28 results on '"Sanson-Fisher, Rob"'
Search Results
2. Assessing patients’ experiences of cancer care across the treatment pathway: a mapping review of recent psychosocial cancer care publications
- Author
-
Sanson-Fisher, Rob, Fakes, Kristy, Waller, Amy, Mackenzie, Lisa, Bryant, Jamie, and Herrmann, Anne
- Published
- 2019
- Full Text
- View/download PDF
3. Second opinions in medical oncology
- Author
-
Olver, Ian, Carey, Mariko, Bryant, Jamie, Boyes, Allison, Evans, Tiffany, and Sanson-Fisher, Rob
- Published
- 2020
- Full Text
- View/download PDF
4. Optimal cancer care: what essential elements of care would help haematological cancer patients obtain and understand information about their disease and its treatment and impact?
- Author
-
Bryant, Jamie, Smits, Rochelle, Turon, Heidi, Sanson-Fisher, Rob, and Engel, Jennifer
- Published
- 2018
- Full Text
- View/download PDF
5. Dyadic interdependence of psychosocial outcomes among haematological cancer survivors and their support persons
- Author
-
Paul, Christine, Hall, Alix, Oldmeadow, Christopher, Lynagh, Marita, Campbell, Sharon, Bradstock, Ken, Williamson, Anna, Carey, Mariko, and Sanson-Fisher, Rob
- Published
- 2017
- Full Text
- View/download PDF
6. Support persons’ preferences for the type of consultation and the format of information provided when making a cancer treatment decision
- Author
-
Herrmann, Anne, Sanson-Fisher, Rob, Hall, Alix, Wall, Laura, Zdenkowski, Nicholas, and Waller, Amy
- Published
- 2018
- Full Text
- View/download PDF
7. Prevalence and associates of psychological distress in haematological cancer survivors
- Author
-
Hall, Alix E., Sanson-Fisher, Rob W., Carey, Mariko L., Paul, Chris, Williamson, Anna, Bradstock, Ken, and Campbell, H. Sharon
- Published
- 2016
- Full Text
- View/download PDF
8. The unfulfilled promise: a systematic review of interventions to reduce the unmet supportive care needs of cancer patients
- Author
-
Carey, Mariko, Lambert, Sylvie, Smits, Rochelle, Paul, Chris, Sanson-Fisher, Rob, and Clinton-McHarg, Tara
- Published
- 2012
- Full Text
- View/download PDF
9. Improving adherence to surveillance and screening recommendations for people with colorectal cancer and their first degree relatives: a randomized controlled trial
- Author
-
Carey Mariko, Sanson-Fisher Rob, Macrae Finlay, Hill David, D'Este Catherine, Paul Christine, and Doran Christopher
- Subjects
Cancer ,Colorectal cancer ,Early detection ,Screening ,Surveillance ,Guideline adherence ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Colorectal cancer (CRC) is among the leading causes of cancer-related morbidity and mortality worldwide. Despite clinical practice guidelines to guide surveillance care for those who have completed treatment for this disease as well as screening for first degree relatives of people with CRC, the level of uptake of these recommendations remains uncertain. If outcomes for both patients and their families are to be improved, it is important to establish systematic and cost-effective interventions to improve adherence to guideline recommendations for CRC surveillance and screening. Methods/Design A randomized controlled trial will be used to test the effectiveness of a print-based intervention to improve adherence to colonoscopy surveillance among people with CRC and adherence to CRC screening recommendations among their first degree relatives (FDRs). People diagnosed with CRC in the past 10 months will be recruited through a population-based cancer registry. Consenting participants will be asked if their first degree relatives might also be willing to participate in the trial. Information on family history of CRC will be obtained from patients at baseline. Patients and their families will be randomized to either minimal ethical care or the print-based intervention. The print-based intervention for FDRs will be tailored to the participant's level of risk of CRC as determined by the self-reported family history assessment. Follow up data on surveillance and screening participation will be collected from patients and their FDRs respectively at 12, 24 and 36 months' post recruitment. The primary analyses will relate to comparing levels of guideline adherence in usual care group versus print-based group in the patient sample and the FDR sample respectively. Discussion Results of this study will provide contribute to the evidence base about effective strategies to a) improve adherence to surveillance recommendation for people with CRC; and b) improve adherence to screening recommendation for FDRs of people with CRC. The use of a population-based cancer registry to access the target population may have significant advantages in increasing the reach of the intervention. Trial registration This trial is registered with the Australian and New Zealand Clinical Trials Registry Registration Number (ACTRN): ACTRN12609000628246.
