ArticlePalliative & supportive care2019
Barriers and facilitators to implementing the commission on cancer's distress screening program standard.
Article in Palliative & supportive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2019Guideline
- Barriers and facilitators to implementation and sustainment of guideline-recommended depression screening for patients with breast cancer in medical oncology: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Trial
- Perceptions and Use of Clinical Practice Guidelines in Psychosocial Oncology-A Pan-Canadian Survey of Mental Health and Social Service Professionals.Current oncology (Toronto, Ont.) · 2026Article
- Cancer Patients' Perception, Acceptance, and Utilization of Artificial Intelligence-Based Emotional Distress Assessment Tools: A Scoping Review.Cancer medicine · 2026Article
- Editorial: AI with insight: explainable approaches to mental health screening and diagnostic tools in healthcare.Frontiers in medicine · 2026Article
- Implementation of psycho-existential symptom distress screening among Italian healthcare providers.Palliative & supportive care · 2025Article
- The need for improved integration of psychosocial and supportive care in cancer: a qualitative study of Australian patient perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Optimizing NCCN distress thermometer use in real-world settings: a systematic review and thematic synthesis of the literature.Journal of cancer survivorship : research and practice · 2025Review
- Patterns of mental health service utilisation in people with cancer compared with people without cancer: analysis of the Australian National Study of Mental Health and Wellbeing.Journal of cancer survivorship : research and practice · 2025Article
- Screening for Psychosocial Distress: A Brief Review with Implications for Oncology Nursing.Healthcare (Basel, Switzerland) · 2024Review
- Implementing a Clinical Pathway for Needs Assessment and Supportive Care Interventions.JCO oncology practice · 2024Article
- Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care.Frontiers in psychology · 2024Article
- Proof of concept: Predicting distress in cancer patients using back propagation neural network (BPNN).Heliyon · 2023Article
- Implementing process improvements to enhance distress screening and management.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Oncology distress screening within predominately Black Veterans: Outcomes on supportive care utilization, hospitalizations, and mortality.Cancer medicine · 2023Article
- Reading Wishes from the Lips: Cancer Patients' Need for Psycho-Oncological Support during Inpatient and Outpatient Treatment.Diagnostics (Basel, Switzerland) · 2022Article
- Integrated, cross-sectoral psycho-oncology (isPO): a new form of care for newly diagnosed cancer patients in Germany.BMC health services research · 2022Article
- Oncology team perspectives on distress screening: a multisite study of a well-established use of patient-reported outcomes for clinical assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Considerations about risk of ongoing distress: what can we learn from repeat screening?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- The Clinical Utility of the Adolescent and Young Adult Psycho-Oncology Screening Tool (AYA-POST): Perspectives of AYA Cancer Patients and Healthcare Professionals.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveMany cancer centers struggle to implement standardized distress screening despite the American College of Surgeons' Commission on Cancer 2012 mandate for a distress screening program standard of care by 2015. This paper presents outcomes for the first cohort of participants (n = 36) of a Screening for Psychosocial Distress Program (SPDP), a 2-year training program designed to assist clinicians in implementing routine distress screening as mandated by the American College of Surgeons Commission on Cancer. Specifically, participants' success with distress screening implementation, institutional barriers and facilitators to implementation, and the role of the SPDP are described.
methodThis research followed a longitudinal pre- and posttest mixed methods design. An investigator-developed questionnaire collected qualitative (distress screening goals, institutional barriers and facilitators, facilitators associated with participation in the SPDP) and quantitative (level of goal achievement) data at 6, 12, and 24 months of participation in the SPDP. Conventional content analysis was applied to qualitative data. Mixed methods data analysis in Dedoose evaluated (1) types and number of distress screening goals, barriers, and facilitators, and (2) goal achievement at 6, 12, and 24 months of participation.ResultNinety-five percent of distress screening implementation goals were completed after 2 years of participation. Most common institutional barriers to distress screening implementation were "lack of staff," "competing demands," and "staff turn-over." Most common institutional facilitators were "buy-in," "institutional support," and "recognition of participants' expertise." The number of reported facilitators associated with SPDP participation was higher than the number associated with any institutional factor, and increased over time of participation.Significance of resultsParticipating in training programs to implement distress screening may facilitate successful achievement of the Commission on Cancer's distress screening standard, and benefits seem to increase with time of participation. Training programs are needed to promote facilitators and overcome barriers to distress screening.
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