Trial reportPatient education and counseling2020
Impact of the mental health and dynamic referral for oncology (MHADRO) program on oncology patient outcomes, health care utilization, and health provider behaviors: A multi-site randomized control trial.
Trial report in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Perioperative Depressive Symptoms in Surgical Cancer Patients: a Systematic Review and Meta-analysis.Annals of surgical oncology · 2026Pooled it
- Non-pharmacological interventions to manage psychological distress in patients living with cancer: a systematic review.BMC palliative care · 2023Pooled it
- A Positive Distress Screen…Now What? An Updated Call for Integrated Psychosocial Care.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- Navigating mental health in a post-COVID world: the experience of colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Psychological Impact of COVID-19 on Oncology Patients: Perceptions of Oncology Health Care Providers.Western journal of nursing research · 2023Article
- Development and psychometric properties of the Stressors in Breast Cancer Scale.Frontiers in psychology · 2023Article
- The psychological health of patients diagnosed with cancer in Iraq during the COVID-19 pandemic: A single center study.Psycho-oncology · 2022Article
- The impact of symptom screening on survival among patients with cancer across varying levels of pre-diagnosis psychiatric care.Cancer medicine · 2022Article
- Regaining autonomy, competence, and relatedness: Experiences from two Shared Reading groups for people diagnosed with cancer.Frontiers in psychology · 2022Article
- The Impact of the COVID-19 Pandemic on Cancer Patient's Management-Lithuanian Cancer Center Experience.Healthcare (Basel, Switzerland) · 2021Article
- An Assessment of Distress Levels of Patients Undergoing Lung Cancer Treatment and Surveillance During the COVID-19 Pandemic.The journal for nurse practitioners : JNP · 2021Article
- Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic.Translational psychiatry · 2020Article
- Application of the Stress and Anxiety to Viral Epidemics-6 (SAVE-6) and Coronavirus Anxiety Scale (CAS) to Measure Anxiety in Cancer Patient in Response to COVID-19.Frontiers in psychology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveThe MHADRO assesses psychosocial and medical needs, provides tailored feedback reports, and connects patients to mental health providers. This study examined the MHADRO's effect on patient outcomes, health care utilization, and oncology provider documentation and behaviors.
methods836 patients were part of a multi-site RCT and assessments were conducted at baseline, 2, 6 and 12 months.
resultsThe intervention group engaged in less emergency calls to providers. There were no differences in psychosocial outcomes at follow up assessments. Providers of patients in the intervention group were more likely to: document psychosocial symptoms and history; refer to psychosocial services; encourage support groups; seek psychological evaluations during visits. Patients who agreed to a mental health referral had decreased hospitalizations, increased mental health care interactions, and stronger ratings of counseling potential benefits. This group also reported increased psychosocial distress at all follow-up assessments.
conclusionThe MHADRO may increase access to mental health care, lessen utilization, and improve providers' management of psychosocial needs, but does not appear to impact overall functioning over time. PRACTICE IMPLICATIONS: Providers are encouraged to consider incorporating programs, like the MHADRO, into patient care as they may have the potential to impact screening and management of patients' psychosocial needs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.