- Published
- 2012
- Full Text
- View/download PDF
10. Preliminary development and psychometric evaluation of an unmet needs measure for adolescents and young adults with cancer: the Cancer Needs Questionnaire - Young People (CNQ-YP)
- Author
-
Clinton-McHarg Tara, Carey Mariko, Sanson-Fisher Rob, D'Este Catherine, and Shakeshaft Anthony
- Subjects
Adolescents and young adults ,cancer ,unmet needs ,measure development ,psychometric evaluation ,reliability ,validity ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Abstract Background Adolescents and young adult (AYA) cancer survivors may have unique physical, psychological and social needs due to their cancer occurring at a critical phase of development. The aim of this study was to develop a psychometrically rigorous measure of unmet need to capture the specific needs of this group. Methods Items were developed following a comprehensive literature review, focus groups with AYAs, and feedback from health care providers, researchers and other professionals. The measure was pilot tested with 32 AYA cancer survivors recruited through a state-based cancer registry to establish face and content validity. A main sample of 139 AYA cancer patients and survivors were recruited through seven treatment centres and invited to complete the questionnaire. To establish test-retest reliability, a sub-sample of 34 participants completed the measure a second time. Exploratory factor analysis was performed and the measure was assessed for internal consistency, discriminative validity, potential responsiveness and acceptability. Results The Cancer Needs Questionnaire - Young People (CNQ-YP) has established face and content validity, and acceptability. The final measure has 70 items and six factors: Treatment Environment and Care (33 items); Feelings and Relationships (14 items); Daily Life (12 items); Information and Activities (5 items); Education (3 items); and Work (3 items). All domains achieved Cronbach's alpha values greater than 0.80. Item-to-item test-retest reliability was also high, with all but four items reaching weighted kappa values above 0.60. Conclusions The CNQ-YP is the first multi-dimensional measure of unmet need which has been developed specifically for AYA cancer patients and survivors. The measure displays a strong factor structure, and excellent internal consistency and test-retest reliability. However, the small sample size has implications for the reliability of the statistical analyses undertaken, particularly the exploratory factor analysis. Future studies with a larger sample are recommended to confirm the factor structure of the measure. Longitudinal studies to establish responsiveness and predictive validity should also be undertaken.
- Published
- 2012
- Full Text
- View/download PDF
11. Oncology patient preferences for depression care: A discrete choice experiment.
- Author
-
Hobden, Breanne, Turon, Heidi, Bryant, Jamie, Wall, Laura, Brown, Scott, Sanson‐Fisher, Rob, and Sanson-Fisher, Rob
- Subjects
PSYCHO-oncology ,CONSUMER preferences ,ONCOLOGY ,ONCOLOGY nursing ,MENTAL health ,CANCER patients ,PATIENT surveys - Abstract
Objective: Using a vignette-style DCE in a sample of oncology patients, this study explored: (1) the relative influence of the patient's level of concern about their depression on preferences for care, (2) the relative influence of depression severity according to a mental health checklist on preferred treatment-seeking options, and (3) whether patient age and gender were associated with depression care preference.Methods: A discrete choice experiment (DCE) survey of cancer patients was conducted. Hypothetical vignettes to elicit care preferences were created using two attributes: the cancer patient's level of concern about depression (a little or a great deal) and results of a mental health checklist (not depressed or very depressed). Three response options for care preferences were presented, including a self-directed approach, shared care approach, and clinician-directed referral approach. Participants chose their most and least preferred options.Results: A total of 281 cancer patients completed the survey. There was a significant association between level of concern and the most preferred option. Those with a great deal of concern about depression preferred to receive referral from their clinician more than those with a little concern about depression. Males were significantly more likely to select a self-directed approach as their most preferred option.Conclusions: An oncology patient's level of concern about depression may influence the type of care they want to receive from their cancer doctor for depression. This finding has implications for depression screening in clinical practice. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
12. Not having adequate time to make a treatment decision can impact on cancer patients' care experience: Results of a cross-sectional study.
- Author
-
Herrmann, Anne, Sanson-Fisher, Rob, and Hall, Alix
- Subjects
- *
CANCER patient care , *DECISION making , *ONCOLOGISTS , *CROSS-sectional method , *LOGISTIC regression analysis , *TUMOR treatment , *RESEARCH , *TIME , *RESEARCH methodology , *PATIENT satisfaction , *EVALUATION research , *MEDICAL cooperation , *COMPARATIVE studies ,TUMORS & psychology - Abstract
Objective: We examined whether patients reporting not having adequate time to make a treatment decision is associated with discordance between their preferred and perceived involvement in decision making.Methods: This was a secondary analysis of a cross-sectional study involving Australian outpatients attending five medical or radiation oncology units. Logistic regression modelling was conducted.Results: Four hundred twenty-three patients participated. Patients who reported not having adequate time to make their last important treatment decision had significantly higher odds of experiencing discordance between their preferred and perceived involvement in this decision, compared to those patients who reported having adequate time (OR: 2.76; 95% CI: 1.01-7.55; p = 0.048).Conclusion: Patients should receive adequate time when making cancer treatment decisions. This may help patients "digest" and use the information they received, and become involved in decision making, to the extent they desire. Future research should further investigate what patients consider adequate time for decision making.Practice Implications: Doctors should assess patients' preferences for the amount of time they prefer when making a treatment decision and tailor care accordingly. Offering patients two consultations with some time to think about their options in-between these consultations may be one method in achieving this. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
13. A cross-sectional study of agreement between the Hospital Anxiety and Depression Scale and patient- and radiation oncologist-reported single-item assessment of depression and anxiety.
