Evidence map›Paper›PMID 37436477›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Barriers and facilitators to implementation and sustainment of guideline-recommended depression screening for patients with breast cancer in medical oncology: a qualitative study.

Erin E Hahn, Corrine E Munoz-Plaza, Lindsay Joe Lyons, Janet S Lee, Dana Pounds, Shannon La Cava, Farah M Brasfield, Lara N Durna, Karen W Kwan, David B Beard and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02941614 (Implementing Systematic Distress Screening in Breast Cancer), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 27% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02941614 completednot on this map

Implementing Systematic Distress Screening in Breast Cancer

TypeobservationalSponsorKaiser PermanenteRan2017 to 2019Enrolled1,436ConditionsBreast CancerArmsDistress screening
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Erin E HahnDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave., Pasadena, CA, 91101, USA. Erin.E.Hahn@kp.org.
Corrine E Munoz-PlazaDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave., Pasadena, CA, 91101, USA.
Lindsay Joe LyonsDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave., Pasadena, CA, 91101, USA.
Janet S LeeDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave., Pasadena, CA, 91101, USA.
Dana PoundsDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave., Pasadena, CA, 91101, USA.
Shannon La CavaCancer Support Community, Los Angeles, CA, USA.
Farah M BrasfieldSouthern California Permanente Medical Group, Department of Medical Oncology, Anaheim, CA, USA.
Lara N DurnaSouthern California Permanente Medical Group, Department of Medical Oncology, South Bay, CA, USA.
Karen W KwanSouthern California Permanente Medical Group, Department of Medical Oncology, Los Angeles, CA, USA.
David B BeardSouthern California Permanente Medical Group, Department of Medical Oncology, Woodland Hills, CA, USA.
Alexander FerreiraSouthern California Permanente Medical Group, Department of Medical Oncology, West Los Angeles, CA, USA.
Michael K GouldDepartment of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Kaiser Permanente · USLos Angeles Medical Center · USCancer Support Community · USColorado Permanente Medical Group · USWoodland Hills Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesImplementation of guideline-recommended depression screening in oncology presents numerous challenges. Implementation strategies that are responsive to local context may be critical elements of adoption and sustainment. We evaluated barriers and facilitators to implementation of a depression screening program for breast cancer patients in a community medical oncology setting as part of a cluster randomized controlled trial.

methodsGuided by the Consolidated Framework for Implementation Research, we employed qualitative methods to evaluate clinician, administrator, and patient perceptions of the program using semi-structured interviews. We used a team-coding approach for the data; thematic development focused on barriers and facilitators to implementation using a grounded theory approach. The codebook was refined through open discussions of subjectivity and unintentional bias, coding, and memo applications (including emergent coding), and the hierarchical structure and relationships of themes.

resultsWe conducted 20 interviews with 11 clinicians/administrators and 9 patients. Five major themes emerged: (1) gradual acceptance and support of the intervention and workflow; (2) compatibility with system and personal norms and goals; (3) reinforcement of the value of and need for adaptability; (4) self-efficacy within the nursing team; and (5) importance of identifying accountable front-line staff beyond leadership "champions."

conclusionsFindings suggest a high degree of acceptability and feasibility due to the selection of appropriate implementation strategies, alignment of norms and goals, and a high degree of workflow adaptability. These findings will be uniquely helpful in generating actionable, real-world knowledge to inform the design, implementation, and sustainment of guideline-recommended depression screening programs in oncology.

trial registrationClinicalTrials.gov #NCT02941614.

Indexed as

Breast NeoplasmsDepressionAdaptation, PsychologicalAdultFemaleHumansMass ScreeningMiddle AgedPractice Guidelines as TopicQualitative ResearchAdaptationCancerDepression screeningImplementation strategiesQualitative research

Identifiers

PMID37436477
OpenAlexW4383999342

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.