Psychosocial assessment practices for hematopoietic stem cell transplantation: a national survey study.


Journal

Bone marrow transplantation
ISSN: 1476-5365
Titre abrégé: Bone Marrow Transplant
Pays: England
ID NLM: 8702459

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 09 06 2023
accepted: 10 08 2023
revised: 02 08 2023
medline: 4 12 2023
pubmed: 27 8 2023
entrez: 26 8 2023
Statut: ppublish

Résumé

Psychosocial health predicts and contributes to medical outcomes for patients undergoing hematopoietic stem cell transplantation (HSCT). Yet, there are no standards for psychosocial assessments or support for both patients and caregivers across the care continuum. To examine the current state of psychosocial care, clinicians were sent a survey of their psychosocial assessment practices for patients and caregivers undergoing HSCT via the Listservs of professional organizations. Descriptive statistics and bivariate analyses were performed to summarize the findings. While 96% of participants reported routine pre-HSCT psychosocial assessment of patients, only 10.6% routinely used a validated transplant risk-assessment measure. Just 27% routinely performed follow-up psychosocial assessments. In contrast, only 47% of participants routinely assessed the psychosocial needs of family caregivers pre-HSCT, and 13% routinely performed follow-up assessments for caregivers. Most (90%) reported social workers were the primary providers of assessments. While patient-report measures were used for evaluation, the majority of assessments were clinical interviews. No significant differences were found between programs that treated adult and pediatric patients versus those only treating adult patients. Our findings highlight the lack of standard psychosocial practices for patients and family caregivers undergoing HSCT and we offer recommendations to fill this gap.

Identifiants

pubmed: 37634015
doi: 10.1038/s41409-023-02087-0
pii: 10.1038/s41409-023-02087-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1314-1321

Commentaires et corrections

Type : UpdateOf

Informations de copyright

© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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Auteurs

Lori Wiener (L)

Pediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Bethesda, MD, USA. lori.wiener@nih.gov.

Timothy S Sannes (TS)

UMass Memorial Cancer Center, University of Massachusetts Chan Medical School, Worcester, MA, USA.

Jill Randall (J)

Center for Improving Patient and Population Health and Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA.

Sheila Lahijana (S)

Department of Psychiatry and Behavioral Sciences; Division of Medical Psychiatry, Stanford University School of Medicine, Palo Alto, CA, USA.

Allison J Applebaum (AJ)

Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Tamryn F Gray (TF)

Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA.

Natalie S McAndrew (NS)

School of Nursing, College of Health Professions & Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Froedtert & the Medical College of Wisconsin, Froedtert Hospital, Patient Care Research, Milwaukee, WI, USA.

Benjamin W Brewer (BW)

Department of Medicine, Division of Hematology, University of Colorado Anschutz Medical Campus, Denver, CO, USA.

Hermioni L Amonoo (HL)

Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA.
Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.

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