scholarly journals Implementation of family psychosocial risk assessment in pediatric cancer with the Psychosocial Assessment Tool (PAT): study protocol for a cluster-randomized comparative effectiveness trial

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Anne E. Kazak ◽  
Janet A. Deatrick ◽  
Michele A. Scialla ◽  
Eric Sandler ◽  
Rebecca E. Madden ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Study Protocol ◽  
Pediatric Cancer ◽  
Comparative Effectiveness ◽  
Assessment Tool ◽  
Psychosocial Risk ◽  
Psychosocial Assessment ◽  
Effectiveness Trial ◽  
Cluster Randomized ◽  
Psychosocial Risk Assessment

scholarly journals Implementation of family psychosocial risk assessment in pediatric cancer with the Psychosocial Assessment Tool (PAT): Study protocol for a cluster randomized comparative effectiveness trial

2020 ◽  
Author(s):  
Anne Kazak ◽  
Janet Deatrick ◽  
Michele Scialla ◽  
Eric Sandler ◽  
Rebecca Madden ◽  
...  
Keyword(s):  
Pediatric Cancer ◽  
Comparative Effectiveness ◽  
Assessment Tool ◽  
Psychosocial Care ◽  
Implementation Strategies ◽  
Interactive Systems ◽  
Psychosocial Assessment ◽  
Use Of Resources ◽  
Healthcare Needs ◽  
Cluster Randomized

Abstract BackgroundChildhood cancer affects and is affected by multiple levels of the social ecology, including social and relational determinants of health (e.g. economic stability, housing, childcare, healthcare access, child and family problems). The 2015 Standards of Psychosocial Care in Pediatric Cancer outline optimal psychosocial care sensitive to these ecological factors, starting with assessment of psychosocial healthcare needs to promote medical and psychosocial outcomes across all children with cancer. To address the first standard of family psychosocial assessment, the Psychosocial Assessment Tool (PAT) is a validated screener ready for broad implementation.MethodThe PAT will be implemented across a national sample of 18 pediatric cancer programs ranging in size (annual new patients) in a mixed methods, comparative effectiveness study, guided by the Interactive Systems Framework for Dissemination and Implementation, comparing two implementation Strategies. It is hypothesized that implementation will be more successful at the patient/family, provider, and institutional level when Training (Strategy I) is combined with Implementation Expanded Resources (Strategy II). There are three aims: 1) Refine the two implementation strategies using semi-structured qualitative interviews with 19 stakeholders including parent advocates, providers, pediatric oncology organization representatives, healthcare industry leaders; 2) Compare the two theoretically based and empirically informed strategies to implement the PAT in English and Spanish using a cluster randomized controlled trial across 18 sites. Stratified by size, sites will be randomized to cohort (3) and strategy (2). Outcomes include adoption and penetration of screening (patient/family), staff job satisfaction/burnout (provider), and cost effective use of resources consistent with family risk (institution); 3) Based on the results of the trial and feedback from the first and second aim, we will develop and disseminate a web-based PAT Implementation Toolkit.DiscussionUse of the PAT across children’s cancer programs nationally can achieve the assessment Standard and inform equitable delivery of psychosocial care matched to family need for all patients.Trial RegistrationClinicalTrials.gov, NCT04446728, registered 23 June 2020

scholarly journals Implementation of family psychosocial risk assessment in pediatric cancer with the Psychosocial Assessment Tool (PAT): Study protocol for a cluster randomized comparative effectiveness trial

2020 ◽  
Author(s):  
Anne Kazak ◽  
Janet Deatrick ◽  
Michele Scialla ◽  
Eric Sandler ◽  
Rebecca Madden ◽  
...  
Keyword(s):  
Pediatric Cancer ◽  
Comparative Effectiveness ◽  
Assessment Tool ◽  
Psychosocial Care ◽  
Implementation Strategies ◽  
Interactive Systems ◽  
Psychosocial Assessment ◽  
Use Of Resources ◽  
Healthcare Needs ◽  
Cluster Randomized

