ArticleJournal of the National Comprehensive Cancer Network : JNCCN2016
Guiding Lay Navigation in Geriatric Patients With Cancer Using a Distress Assessment Tool.
Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Associations between psychological distress and financial hardship for patients with cancer receiving care in Alabama.Journal of cancer survivorship : research and practice · 2026Article
- Insights from a Patient-Centered Lung Cancer Navigation Program in a Low-Resource Community.Current oncology (Toronto, Ont.) · 2025Article
- Article
- Study on the cut-off point and the influencing factors of distress in newly diagnosed breast cancer patients.Frontiers in psychology · 2024Article
- Prior health promotion experience and intervention outcomes in a lay health advisor intervention.Health education research · 2022Article
- Evaluating the implementation and impact of navigator-supported remote symptom monitoring and management: a protocol for a hybrid type 2 clinical trial.BMC health services research · 2022Article
- Patient Navigation in Cancer: The Business Case to Support Clinical Needs.Journal of oncology practice · 2019Review
- A Community-Partnered, Evidence-Based Approach to Improving Cancer Care Delivery for Low-Income and Minority Patients with Cancer.Journal of community health · 2019Article
- Impact of Travel Time on Health Care Costs and Resource Use by Phase of Care for Older Patients With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019Article
- Disparities in Hospice Utilization for Older Cancer Patients Living in the Deep South.Journal of pain and symptom management · 2019Article
- Improving implementation of psychological interventions to older adult patients with cancer: Convening older adults, caregivers, providers, researchers.Journal of geriatric oncology · 2018Article
- Feasibility of a Telehealth Educational Program on Self-Management of Pain and Fatigue in Adult Cancer Patients.Journal of pain and symptom management · 2017Article
- Resource Use and Medicare Costs During Lay Navigation for Geriatric Patients With Cancer.JAMA oncology · 2017Observational
- Implementation and Impact of Patient Lay Navigator-Led Advance Care Planning Conversations.Journal of pain and symptom management · 2017Article
- Choosing Wisely: Opportunities for Improving Value in Cancer Care Delivery?Journal of oncology practice · 2017Article
Corrections and comments
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Authors and funding
18 authors.
Funding
Abstract
backgroundThere is growing interest in psychosocial care and evaluating distress in patients with cancer. As of 2015, the Commission on Cancer requires cancer centers to screen patients for distress, but the optimal approach to implementation remains unclear.
methodsWe assessed the feasibility and impact of using distress assessments to frame lay navigator interactions with geriatric patients with cancer who were enrolled in navigation between January 1, 2014, and December 31, 2014.
resultsOf the 5,121 patients enrolled in our lay patient navigation program, 4,520 (88%) completed at least one assessment using a standardized distress tool (DT). Navigators used the tool to structure both formal and informal distress assessments. Of all patients, 24% reported distress scores of 4 or greater and 5.5% reported distress scores of 8 or greater. The most common sources of distress at initial assessment were pain, balance/mobility difficulties, and fatigue. Minority patients reported similar sources of distress as the overall program population, with increased relative distress related to logistical issues, such as transportation and financial/insurance questions. Patients were more likely to ask for help with questions about insurance/financial needs (79%), transportation (76%), and knowledge deficits about diet/nutrition (76%) and diagnosis (66%) when these items contributed to distress.
conclusionsLay navigators were able to routinely screen for patient distress at a high degree of penetration using a structured distress assessment.
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