- Author
-
Mackenzie, Lisa, Carey, Mariko, Suzuki, Eiji, Yoshimura, Michio, Toi, Masakazu, D'Este, Catherine, Sanson‐Fisher, Rob, D'Este, Catherine, and Sanson-Fisher, Rob
- Subjects
DIAGNOSIS of mental depression ,ANXIETY diagnosis ,CANCER patient psychology ,MENTAL health of cancer patients ,RADIOTHERAPY - Abstract
Objective: To describe among radiation oncology patients: (1) the proportion likely to be experiencing symptoms of depression and anxiety as identified by (a) the Hospital Anxiety and Depression Scale (HADS; standardised tool), (b) patient-reported single items (ultrashort tool), and (c) radiation oncologist-reported single items (clinician judgement); (2) preferences for being offered psychological support; and (3) agreement between single-item measures and the HADS.Methods: Adult cancer patients (n = 152; consent rate 58%) receiving radiotherapy completed a touchscreen tablet survey assessing symptoms of anxiety and depression (HADS and a single-item tool) and support preferences. Each participant's treating radiation oncologist completed a survey assessing his or her perception of whether the patient was anxious or depressed.Results: Prevalence estimates for likely depression (6.9-18%) and anxiety (17-33%) overlapped across the 3 measures. Overall, only 9.9% of patients (95% CI, 5.6%-16%) wanted to be offered psychological support. For depression, agreement between the HADS and ultrashort tool was fair (κ = 0.37, P < 0.0001); agreement between the HADS and clinician judgement was slight (κ = 0.14, P < 0.05). For anxiety, agreement between the HADS and clinician judgement was not significantly greater than chance alone (κ = 0.04, P = 0.33), and agreement between the HADS and ultrashort tool was moderate (κ = 0.49, P < 0.0001).Conclusions: These findings highlight the important role that oncology consultations play in interpreting assessment tool results and responding to individual patient's history and preferences for psychological support. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
14. Agreement between a single-item measure of anxiety and depression and the Hospital Anxiety and Depression Scale: A cross-sectional study.
- Author
-
Turon, Heidi, Carey, Mariko, Boyes, Allison, Hobden, Bree, Dilworth, Sophie, and Sanson-Fisher, Rob
- Subjects
ANXIETY disorders ,MENTAL depression ,CHRONIC diseases ,CANCER ,OUTPATIENT medical care - Abstract
Anxiety and depression can be heightened among individuals living with chronic diseases. Identifying these individuals is necessary for ensuring they are provided with adequate support. Traditional tools such as clinical interviews or symptom checklists are not always feasible to implement in practice. Robust single-item questions may be a useful alternative. This study aimed to measure agreement, sensitivity, specificity, positive predictive value and negative predictive value of a single-item question about anxiety and depression compared to the widely used Hospital Anxiety and Depression Scale (HADS). A cross-sectional survey of 2,811 people with cancer attending 19 treatment centres in Australia. Patients were approached in the waiting room prior to an outpatient clinic appointment and invited to complete a pen and paper survey. Participants completed the HADS as well as 2 single-items asking if they have felt anxious or depressed in the last week. The single-items for anxiety and depression each demonstrated moderate levels of sensitivity (0.78 for anxiety; 0.63 for depression) and specificity (0.75 for anxiety; 0.84 for depression) against the relevant HADS subscale. Positive predictive values were moderate (0.53 for anxiety and 0.52 for depression) while negative predictive values were high for both single-item questions (0.90 for anxiety and 0.89 for depression). The single-item measures of anxiety and depression may be useful to rule out individuals who do not require further psychological assessment or intervention for anxiety and depression. Further research is needed to explore whether these findings generalise to other chronic diseases. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
