Is implementing screening for distress an efficient means to recruit patients to a psychological intervention trial?: Implementation of screening for distress and recruitment
Abstract
OBJECTIVES: Psychological interventions show greater efficacy when evaluated with distressed patients. We report on the feasibility of implementing screening for recruiting distressed cancer patients to a randomized controlled trial of problem-solving therapy (PST), characteristics associated with enrolment, and time investment and challenges of implementing screening. METHODS: Three medical settings implemented screening of patients, directly after cancer treatment (T1) and 2 months later (T2), using Hopkins Symptom Checklist-25 and one question about need for services. Distressed patients indicating need for services were interviewed. Eligible patients were offered the possibility to participate in the trial. Consenting patients were randomized to PST or waitlist. RESULTS: At T1, 366 of 970 screened patients (37%) scored above the cutoff and at T2, 208 of 689 screened patients (30%). At either or both T1 and T2, 423 patients reported distress, of whom 215 indicated need for services. Only 36 (4% of 970) patients consented to trial participation. Twenty-seven patients needed to be screened to recruit a single patient, with 17 h required for each patient recruited. Barriers to screening were time constraints and negative attitudes of oncology staff towards screening. CONCLUSIONS: Implementing screening proved inefficient for recruiting distressed cancer patients post-treatment to a randomized controlled trial on PST, with need for services being much less than anticipated. Consecutively screening patients did not result in a sample representative of the larger pool of distressed patients, which may lower generalizability. An adequately powered intervention trial using screening requires a feasibility study establishing recruitment rates and dedicated, funded staff assistance.
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Patients who self-refer to treatment equally well meet inclusion criteria or even better than patients referred by clinicians (Hoffmann et al., 2019; van Scheppingen et al., 2014).
“Here, it has been found that patients who self-refer to treatment equally well meet inclusion criteria or even better than patients referred by clinicians (Hoffmann et al., 2019; van Scheppingen et al., 2014).”
From Internet-delivered Mindfulness-Based Cognitive Therapy for anxiety and depression in cancer survivors: Predictors of treatment response (2021) · cites this paper as van Scheppingen et al., 2014
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INGETROKKEN HOOFDSTUK: Psychische Klachten
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- Authors
- van Scheppingen, C., Schroevers, M. J., Pool, G., Smink, A., Mul, V. E., Coyne, J. C., & Sanderman, R.
- Affiliations
- Department of Health Sciences; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
- University Medical Center Groningen (NL)
- Department of Radiation Oncology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
- Corresponding author
- Schroevers, Maya J.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-11-28
- Volume
- 23
- Issue
- 5
- Pages
- 516-523
- ISSN
- 1057-9249 (ISSN-L)
- OpenAlex
- W2169414382
- Cited by
- 24
- References
- 49
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 1
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- KWF Kankerbestrijding
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- distress screening, trial recruitment, problem-solving therapy, cancer patients, Hopkins Symptom Checklist-25, recruitment efficiency, feasibility, barriers to screening
- MeSH terms
- Aged, Anxiety, Attitude of Health Personnel, Depression, Feasibility Studies, Female, Humans, Male, Mass Screening, Middle Aged, Neoplasms, Problem Solving, Psychotherapy, Stress, Psychological, Patient Selection
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