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Halkett GKB, Lobb E, Spilsbury K, Dhillon H, Nowak AK. Brain cancer patients' levels of distress and supportive care needs over time. Psychooncology 2022; 31:2074-2085. [PMID: 36086830 PMCID: PMC10087040 DOI: 10.1002/pon.6028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 08/07/2022] [Accepted: 08/29/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE This study aimed to describe patient self-reported distress over time and how this was associated with wellbeing, and supportive care needs over a 6-month period from commencing chemoradiotherapy for high grade glioma (HGG). METHODS In this prospective cohort study, participants completed surveys at three time points: before chemoradiotherapy, at 3 and 6 months. These included Distress Thermometer, Functional Assessment of Cancer/Brain Cancer Treatment-general (Fact-G/FACT-BR), Supportive Care Needs Scale (SF-34) and Brain Tumour Specific subscale. Patient survival time was also collected. Group-based trajectory modelling was performed. Multinominal logistic regression assessed variables associated with different distress trajectory groups. RESULTS One hundred and sixteen participants completed assessments at baseline, 89 participants at 3 and 64 at 6 months. Four distress trajectory groups were identified; consistent low distress (18%), low to high distress (38%), high-to low distress (24%) and consistent high distress (19%). Younger participants tended to report decreased distress over time, whereas older participants reported consistently high distress. High distress trajectory participants had less education, lower physical wellbeing, more unmet needs, but higher functional wellbeing compared to the low to high distress trajectory. The number of unmet needs paralleled the patterns of distress over time. The highest unmet needs in people with HGG and high distress were disease specific changes in mental ability and physical side effects. CONCLUSION This study demonstrates people with HGG experience ongoing distress and highlights a need for continuous distress and unmet needs screening and referrals.
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Affiliation(s)
- Georgia K B Halkett
- Curtin School of Nursing, Faculty of Health Sciences, Perth, Western Australia, Australia.,Curtin Health Innovation Research Institute (CHIRI), Curtin University, Bentley, Western Australia, Australia
| | - Elizabeth Lobb
- Calvary Health Care Kogarah, Sydney, New South Wales, Australia.,School of Medicine, The University of Notre Dame, Sydney, New South Wales, Australia.,Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia
| | - Katrina Spilsbury
- Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Haryana Dhillon
- Psycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, University of Sydney, Sydney, New South Wales, Australia.,Centre for Medical Psychology & Evidence-based Decision-making, School of Psychology, Faculty of Science, University of Sydney, Sydney, New South Wales, Australia
| | - Anna K Nowak
- Medical School, University of Western Australia, Nedlands, Western Australia, Australia.,Department of Medical Oncology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
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Davies F, Harris M, Shaw J, Butow P, Newby J, Murphy M, Kirsten L, Shepherd HL. Uptake of an online psychological therapy program (iCanADAPT-Early) when implemented within a clinical pathway in cancer care centres. Psychooncology 2021; 31:338-341. [PMID: 34519384 DOI: 10.1002/pon.5808] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 08/15/2021] [Accepted: 08/23/2021] [Indexed: 12/24/2022]
Affiliation(s)
- Fiona Davies
- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia
| | - Marnie Harris
- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia
| | - Joanne Shaw
- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia
| | - Phyllis Butow
- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia
| | - Jill Newby
- School of Psychology, Faculty of Science, UNSW Sydney, Sydney, New South Wales, Australia.,Clinical Research Unit for Anxiety and Depression, UNSW Sydney, Sydney, New South Wales, Australia
| | - Michael Murphy
- Clinical Research Unit for Anxiety and Depression, UNSW Sydney, Sydney, New South Wales, Australia
| | - Laura Kirsten
- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia.,Nepean Cancer Care Centre, Sydney, New South Wales, Australia
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- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia
| | - Heather L Shepherd
- School of Psychology, The University of Sydney, Psycho-Oncology Co-operative Research Group (PoCoG), Sydney, New South Wales, Australia.,Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
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