Evidence map›Paper›PMID 41689782›Full record

Trial reportPsycho-oncology2026

Disparities in Distress Symptoms Among Cancer Inpatients, Outpatients and Relatives Through Introducing and Evaluating Digital Distress Screening.

Tana Dornbrach, Madeleine Volz, Thomas Seufferlein, Hans Kestler, Klaus Hönig

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Tana DornbrachDepartment of Psychosomatic Medicine and Psychotherapy, University Clinic of Ulm, Albert-Einstein-Allee, Germany.ORCID https://orcid.org/0009-0008-9304-0664
Madeleine VolzDepartment of Psychosomatic Medicine and Psychotherapy, University Clinic of Ulm, Albert-Einstein-Allee, Germany.ORCID https://orcid.org/0009-0009-1520-4376
Thomas SeufferleinDepartment of Internal Medicine, University Clinic of Ulm, Albert-Einstein-Allee, Germany.ORCID https://orcid.org/0000-0003-3259-0810
Hans KestlerDepartment of Medical Systems Biology, University of Ulm, Albert-Einstein-Allee, Germany.ORCID https://orcid.org/0000-0002-4759-5254
Klaus HönigDepartment of Psychosomatic Medicine and Psychotherapy, University Clinic of Ulm, Albert-Einstein-Allee, Germany.ORCID https://orcid.org/0000-0001-6813-1814

Funding

Germany Federal Ministry of Education and Research 01ZZ1804I
6 · The paper itself

Abstract

BACKGROUND &

aimsCancer treatments and survival rates have significantly improved, yet distress in patients and their relatives remains overlooked, leaving them with needs unmet. One contributing factor is inadequate screening, which could be improved by digitalisation. This study examined differences in distress among outpatients, inpatients, and their relatives, along with acceptance and usability of digital screening tools.

methods149 participants including relatives, outpatients, and inpatients were randomised using established analogue screening versus digital screening with text-based instructions or digital screening with video-based instructions for the Distress Thermometer and rated their distress. Participants then provided ratings for usability and acceptance of digital screening measures.

resultsOverall distress levels on average were high for all, inpatients, outpatients and relatives. There were no significant differences between groups in overall distress levels. Inpatients without wish for counseling reported greater physical distress and lower psychological and psychosocial distress than inpatients with wish for counseling, who were similar to relatives and outpatients. Participants expressed high overall satisfaction with digital screening measurements. Digital screening with text-based instructions seems to be superior to analogue screening or video-based screening, regardless of age and gender, when people have hands-on experience. Patients and relatives using analogue screening are more skeptical of digital screening, especially elderly and female users.

conclusionOur study offered valuable insights into the varying distress levels of inpatients, outpatients, and relatives, which leads to the implication that outpatients and relatives should also be screened closely. The decisive variable was wish for counseling. There is a need for more counseling options for both cancer patients and their relatives. Our findings support the use of digital screening methods for patients and relatives. The hands-on experience seems to be crucial for a higher acceptance.

Indexed as

FamilyInpatientsMass ScreeningNeoplasmsOutpatientsPsychological DistressStress, PsychologicalAdultAgedAged, 80 and overDigital HealthFemaleHumansMaleMiddle Agedcancerdigital acceptancedigitalisationdistressoncologypsycho‐oncologyrelativesscreeningusability

Identifiers

PMID41689782
PMCPMC12906325

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Registered trials

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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.