Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care.

Area of Science:

• Medical Psychology
• Transplantation Medicine
• Healthcare Management

Background:

• Psychosocial distress is prevalent in solid organ transplant recipients, impacting outcomes.
• Current screening implementation for distress in transplant patients is insufficient.
• Early identification of distress is crucial for improving patient morbidity, mortality, and adherence.

Purpose of the Study:

• To pilot implement and evaluate a new distress screening tool for pre- and post-transplant patients.
• To identify factors that facilitate or impede the implementation of distress screening in routine care.
• To assess the appropriateness, feasibility, and acceptance of the screening tool by healthcare professionals and patients.

Main Methods:

• A pilot implementation of two problem lists for pre- and post-transplant patients was conducted over 8 weeks.
• Healthcare professionals (HCPs) and psychologists evaluated the tool's appropriateness and feasibility.
• Patients completed the screening, and their acceptance was assessed. Data from post-transplant patients were analyzed.

Main Results:

• The screening tool was rated as highly appropriate and accepted by both HCPs and patients.
• HCPs showed increased contentment with psychological support and understanding of mental health issues post-implementation.
• Feasibility in routine care was perceived as challenging by HCPs, citing potential barriers like staff and resources.

Conclusions:

• The distress screening tool demonstrates high acceptance and improves interprofessional collaboration.
• Barriers to successful implementation in routine care include insufficient staff and resources.
• Further research is needed to assess the adoption and long-term sustainability of distress screening in transplantation settings.