Abstract Background: Childhood cancer affects and is affected by multiple levels of the social ecology, including social and relational determinants of health (e.g. economic stability, housing, childcare, healthcare access, child and family problems). The 2015 Standards of Psychosocial Care in Pediatric Cancer outline optimal psychosocial care sensitive to these ecological factors, starting with assessment of psychosocial healthcare needs to promote medical and psychosocial outcomes across all children with cancer. To address the first standard of family psychosocial assessment, the Psychosocial Assessment Tool (PAT) is a validated screener ready for broad implementation. Method: The PAT will be implemented across a national sample of 18 pediatric cancer programs ranging in size (annual new patients) in a mixed methods, comparative effectiveness study, guided by the Interactive Systems Framework for Dissemination and Implementation, comparing two implementation Strategies. It is hypothesized that implementation will be more successful at the patient/family, provider, and institutional level when Training (Strategy I) is combined with Implementation Expanded Resources (Strategy II). There are three aims: 1) Refine the two implementation strategies using semi-structured qualitative interviews with 19 stakeholders including parent advocates, providers, pediatric oncology organization representatives, healthcare industry leaders; 2) Compare the two theoretically based and empirically informed strategies to implement the PAT in English and Spanish using a cluster randomized controlled trial across 18 sites. Stratified by size, sites will be randomized to cohort (3) and strategy (2). Outcomes include adoption and penetration of screening (patient/family), staff job satisfaction/burnout (provider), and cost effective use of resources consistent with family risk (institution); 3) Based on the results of the trial and feedback from the first and second aim, we will develop and disseminate a web-based PAT Implementation Toolkit. Discussion: Use of the PAT across children’s cancer programs nationally can achieve the assessment Standard and inform equitable delivery of psychosocial care matched to family need for all patients.Trial Registration: ClinicalTrials.gov, NCT04446728, registered 23 June 2020

scholarly journals Screening for Family Psychosocial Risk in Pediatric Cancer: Validation of the Psychosocial Assessment Tool (PAT) Version 3

2018 ◽  
Vol 43 (7) ◽  
pp. 737-748 ◽  
Author(s):  
Anne E Kazak ◽  
Wei-Ting Hwang ◽  
Fang Fang Chen ◽  
Martha A Askins ◽  
Olivia Carlson ◽  
...  
Keyword(s):  
Pediatric Cancer ◽  
Assessment Tool ◽  
Psychosocial Risk ◽  
Psychosocial Assessment

scholarly journals Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Nicole Reilly ◽  
Emma Black ◽  
Georgina M. Chambers ◽  
Virginia Schmied ◽  
Stephen Matthey ◽  
...  
Keyword(s):  
Study Protocol ◽  
Comparative Effectiveness ◽  
Psychosocial Assessment ◽  
Effectiveness Trial

scholarly journals The perception of midwives regarding psychosocial risk assessment during antenatal care

2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Johanna M. Mathibe-Neke ◽  
Allan Rothberg ◽  
Gayle Langley
Keyword(s):  
Risk Assessment ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Psychosocial Support ◽  
Psychosocial Care ◽  
Psychosocial Problems ◽  
Structured Interview ◽  
Psychosocial Risk ◽  
Psychosocial Assessment ◽  
Psychosocial Risk Assessment