15. Do medical oncology patients and their support persons agree about end-of-life issues?
- Author
-
Waller, Amy, Hall, Alix, Sanson‐Fisher, Rob, Zdenkowski, Nicholas, Douglas, Charles, and Walsh, Justin
- Subjects
TERMINAL care laws ,TUMOR diagnosis ,CANCER patients ,CONFIDENCE intervals ,DECISION making ,GUARDIAN & ward ,HEALTH facilities ,SERVICES for caregivers ,PATIENT-family relations ,EVALUATION of medical care ,MEDICAL quality control ,MEDICAL personnel ,MEDICAL protocols ,PATIENT satisfaction ,STATISTICS ,SURVEYS ,DECISION making in clinical medicine ,WAITING rooms ,PATIENTS' attitudes ,TERTIARY care - Abstract
Background The perceptions of those called on to make decisions on behalf of patients who lack capacity at the end of life must accurately reflect patient preferences. Aims To establish the extent to which the views of medical oncology outpatients are understood by their support persons, specifically with regards to (i) preferred type and location of end-of-life care, (ii) preferred level of involvement in end-of-life decision-making and (iii) whether the patient has completed an advance care plan or appointed an enduring guardian. Methods Adults with a confirmed cancer diagnosis and their nominated support persons were approached between September 2015 and January 2016 in the waiting room of an Australian tertiary referral clinic. Consenting participants completed a pen-and-paper survey. Nominated support persons answered the same questions from the patient's perspective. Results In total, 208 participants (39% of eligible dyads) participated. Observed agreement across the five outcomes ranged from 54% to 84%. Kappa values for concordance between patient-support person responses were fair to moderate (0.24-0.47) for enduring guardian, decision-making, advance care plan and care location outcomes. A slight level of concordance ( k = 0.15; 95% confidence interval: −0.02, 0.32) was found for the type of care outcome. Conclusion Relying on support persons' views does not guarantee that patients' actual preferences will be followed. Strategies that make patient preferences known to healthcare providers and support persons while they still have the capacity to do so is a critical next step in improving quality cancer care. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
16. Psychological morbidity among Australian rural and urban support persons of haematological cancer survivors: Results of a national study.
- Author
-
Carey, Mariko, Sanson-Fisher, Rob, Paul, Christine, Bradstock, Kenneth, Williamson, Anna, and Campbell, H. Sharon
- Subjects
- *
HEMATOLOGIC malignancies , *MENTAL depression , *BURDEN of care , *CAREGIVERS , *ONCOLOGY , *PSYCHOLOGY , *PATIENTS - Abstract
Objective To compare the prevalence of anxiety, depression, and stress among rural and urban support persons of haematological cancer survivors and explore factors associated with having one or more of these outcomes. Methods Haematological cancer survivors were identified via 1 of 5 state-based cancer registries and invited to take part in a survey. Those who agreed were asked to pass on a questionnaire package to their support person. Measures included the Depression, Anxiety, and Stress Scale, Support Persons' Unmet Need Survey, and sociodemographic questions. Results Nine-hundred and eighty-nine (66%) participating survivors had a participating support person. There were no significant differences in the proportion of urban versus rural support persons who reported elevated levels of depression (21% vs 23%), anxiety (16% vs 17%), or stress (16% vs 20%), P > .05. Odds of reporting at least 1 indicator of psychological morbidity increased by 10% to 17% for each additional high or very high unmet need and by 2% for those who had relocated from their usual place of residence for the survivor to receive treatment and was decreased by 5% to 54% for those support persons who reported that they had no chronic health conditions. Conclusions Psychological outcomes for rural and urban support persons are similar. Those who have poor health, have had to relocate, and who have multiple unmet needs are particularly vulnerable to poor psychological outcomes. These factors should be assessed to enable early intervention for those at risk of poor outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
17. Medical Oncology Patients: Are They Offered Help and Does It Provide Relief?
- Author
-
Zucca, Alison, Sanson-Fisher, Rob, Waller, Amy, Carey, Mariko, Fradgley, Elizabeth, and Regan, Tim
- Subjects
- *
CANCER patients , *ONCOLOGY , *SYMPTOMS , *FATIGUE (Physiology) , *PSYCHOLOGICAL distress , *CANCER pain , *PAIN management , *TREATMENT of psychological stress , *TUMOR treatment , *COMPARATIVE studies , *RESEARCH methodology , *MEDICAL quality control , *MEDICAL cooperation , *PAIN , *RESEARCH , *PSYCHOLOGICAL stress , *TUMORS , *EVALUATION research , *TREATMENT effectiveness , *PATIENTS' attitudes , *THERAPEUTICS - Abstract
Context: Identifying modifiable gaps in the symptom management pathway, as perceived by patients, is the first step to relieving patient suffering.Objectives: The objective is to describe the proportion of patients experiencing treatable cancer-related symptoms who reported 1) a health care provider at the treatment center offered assistance for their symptom, 2) they accepted the assistance offered, and 3) the assistance relieved suffering. Variation in symptom management among treatment centers also was examined.Methods: A survey was done with 528 medical oncology outpatients recruited from six treatment centers. Eight items explored management of prevalent, burdensome, and treatable cancer-related symptoms: pain, fatigue, other physical side effects, and emotional distress. Participants were asked about symptom management provided at the clinic from where they were recruited. Questions referred to the last occasion the patient experienced the symptom.Results: Fewer patients were offered help to relieve fatigue (44%) and emotional distress (57%), than pain (90%) and other physical side effects (84%). In most cases, help was not offered as clinic staff were not aware of the patient's symptom. Although the vast majority of patients accepted the help that was offered, more patients accepted help for physical symptoms (pain, 97%; fatigue, 95%; and other side effects, 98%) than emotional symptoms (87%). When care was provided, most patients experienced at least a little relief from pain (99%), fatigue (94%), and emotional distress (96%). Symptom management did not vary significantly by treatment center (P = 0.073).Conclusion: Quality improvement initiatives must focus primarily on improving providers' awareness of their patients' symptoms and ensuring that patients are subsequently offered help. [ABSTRACT FROM AUTHOR]- Published
- 2015
- Full Text
- View/download PDF
18. Do we get it right? Radiation oncology outpatients' perceptions of the patient centredness of life expectancy disclosure.
