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    Psychosocial distress screening in cancer care is crucial, yet adoption remains low. The Screening for Psychosocial Distress Program (SPDP) offers strategies to improve screening rates and ensure patient needs are met.

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    Area of Science:

    • Oncology
    • Psychosocial Oncology
    • Healthcare Implementation Science

    Background:

    • High prevalence of psychosocial distress (29.6%-43.4%) in cancer patients.
    • Psychosocial distress is linked to depression, increased morbidity, and mortality.
    • The American College of Surgeons (ACoS) Commission on Cancer (CoC) mandated distress screening by 2015, but uptake is suboptimal (47%-73%).

    Purpose of the Study:

    • To present lessons learned and optimal strategies from the Screening for Psychosocial Distress Program (SPDP).
    • To guide cancer care clinicians in meeting the ACoS CoC psychosocial distress screening mandate.
    • To enhance the detection, evaluation, and triage of psychosocial distress in cancer patients.

    Main Methods:

    • Implementation of a 2-year educational and implementation-support program (SPDP).
    • Training cancer care clinicians on optimizing the distress screening process.
    • Focus on strategies to promote institutional adoption of distress screening.

    Main Results:

    • Minimal uptake of mandated psychosocial distress screening (47%-73%).
    • SPDP provided training to improve screening process efficiency.
    • Identified key strategies for successful adoption of distress screening protocols.

    Conclusions:

    • Effective implementation of psychosocial distress screening is essential for comprehensive cancer care.
    • The SPDP offers a framework and practical strategies to overcome adoption barriers.
    • Optimizing screening processes can improve patient outcomes by addressing psychosocial needs.