Bridging the Gap in Psychosocial Care for Cancer Survivors: Integrating Digital Screening With Navigation Call
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Feasibility of the Navigation Call
研究概览
简要总结
The study aims to assess the feasibility and acceptability of the implementation of a routine digital psychosocial screening combined with a psycho-oncological Navigation Call for cancer survivors after completion of primary treatment with the goal to improve identification of psychosocial needs and facilitate access to supportive care.
详细描述
Cancer survivors frequently experience persistent psychosocial distress, including anxiety, fatigue, fear of recurrence, and reduced quality of life after completion of active treatment. Although routine distress screening is widely recommended, screening results alone often fail to translate into the utilization of psychosocial support services due to motivational, informational, and organizational barriers.
This single-centre prospective feasibility study evaluates a combined intervention consisting of routine digital patient-reported outcome screening and a structured psycho-oncological Navigation Call conducted shortly after follow-up consultation. The Navigation Call aims to discuss screening results, identify unmet psychosocial needs, address barriers to care, and facilitate referral to appropriate support services. The study primarily assesses the feasibility and acceptability of this intervention while also exploring psychosocial burden, support utilization, and reasons for accepting or declining psychosocial care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged ≥18 years
- •Under oncological care at the USB for ≥9 months
- •Completion of primary cancer treatment (see definition below)
- •Attendance at routine oncological follow-up at USB
- •Ability to provide written informed consent
排除标准
- •Primary brain tumors
- •Severe cognitive impairment
- •Acute psychiatric symptoms that may impair the participant's ability to provide informed consent or comply with study procedures
- •Insufficient German language skills
研究组 & 干预措施
Navigation Call
Routine digital psychosocial screening plus a semi-structured psycho-oncological Navigation Call conducted 7-14 days after follow-up. The call focuses on discussion of screening results, identification of psychosocial needs and barriers, and facilitation of access to supportive care services.
干预措施: Navigation Call (Behavioral)
结局指标
主要结局
Feasibility of the Navigation Call
时间窗: During the study intervention period, approximately 3 months after 1. follow-up consultation
Assessment: Proportion of included participants who complete the Navigation Call Scale: Dichotomous outcome (completed yes/no) Interpretation: Higher proportion indicates greater feasibility
次要结局
- Acceptance of the Navigation Call:(1 day to 1 week after the Navigation Call)
- Acceptance of the digital screening in routine care(1 day to 1 week after routine digital screening)
- Prevalence of psychosocial burden - Distress(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Physical functioning(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Role functioning(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Emotional functioning(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Cognitive functioning(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Social functioning(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Global health status / quality of life(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Fatigue(At study inclusion (first follow-up consultation))
- Prevalence of psychosocial burden - Sleep problems(At study inclusion (first follow-up consultation))
- Utilization of psycho-oncological support(Within 4 months after screening)
- Engagement in community-based support programs and barriers to support uptake(During the Navigation Call)