Background: The physiological and psychological changes caused by pregnancy may increase a woman’s vulnerability to depression, which may in turn have adverse effects on both maternal and foetal wellbeing. Inadequate psychosocial risk assessment of women by midwives may lead to lack of psychosocial support during pregnancy and childbirth. Pregnant women who lack psychosocial support may experience stress, anxiety and depression that could possibly affect foetal wellbeing.Objective: The objective of this study was to explore and describe the perception of psychosocial risk assessment and psychosocial care by midwives providing antenatal care to pregnant women.Method: An interpretive and descriptive qualitative approach was adopted. Three focus group interviews were conducted with midwives working in three Maternal Obstetric Units in Gauteng Province, using a semi-structured interview guide. The constant comparison data analysis approach was used.Results: Findings revealed that midwives are aware of and have encountered a high prevalence of psychosocial problems in pregnant women. Furthermore, they acknowledged the importance of psychosocial care for pregnant women although they stated that they were not equipped adequately to offer psychosocial assessment and psychosocial care.Conclusion: The findings provided a basis for incorporation of psychosocial care into routine antenatal care. Agtergrond: Die fisiologiese en psigologiese veranderings wat deur swangerskap veroorsaak word, kan ‘n vrou se kwetsbaarheid vir depressie verhoog. Dit kan op sy beurt negatiewe gevolge vir sowel die moeder as die fetus se welstand hê. As vroedvroue nie voldoende psigososiale riskio-assesserings op swanger vrouens doen nie, kan dit tot ‘n gebrek aan psigososiale ondersteuning tydens die swangerskap en geboorte lei. Swanger vrouens wat ‘n gebrek aan psigososiale ondersteuning het, kan stres, angs en depressie ervaar wat weer die fetus se welstand kan beïnvloed.Doelwit: Die doelwit van hierdie studie was om die persepsies van vroedvroue, wat voorgeboortesorg aan swanger vrouens bied, te ondersoek en te beskryf sover dit hulle persepsies oor psigososiale risiko-assessering en psigososiale aangaan.Metode: ’n Interpretatiewe en beskrywende kwalitatiewe benadering is gevolg. Drie fokusgroep-onderhoude is deur middel van ‘n gestruktureerde onderhoudsgids gevoer met verloskundiges wat in drie voorgeboorteklinieke in die Gauteng Provinsie werksaam is. ’n Benadering tot data-analise wat van voortdurende vergelyking gebruik maak, is gevolg.Resultate: Die studie het aan die lig gebring dat verloskundiges bewus is van psigososiale probleme onder swanger vroue en dat die prevalensie van sulke probleme onder swanger vroue hoog is. Vroedvroue erken die belang van psigososiale sorg aan swanger vroue alhoewel hulle nie toereikend toegerus is om psigososiale assessering en -sorg te verleen nie.Gevolgtrekking: Die bevindinge stel ’n basis daar vir die insluiting van psigososiale sorg in roetine voorgeboortesorg.

Improving Psychosocial Risk Assessment and Service Provision for Craniofacial Team Patients: A Quality Improvement Project

2021 ◽  
pp. 105566562110430
Author(s):  
Canice E. Crerand ◽  
Meghan O’Brien ◽  
Hillary M. Kapa ◽  
Ari N. Rabkin ◽  
Amanda Smith ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Quality Improvement ◽  
Service Provision ◽  
Academic Medical Center ◽  
Psychosocial Risk ◽  
Secondary Outcome ◽  
Risk Screening ◽  
Improvement Project ◽  
Psychosocial Services ◽  
Psychosocial Risk Assessment

To improve psychosocial risk assessment and service provision for children with craniofacial conditions presenting for annual interdisciplinary team visits. Institute for Healthcare quality improvement model. U.S. pediatric academic medical center. Caregivers of children ages 0-17 years with craniofacial conditions presenting for 1692 team visits between August 2017 and July 2019. Key drivers included: (1) standardizing pre-visit triage processes; (2) administering the Psychosocial Assessment Tool-Craniofacial Version (PAT-CV); (3) utilizing PAT-CV scores in real time to add patients to psychosocial provider schedules; and (4) family education. Interventions included improving patient screening, increasing PAT-CV completion rate, altering clinic flow, providing patient and parent education about psychosocial services, and altering team member roles to fully integrate PAT-CV administration and scoring in the clinic. The primary outcome was the percentage of patients identified for psychosocial consultations via nurse triage, PAT-CV score, family or provider request who completed consultations. The secondary outcome was the percentage of patients completing needed psychosocial consultations based on elevated PAT-CV scores. Use of the PAT-CV resulted in an increase in the percentage of patients with elevated psychosocial risk who received a psychosocial consultation from 86.7% to 93.4%. The percentage of children receiving psychosocial consultation at their annual team visit due to elevated PAT-CV scores increased from 72% to 90%. Integrating a validated psychosocial risk screening instrument can improve risk identification and psychosocial consultation completion. A combination of risk screening approaches may be indicated to identify patients in need of psychosocial services.

Sign in / Sign up

Export Citation Format

Share Document