Developing a consensus definition of psychosocial complexity in cancer patients using Delphi methods

Area of Science:

• Oncology
• Psychosocial Medicine
• Healthcare Research

Background:

• Cancer significantly impacts patients' lives, necessitating a holistic approach to care.
• Assessing psychosocial complexity is crucial for effective multidisciplinary cancer treatment.
• Existing definitions lacked consensus, hindering standardized care.

Purpose of the Study:

• To establish a consensus-based definition of psychosocial complexity in cancer patients.
• To identify and define the core elements contributing to psychosocial complexity in oncology.
• To develop a framework for assessing psychosocial needs in cancer care.

Main Methods:

• A four-round Delphi study involving expert panels was conducted.
• Literature review informed questionnaire development and validation.
• Iterative consensus-building process refined the definition and factors.

Main Results:

• A consensus definition of psychosocial complexity in cancer patients was achieved.
• Four primary factors were identified: medical-physical, social-family, psychological, and spiritual.
• A 21-indicator list and a brief 8-indicator version were developed.

Conclusions:

• The expert-agreed definition and factors provide a foundation for understanding psychosocial complexity.
• The developed indicators can assist healthcare professionals in identifying at-risk patients.
• This framework supports the delivery of optimal, individualized care for cancer patients.