- Author
-
Mackenzie, Lisa J., Carey, Mariko L., Paul, Chris L., Sanson‐Fisher, Rob W., and D'Este, Catherine A.
- Subjects
CANCER patients ,LIFE expectancy ,RADIOTHERAPY ,MEDICAL personnel - Abstract
Objective A patient-centred approach to discussing life expectancy with cancer patients is recommended in Western countries. However, this approach to eliciting and meeting patient preferences can be challenging for clinicians. The aims of this study were the following: (i) to examine cancer patients' preferences for life expectancy disclosure; and (ii) to explore agreement between cancer patients' preferences for, and perceived experiences of, life expectancy disclosure. Methods Cancer patients undergoing radiotherapy treatment in metropolitan Australia completed a cross-sectional touchscreen computer survey including optional questions about their life expectancy disclosure preferences and experiences. Results Of the 208 respondents, 178 (86%) indicated that they would prefer their clinician to ask them before discussing life expectancy, and 30 (14%) indicated that they would prefer others (i.e. clinicians, family) to decide whether they were given life expectancy information. Of the 175 respondents who were classified as having a self- determined or other-determined disclosure experience, 105 (60%) reported an experience of life expectancy disclosure that was in accordance with their preferences. Cohen's κ was −0.04 (95% CI, −0.17, 0.08), indicating very poor agreement between patients' preferences for and perceived experiences of life expectancy disclosure ( p = 0.74). Conclusions In light of patient-centred prognosis disclosure guidelines, our findings of a majority preference for, and experience of, a self-determined approach to life expectancy disclosure amongst radiation oncology patients are encouraging. However, poor agreement between preferences and experiences highlights that additional effort from clinicians is required in order to achieve a truly patient-centred approach to life expectancy disclosure. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
19. Validation of the needs assessment for advanced lung cancer patients (NA-ALCP).
- Author
-
Schofield, Penelope, Gough, Karla, Ugalde, Anna, Dolling, Lara, Aranda, Sanchia, and Sanson‐Fisher, Rob
- Subjects
CANCER patients ,NEEDS assessment ,LUNG cancer ,PSYCHOLOGICAL stress ,BASIC needs - Abstract
Objective: The Needs Assessment for Advanced Cancer Patients (NA-ACP) is a 132-item self-report questionnaire designed to assess the seven needs domains of patients with advanced, incurable cancer. This study aimed to evaluate the short derivative form of that questionnaire with advanced lung cancer patients. Methods: Item factor loadings, item test-retest data and response distributions were used to retain or reject items from the original NA-ACP scale. This resulted in 38 items being maintained, preserving the original subscales. The response scale was simplified following feedback from patients. 108 people with advanced lung cancer completed the shortened NA-ALCP along with measures of psychological distress (HADS, DT) and quality of life (EORTC QLQ-C30). A-priori predictions were made for divergent and convergent validity. Results: Internal consistency coefficients were satisfactory for six of seven subscales, range 0.71-0.95. Correlations between NA-ALCP and HADS, DT and EORTC-QLQ-C30 provided support for 11 of the 22 divergent ( r = 0.13-0.27) and convergent predictions ( r = 0.45-0.71). Conclusions: Subscales of the NA-ALCP demonstrated internal reliability consistent with the original scale. Results provided supporting evidence for divergent and convergent validity. This study indicates that the NA-ALCP is psychometrically robust, easily understood and one-quarter the length of the original version. Copyright © 2011 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
20. Reducing Inequities in Cancer Care: The Role of Cancer Registries.
- Author
-
Sanson-Fisher, Rob, Carey, Mariko, Mackenzie, Lisa, Hill, David, Campbell, Sharon, and Turner, Donna
- Subjects
- *
MEDICAL research , *CANCER patients , *UTERINE fibroids , *MEDICAL screening , *CANCER treatment , *CANCER - Abstract
In this article, the author reflects on the study that evaluates patients with stage 1 uterine papillary serous carcinoma (UPSC) who were treated with surgery. It contends that inequities in cancer care need to be acknowledged and efforts made to overcome them so that all cancer patients benefit from advances in screening and treatment. It suggests that there is potential for active cancer control initiatives using registries as an access point to benefit patients.
