Stepped Care - Optimising Psycho-oncological Care Provision by Structured Screening and Diagnosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,012
- 试验地点
- 2
- 主要终点
- Mental condition
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
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
- •patients in acute care for cancer
- •written informed consent
- •18 years and older
- •ability to complete questionnaires
排除标准
- •insufficient command of German
研究组 & 干预措施
Stepped Care
Structured stepped requirement of psychosocial support
干预措施: Stepped Care (Other)
Care as usual
Unstructured requirement of psychosocial support
结局指标
主要结局
Mental condition
时间窗: from baseline until 6 months
Hospital Anxiety and Depression Scale, HADS
次要结局
- Social functioning(from baseline until 6 months)
- Satisfaction with treatment(at discharge from acute care hospital, 6 months after admission to acute care hospital)
- Comorbid mental disorders(at discharge from acute care hospital, 6 months after admission to acute care hospital)
- Use of healthcare services(6 months after admission to acute care hospital)
研究者
Susanne Singer
Susanne Singer, Prof. PhD MSc Epidemiology
University of Leipzig