التفاصيل البيبلوغرافية
| العنوان: |
Implementing systematic screening and structured care for distressed callers using cancer council's telephone services: Protocol for a randomized stepped-wedge trial |
| المؤلفون: |
EA Fradgley, A Boltong, L O'Brien, AW Boyes, K Lane, A Beattie, T Clinton-McHarg, PB Jacobsen, Christopher Doran, D Barker |
| سنة النشر: |
2019 |
| مصطلحات موضوعية: |
Cancer diagnosis, Health and community services, Psycho-oncology, Cancer, Psychological stress, Community health services, Telephone hotlines |
| الوصف: |
Background: Structured distress management, comprised a 2-stage screening and referral model, can direct supportive care resources toward individuals who are most likely to benefit. This structured approach has yet to be trialed in Australian community-based services such as Cancer Council New South Wales (NSW) and Victoria Cancer Information and Support (CIS) 13 11 20 lines who care for a large community of cancer patients and caregivers. Objective: The aim of this study was to evaluate the effectiveness of structured screening and referral in (1) increasing the proportion of distressed CIS callers who accept supportive care referrals and (2) reducing distress levels at 6-month follow-up. Methods: In this stepped-wedge trial, Cancer Council NSW and Victoria CIS consultants are randomized to deliver structured care during inbound 13 11 20 calls in accordance with 3 intervention periods. Eligible callers are patients or caregivers who score 4 or more on the Distress Thermometer; NSW or Victorian residents; aged 18 years or older; and English proficient. Study data are collected via computer-assisted telephone interviews (CATIs) at 3-and 6-month follow-up and CIS record audit. CATIs include demographic and service use items and the General Health Questionnaire (GHQ-28) to assess distress. An economic analysis of the structured care model will be completed. Results: The structured care model was developed by guideline review and identification of service characteristics to guide mapping decisions; place-card methodology; and clinical vignettes with think-aloud methodology to confirm referral appropriateness. The model includes an additional screening tool (Patient Health Questionnaire-4) and a referral model with 16-20 CIS services. Descriptive statistics will be used to assess referral uptake rates. Differences between GHQ-28 scores for structured and usual care callers will be tested using a generalized linear mixed model with fixed effects for intervention and each time period. The trial will recruit 1512 ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
unknown |
| Relation: |
https://figshare.com/articles/journal_contribution/Implementing_systematic_screening_and_structured_care_for_distressed_callers_using_cancer_council_s_telephone_services_Protocol_for_a_randomized_stepped-wedge_trial/13452485; http://hdl.handle.net/10018/1309110 |
| الاتاحة: |
http://hdl.handle.net/10018/1309110 |
| Rights: |
CC BY 4.0 |
| رقم الانضمام: |
edsbas.12C01051 |
| قاعدة البيانات: |
BASE |