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Routine psychosocial distress screening in radiotherapy: implementation and evaluation of a computerised procedure
1Department of Psychotherapy and Psychosomatic Medicine, Division of Psychosocial Oncology, Klinikum rechts der Isar, Technische Universität München, Langerstr. 3, Munich 81675, Germany. a.dinkel@tum.de
British Journal of Cancer
|October 28, 2010
Summary
Distress screening using the Stress Index RadioOncology (SIRO) is feasible and well-accepted in radiotherapy. Both computerized and paper methods are effective for assessing patient distress.
Area of Science:
- Psycho-oncology
- Radiotherapy
- Health Services Research
Background:
- Implementing distress screening in routine radiotherapy is crucial.
- Comparing computerized and paper-based screening methods for acceptability and utility is needed.
Purpose of the Study:
- To implement distress screening in radiotherapy practice.
- To compare computerized and paper-and-pencil screening methods.
Main Methods:
- The Stress Index RadioOncology (SIRO) was used for screening.
- Phase 1: 177 patients completed both computerized and paper versions.
- Phase 2: 273 patients completed either computerized or paper assessment; staff evaluated the procedure.
Main Results:
- High agreement (ICC=0.92) between computerized and paper assessments.
- Patient satisfaction was similar across both modes.
- Nurses/radiographers perceived computerized screening as less time-consuming, though objective times did not differ.
Conclusions:
- Distress screening implementation is feasible and highly accepted in radiotherapy, irrespective of the administration mode.
- Communication training is recommended to enhance psychosocial topic discussions in clinical encounters.