- Published
- 2009
- Full Text
- View/download PDF
21. Barriers to the provision of evidence-based psychosocial care in oncology.
- Author
-
Schofield, Penelope, Carey, Mariko, Bonevski, Billie, and Sanson-Fisher, Rob
- Subjects
ONCOLOGY ,EVIDENCE-based medicine ,PSYCHOSOCIAL factors ,CANCER patients ,BEHAVIOR ,HEALTH practitioners - Abstract
Meeting the psychological, social and physical needs of people with cancer is a challenge for individual health practitioners, health administrators and health policy makers. However, there is a considerable gap between recommended best-evidence psychosocial and supportive care and actual practice. This paper provides a discussion of the reasons for this gap using the precede-proceed model as a theoretical framework. The model is a useful way of classifying potential barriers to the application of recommended best practice into three categories: predisposing factors which influence motivation to behave in a particular way, enabling factors which facilitate the enactment of the behaviour and reinforcing factors which increase the likelihood that the behaviour will be maintained over time. Ways of addressing these barriers are proposed and discussed. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
22. Anxiety and depression among haematological cancer patients attending treatment centres: Prevalence and predictors.
- Author
-
Clinton-McHarg, Tara, Carey, Mariko, Sanson-Fisher, Rob, Tzelepis, Flora, Bryant, Jamie, and Williamson, Anna
- Subjects
- *
ANXIETY , *HEMATOLOGY , *MENTAL depression , *THERAPEUTICS , *CANCER patients , *PREDICTION (Psychology) , *DISEASE prevalence - Abstract
Abstract: Background: This study aimed to: (1) estimate the prevalence of anxiety and/or depression among haematological cancer patients attending treatment centres; and (2) explore the demographic, disease and treatment characteristics associated with anxiety and/or depression. Methods: A cross-sectional study was conducted with outpatients from three haematology clinics in Australia. Patients with a confirmed diagnosis of haematological cancer were approached by a research assistant while waiting for their appointment and invited to participate in the survey. Participants completed the Hospital Anxiety and Depression Scale (HADS) and self-reported demographic, disease and treatment characteristics. Results: Questionnaires from 304 participants were returned. Twenty-seven percent of patients reported anxiety and 17% reported depression. Specifically, 15% reported anxiety without depression, 5% reported depression without anxiety, and 12% reported comorbid anxiety and depression. Participants who had to relocate to receive treatment had almost three times the odds of reporting anxiety and/or depression compared to those who did not have to move. Former smokers also had significantly higher odds of reporting anxiety and/or depression. Limitations: The HADS is likely to have produced some false positives and false negatives when compared with gold standard structured clinical interviews for assessing psychological morbidity. Conclusions: Approximately 20% of haematological cancer patients attending outpatient clinics may experience clinically significant levels of anxiety and/or depression. Providing additional tailored support to patients who have had to relocate for treatment, and to former smokers, may help to reduce anxiety and depression among these subgroups. [Copyright &y& Elsevier]
