Stepped care targeting psychological distress in head and neck and lung cancer patients: a randomized clinical trial.

BMC Cancer
Anne-Marie H KrebberIrma M Verdonck-de Leeuw

Abstract

Psychological distress is common in cancer survivors. Although there is some evidence on effectiveness of psychosocial care in distressed cancer patients, referral rate is low. Lack of adequate screening instruments in oncology settings and insufficient availability of traditional models of psychosocial care are the main barriers. A stepped care approach has the potential to improve the efficiency of psychosocial care. The aim of the study described herein is to evaluate efficacy of a stepped care strategy targeting psychological distress in cancer survivors. The study is designed as a randomized clinical trial with 2 treatment arms: a stepped care intervention programme versus care as usual. Patients treated for head and neck cancer (HNC) or lung cancer (LC) are screened for distress using OncoQuest, a computerized touchscreen system. After stratification for tumour (HNC vs. LC) and stage (stage I/II vs. III/IV), 176 distressed patients are randomly assigned to the intervention or control group. Patients in the intervention group will follow a stepped care model with 4 evidence based steps: 1. Watchful waiting, 2. Guided self-help via Internet or a booklet, 3. Problem Solving Treatment administered by a specialized nurse, and ...Continue Reading

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Sep 3, 2021·Cancer Management and Research·Agustín FalcoUNKNOWN TTCC group (Spanish Group for the Treatment of the Head and Neck Cancer)

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Methods Mentioned

BETA
cognitive behavioural therapy

Software Mentioned

PRODISQ
OncoQuest

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