Optimized Psycho-oncological Care Through an Interdisciplinary Care Algorithm: From Screening to Intervention
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 900
- 试验地点
- 1
- 主要终点
- Frequency of Psychological distress in cancer patients (CG vs. IG) and changes over time
研究概览
简要总结
Adequate, needs-oriented psycho-oncological care contributes to reducing the burden on cancer patients and their relatives and to improving the quality of life. There is still a need for clarification regarding the need and the determination of psychosocial needs. This multi-center study (3 centers: Hanover, Leipzig and Dresden) aims at a professionalization of psychosocial screening, in order to enable thus an exact and need-based allocation to psycho-oncological support. The optimization and professionalization of the psychosocial screening process shall be achieved by a training of oncological nursing and development of an interdisciplinary care algorithm. The aim is to examine whether "OptiScreen" increases the targeted and needs-based allocation to psycho-oncology.
详细描述
Adequate, needs-oriented psycho-oncological care contributes to reducing the burden on cancer patients and their families and to improving the quality of life of all those affected. In order to ensure patient-oriented psycho-oncological care, it is necessary to allocate psychologically burdened patients and patients in need of care to psycho-oncology by means of screening.
Within the framework of this multicenter study (Hannover, Leipzig and Dresden), a newly designed training of nursing staff ("OptiScreen training") on mental stress and psycho-oncological care is intended to increase the precise identification of mentally stressed patients in need of treatment, to increase the allocation of these patients to psycho-oncology and to improve interdisciplinary cooperation.
Aims of the study:
- targeted, needs-based allocation to psycho-oncology
- increasing the acceptance of psycho-oncological screening by patients* and treatment team
- increase of patient competence and satisfaction
- increasing the acceptance of psycho-oncological treatment by patients and treatment team In summary, the findings of this multi-center study should contribute to the improvement of interdisciplinary cooperation, improve the demand-oriented and targeted allocation of psychologically burdened patients to psycho-oncological care and thus develop a "best practice model" of an interdisciplinary care algorithm.
Methodology
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Screening
- 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
- •In-patients of the visceral oncology centers at the three locations
排除标准
- •severe physical, cognitive and/or language limitations
研究组 & 干预措施
Phase 1 Survey of the actual state
Phase 2 Survey after the OptiScreen training
干预措施: OptiScreen training (Other)
结局指标
主要结局
Frequency of Psychological distress in cancer patients (CG vs. IG) and changes over time
时间窗: T0 (at hospital stay) and T1 (3 months later)
Distress Thermometer (NCCN Distress Thermometer)
次要结局
- Frequency and extent of supportive care needs in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of depression in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of satisfaction with body image in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of anxiety in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of relationship satisfaction in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of health competence (Access to information, understanding, evaluating and applying of information) in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of fear of cancer recurrence in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of social support in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and changes in quality of life in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Satisfaction with medical and psychosocial treatment in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of self-management and active patient participation in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
- Frequency and extent of resources (Health promoting activities, active participation, emotional stress, self-monitoring etc.in cancer patients (CG vs. IG) and changes over time(T0 (at hospital stay) and T1 (3 months later))
研究者
Zimmermann, Tanja Prof. Dr.
Prof. Dr. Tanja Zimmermann
Hannover Medical School