- Published
- 2014
- Full Text
- View/download PDF
23. How well are we meeting haematological cancer survivors’ preferences for involvement in treatment decision making?
- Author
-
Carey, Mariko, Anderson, Amy, Sanson-Fisher, Rob, Lynagh, Marita, Paul, Chris, and Tzelepis, Flora
- Subjects
- *
HEMATOLOGY , *CANCER patients , *MEDICAL decision making , *CANCER treatment , *PATIENT participation , *CANCER diagnosis , *HEALTH surveys - Abstract
Abstract: Objective: This study aimed to examine preferred and perceived roles of haematological cancer survivors in treatment decision making. Methods: Participants were within three years of diagnosis and registered with a cancer registry in one Australian state. 732 eligible survivors were invited to complete a paper and pencil survey. Results: 268 survivors completed the survey (37% response rate). The majority of participants (46%) preferred a passive role in decision making. Thirty percent of participants preferred to make the decision in collaboration with the doctor, whereas 26% preferred an active role in decision making. Just over half of respondents (56%) reported an exact match between their preferred and perceived roles. Where discordance between preferred and perceived roles were identified, survivors were more likely to report having been more passively than actively involved compared to their preferred roles. Conclusion: There is considerable variation in haematological cancer survivors’ preferred and perceived roles in treatment decision making. Practice implications: This study highlights the need to improve clinical communication to ensure that patient experiences align with their preferences for involvement in treatment decision making. [Copyright &y& Elsevier]
- Published
- 2012
- Full Text
- View/download PDF
24. One-to-one volunteer support programs for people with cancer: A review of the literature
- Author
-
Macvean, Michelle L., White, Victoria M., and Sanson-Fisher, Rob
- Subjects
- *
CANCER patients , *VOLUNTEER service , *BREAST cancer , *LIBRARY information networks - Abstract
Abstract: Objective: To conduct a systematic review of literature reporting on the use of volunteers in support programs for people with cancer. Methods: PsycINFO, Medline and CINAHL were used to identify papers published up to April 2007 reporting one-to-one support programs using volunteers. Program data were extracted from the papers, which were rated on research quality and descriptions of the program, volunteers and support recipients. Results: Twenty-eight papers were reviewed. Nineteen (69%) reported peer-support programs, with four (14%) pertaining to the Reach to Recovery program for women with breast cancer, and eight (28%) describing other peer-support programs for women with breast cancer. Few papers described the programs sufficiently to enable a good understanding of support recipients, volunteers, and what transpired between volunteers and support recipients. Twenty papers (71%) were research studies: 10 (36%) with one group descriptive data, 6 (21%) were non-randomized comparative studies and 4 (14%) were randomized controlled trials. Conclusion: While most papers reported that programs were beneficial, few presented data from studies using rigorous research methodologies to support these claims. Practice implications: Using volunteers in cancer care may have merits; however, papers need to provide more information regarding these programs and further evidence is required to determine their effectiveness. [Copyright &y& Elsevier]
- Published
- 2008
- Full Text
- View/download PDF
25. Preparatory education for cancer patients undergoing surgery: A systematic review of volume and quality of research output over time.
- Author
-
Waller, Amy, Forshaw, Kristy, Bryant, Jamie, Carey, Mariko, Boyes, Allison, and Sanson-Fisher, Rob
- Subjects
- *
PATIENT education , *CANCER patients , *MEDICAL quality control , *SYSTEMATIC reviews , *HEALTH outcome assessment , *EXPERIMENTAL design , *MEDICAL information storage & retrieval systems , *PSYCHOLOGY information storage & retrieval systems , *RESEARCH methodology , *MEDLINE , *PATIENT satisfaction , *PREOPERATIVE education , *HEALTH literacy , *EDUCATION - Abstract
Objective To determine the volume and scope of research output examining preparation of patients for people undergoing cancer-related surgical treatment, and the impact of pre-operative education on patient outcomes and health care utilisation. Methods Medline, EMBASE, PsychINFO databases were systematically searched. Eligible papers were coded as data-based or non-data-based. Data-based papers were further classified as descriptive, measurement or intervention studies. Methodological quality and effectiveness of intervention studies were assessed using Cochrane Effective Practice and Organisation of Care (EPOC) criteria. Results We identified 121 eligible papers. The number of publications significantly increased over time. Most were data-based ( n = 99) and descriptive ( n = 83). Fourteen intervention studies met EPOC design criteria. Face-to-face interventions reported benefits for anxiety (5/7), satisfaction (1/1), knowledge (3/3) and health care costs (1/1). Audio-visual and multi-media interventions improved satisfaction (1/1) and knowledge (2/3), but not anxiety (0/3). Written interventions were mixed. Conclusion Descriptive studies dominate the literature examining preoperative education in oncology populations, with few rigorous intervention studies. Pre-operative education can improve satisfaction, knowledge and reduce anxiety. Practice implications Further work should be directed at multi-modal interventions, and those that include the caregiver, given their role in assisting patients to prepare and recover from surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
26. The timeliness of patients reporting the side effects of chemotherapy
- Author
-
Ian N. Olver, Jamie Bryant, Natasha Noble, Justin Walsh, Mariko Carey, Rob Sanson-Fisher, Allison Boyes, Alix Hall, Olver, Ian, Carey, Mariko, Boyes, Allison, Hall, Alix, Noble, Natasha, Bryant, Jamie, Walsh, Justin, and Sanson-Fisher, Rob
