital Anxiety and Depression Scale, HADS
Time frame: from baseline until 6 months
Social functioning
Role Functioning Subscale, EORTC QLQ-C30
Time frame: from baseline until 6 months
Satisfaction with treatment
Quality of Care from the Patients Perspective, QPP
Time frame: at discharge from acute care hospital, 6 months after admission to acute care hospital
Comorbid mental disorders
Structured Clinical Interview for DSM-IV, SCID
Time frame: at discharge from acute care hospital, 6 months after admission to acute care hospital
Use of healthcare services
Questionnaire from the German Federal Health Survey (Bundesgesundheitssurvey)
Time frame: 6 months after admission to acute care hospital
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.