Benefits of applying standardized frameworks to implement psychosocial tools such as the 'My Logbook'.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2024-11-14 DOI:10.1007/s00520-024-08981-7

Liesa J Weiler-Wichtl, Verena Fohn-Erhold, Verena Rosenmayr, Rita Hansl, Maximilian Hopfgartner, Katharina Pal-Handl, Verena Wasinger-Brandweiner, Kristina Herzog, Kirsten Neumann, Tobias Schellenberg, Dorothee Schönenberger-Loppacher, Christiane Faist-Schweika, Barbara Schönthaler, Mihaela Budich, Nicole Stember, Karin Wiegele, Maike Reddig, Anne Paduch, Iris Lein-Köhler, Sonja Görgen, Heike Wienands, Hiltrud Gauf, Rahel Hoffmann, Alina Kollmann, Ulrike Just, Nicole Salzmann, Petra Neunsinger, Marina Gerhardt, Stefanie Essl, Janina Borbely, Manuel Köpper, Sarah Rinner, Lisa Schubert, Ulrike Leiss

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Abstract

Purpose: Evidence-based interventions (EBIs) are essential to improve the well-being and neurocognitive outcomes of pediatric cancer patients; however, considerable barriers hamper the implementation of these tools. The present study assessed health care professionals' (HCP) perceived barriers and facilitators to the implementation of a specific EBI for pediatric oncology in a standardized manner to define effective solutions and practical recommendations.

Methods: An adapted version of the Consolidated Framework for Implementation Research (CFIR) questionnaire was applied to inquire n = 31 HCPs in pediatric oncology about the five domains of implementation.

Results: While most 'intervention characteristics' were considered beneficial for implementation, various aspects of the 'inner' and 'outer setting' were considered problematic. The most prevalent barriers included a shortage in resources, poor integration of EBIs into policies and lacking incentives such as user benefits. Concrete proposed and realized steps to facilitate effective implementation include a patient-focused design and continuous evaluation and adaption of the tool, a detailed EBI user manual and application workshops, as well as regular interdisciplinary meetings to improve communication. Regarding the internal and external settings, involving policy makers, establishing psychosocial care in the insurance system and increasing awareness by sharing evidence are essential steps for improved implementation.

Conclusion: Based on standardized implementation evaluation, various targeted actions could be defined and implemented to facilitate successful implementation of EBIs in pediatric oncology. The results emphasize that psychosocial care must become an integral part of treatment standards and public health policies to ensure that effective psychosocial interventions for improved wellbeing and neurocognitive skills successfully reach pediatric cancer patients.

Trial registration number: ClinicalTrials.gov Identifier: NCT04474678 (July 17th 2020).

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应用标准化框架来实施社会心理工具（如 "我的日志"）的益处。

目的：循证干预（EBI）对于改善儿科癌症患者的福祉和神经认知结果至关重要；然而，相当多的障碍阻碍了这些工具的实施。本研究以标准化的方式评估了医疗保健专业人员（HCP）在实施儿科肿瘤学特定 EBI 过程中感知到的障碍和促进因素，以确定有效的解决方案和切实可行的建议：方法：采用改编版的实施研究综合框架（CFIR）调查问卷，就实施的五个领域询问了n = 31名儿科肿瘤学领域的HCP：结果：虽然大多数 "干预特点 "被认为有利于实施，但 "内部 "和 "外部环境 "的各个方面都被认为存在问题。最普遍的障碍包括资源短缺、未将电子病历纳入政策以及缺乏用户福利等激励措施。促进有效实施的具体建议和实现步骤包括：以患者为中心的设计、对工具的持续评估和调整、详细的 EBI 用户手册和应用研讨会，以及定期召开跨学科会议以加强沟通。在内部和外部环境方面，让政策制定者参与进来、在保险系统中建立社会心理护理以及通过分享证据提高意识，都是改进实施工作的必要步骤：基于标准化的实施评估，可以定义和实施各种有针对性的行动，以促进在儿科肿瘤中成功实施 EBI。研究结果强调，社会心理护理必须成为治疗标准和公共卫生政策不可分割的一部分，以确保有效的社会心理干预措施能够改善儿科癌症患者的身心健康和神经认知能力：试验注册号：ClinicalTrials.gov Identifier：NCT04474678（2020年7月17日）。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.