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Time Factors ,Side effect ,Vomiting ,Nausea ,medicine.medical_treatment ,Hemorrhage ,Disease ,chemotherapy ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Neoplasms ,Surveys and Questionnaires ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,030212 general & internal medicine ,Fatigue ,Aged ,Retrospective Studies ,Chemotherapy ,business.industry ,Communication Barriers ,Cancer ,Middle Aged ,medicine.disease ,Rash ,side effects ,quality of life ,Oncology ,030220 oncology & carcinogenesis ,Quality of Life ,Female ,self-reporting ,Self Report ,timeliness ,medicine.symptom ,business - Abstract
To explore the actions cancer patients reported they would take in response to a range of common side effects of chemotherapy and whether these were considered appropriate based on current guidelines and evidence; and to explore the sociodemographic and cancer-related variables associated with patients selecting the appropriate action (immediate medical attention or reporting) for two potentially life-threatening side effects: fever, and unusual bleeding and bruising. Methods Four hundred thirty-six medical oncology and haematology patients receiving chemotherapy completed two surveys to provide demographic, disease and treatment characteristics, and details on how they would respond if they experienced a range of specified side effects of chemotherapy (for example, nausea and vomiting, fatigue, and skin rash or nail changes). The proportion of patients reporting the appropriate action for each side effect was calculated. Multiple logistic regressions examined the patient demographic and cancer characteristics associated with selecting the appropriate action (seeking immediate medical attention) for two potentially life-threatening side effects of chemotherapy: high fever of 38 °C or more, and unusual bleeding or bruising. Results Two thirds of patients indicated that they would seek immediate medical attention for high fever (67%), but only 41%would seek immediate attention for bleeding or bruising. Cancer type and time since diagnosis were significantly associated with patients indicating that they would seek immediate medical attention for high fever; while time since diagnosis was the only variable significantly associated with patients reporting that they would seek immediate medical attention for unusual bleeding or bruising. For chronic side effects, like skin rash or nail changes, and tingling or numbness, which usually do not require urgent reporting, only between 12 and 16% would report them immediately. A significant proportion of patients reported that they would "do nothing" about fatigue or tiredness (24%). By comparison, less than 10% patients reported that they would do nothing for the other side effects investigated. Conclusions Tools need to be created so that patients better understand the side effects after being treated with chemotherapy and what action they should take. Refereed/Peer-reviewed
- Published
- 2018
27. What Caused My Cancer? Cancer patients' perceptions on what may have contributed to the development of their cancer: a cross-sectional, cross-country comparison study
- Author
-
Lisa Mackenzie, Tran Thanh Huong, Alix Hall, Sang Minh Nguyen, Ian N. Olver, Tran Van Thuan, Rob Sanson-Fisher, Hall, Alix, Nguyen, Sang Minh, Mackenzie, Lisa, Sanson-Fisher, Rob, Olver, Ian, Thuan, Tran Van, and Huong, Tran Thanh
- Subjects
Cross-Cultural Comparison ,Male ,Health Knowledge, Attitudes, Practice ,Vietnamese ,cancer risk ,Logistic regression ,Causes of cancer ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,cancer control ,Neoplasms ,Surveys and Questionnaires ,Medicine ,Humans ,cancer communication ,030212 general & internal medicine ,Risk factor ,Aged ,Response rate (survey) ,business.industry ,Incidence ,Age Factors ,Australia ,Cancer ,Hematology ,General Medicine ,Feeding Behavior ,Middle Aged ,medicine.disease ,language.human_language ,3. Good health ,Cross-Sectional Studies ,Oncology ,Vietnam ,030220 oncology & carcinogenesis ,Special Collection on Cancers in Vietnam: Burden and Control Efforts ,language ,Anxiety ,Female ,Perception ,medicine.symptom ,business ,Demography ,Tertiary Prevention ,Research Article - Abstract
Accurate public perceptions on the risk factors associated with cancer are important in promoting primary, secondary, and tertiary prevention. Limited studies have explored this topic among patients with cancer in non-western, low-to-middle-income countries. A cross-sectional survey to compare Australian and Vietnamese cancer patients’ perceptions of what caused their cancer was undertaken. Adult, patients with cancer from both countries, receiving radiotherapy treatment completed a standardized survey, which included a 25-item module assessing their beliefs on the causes of their cancer. Items ranged from known evidence-based causes (eg, smoking, sun exposure) to non-evidence-based beliefs (eg, stress or anxiety, physical injury, or trauma). Country-specific logistic regression analyses were conducted to identify differences in the determinants of patients’ top perceived causes. A total of 585 patient surveys were completed (75% response rate; 285 from Australia, and 300 from Vietnam). Most patients were male (58%) and aged 60 years and older (55%). The most frequently reported risk factor overall and for the Australian sample was “getting older” (overall = 42%, Australia = 49%, and Vietnam = 35%). While the most frequently reported risk factor for the Vietnamese sample was “poor diet” (overall = 39%, Australia = 11%, and Vietnam = 64%). There were differences in the characteristics associated with the top causes of cancer identified by Australian and Vietnamese patients. Patients’ beliefs about what may have caused their cancer are complex and likely to be impacted by multiple factors, including the country from which they reside. Developing public awareness campaigns that are accurate and tailored to address the specific beliefs and possible misconceptions held by the target community are needed. Refereed/Peer-reviewed
- Published
- 2019
28. Improving adherence to surveillance and screening recommendations for people with colorectal cancer and their first degree relatives: a randomized controlled trial
- Author
-
Carey Mariko, Sanson-Fisher Rob, Macrae Finlay, Hill David, D'Este Catherine, Paul Christine, and Doran Christopher
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.