학술논문

Unmet needs in people with high-grade glioma: defining criteria for stepped care intervention.
Document Type
Academic Journal
Author
Faris MM; Psycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia.; Dhillon HM; Psycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia.; Centre for Medical Psychology & Evidence-Based Decision-Making, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia.; Campbell R; Psycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia.; Halkett GKB; Curtin School of Nursing/Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Bentley, WA, Australia.; Miller A; Community advisory group, Psycho-Oncology Cooperative Research Group, The University of Sydney, Sydney, NSW, Australia.; Chan RJ; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.; Haydon HM; Centre for Online Health, The University of Queensland, Brisbane, QLD, Australia.; Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia.; Sansom-Daly UM; School of Clinical Medicine, UNSW Medicine and Health, University of New South Wales, Kensington, NSW, Australia.; Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, NSW, Australia.; Sydney Youth Cancer Service, Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Randwick, NSW, Australia.; Koh ES; South West Sydney Clinical School, UNSW Medicine, University of New South Wales, Liverpool, NSW, Australia.; Liverpool and Macarthur Cancer Therapy Centres, Liverpool, NSW, Australia.; Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.; Ownsworth T; School of Applied Psychology & Menzies Health Institute of Queensland, Brisbane, QLD, Australia.; Nowak AK; Medical School, University of Western Australia, Crawley, WA, Australia.; Kelly B; School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.; Leonard R; Brain Cancer Collective, NHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.; Pike KE; School of Applied Psychology & Menzies Health Institute of Queensland, Brisbane, QLD, Australia.; Griffith Centre for Mental Health, Griffith University, Queensland, Australia.; School of Psychology & Public Health and John Richards Centre for Rural Ageing Research, La Trobe University, Victoria, Australia.; Legge DM; Curtin School of Nursing/Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Bentley, WA, Australia.; Olivia Newton-John Cancer and Wellness Centre, Austin Hospital, Heidelberg, VIC, Australia.; Pinkham MB; Division of Cancer Services, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.; School of Medicine, University of Queensland, Brisbane, QLD, Australia.; Agar MR; Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT) Research Centre, Faculty of Health, University of Technology, Sydney, NSW, Australia.; Shaw J; Psycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia.
Source
Publisher: Oxford University Press Country of Publication: England NLM ID: 101721827 Publication Model: Print Cited Medium: Internet ISSN: 2515-5091 (Electronic) Linking ISSN: 25155091 NLM ISO Abbreviation: JNCI Cancer Spectr Subsets: MEDLINE
Subject
Language
English
Abstract
Background: We aimed to define levels of unmet supportive care needs in people with primary brain tumor and to reach expert consensus on feasibility of addressing patients' needs in clinical practice.
Methods: We conducted secondary analysis of a prospective cohort study of people diagnosed with high-grade glioma (n = 116) who completed the Supportive Care Needs Survey-Short Form during adjuvant chemoradiation therapy. Participants were allocated to 1 of 3 categories: no need ("no need" for help on all items), low need ("low need" for help on at least 1 item, but no "moderate" or "high" need), or moderate/high need (at least 1 "moderate" or "high" need indicated). Clinical capacity to respond to the proportion of patients needing to be prioritized was assessed.
Results: Overall, 13% (n = 5) were categorized as no need, 23% (n = 27) low need, and 64% (n = 74) moderate/high need. At least 1 moderate/high need was reported in the physical and daily living domain (42%) and the psychological (34%) domain. In recognition of health system capacity, the moderate/high need category was modified to distinguish between moderate need ("moderate" need indicated for at least 1 item but "high" need was not selected for any item) and high need (at least 1 "high" need indicated). Results revealed 24% (n = 28) moderate need and 40% (n = 46) high need. Those categorized as high need indicated needing assistance navigating the health system and information.
Conclusions: Using four step allocations resulted in 40% of patients indicating high need. Categories may facilitate appropriate triaging and guide stepped models of healthcare delivery.
(© The Author(s) 2024. Published by Oxford University Press.)