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Reasons for low uptake of a psychological intervention offered to cancer survivors with elevated depressive symptoms.

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Title: Reasons for low uptake of a psychological intervention offered to cancer survivors with elevated depressive symptoms.
Authors: Donk, Loek J., Tovote, K. Annika, Links, Thera P., Roodenburg, Jan L.N., Kluin‐Nelemans, Johanna C., Arts, Henriette J.G., Mul, Veronique E.M., Ginkel, Robert J., Baas, Peter C., Hoff, Christiaan, Sanderman, Robbert, Fleer, Joke, Schroevers, Maya J., van der Donk, Loek J (AUTHOR), Kluin-Nelemans, Johanna C (AUTHOR), van Ginkel, Robert J (AUTHOR)
Source: Psycho-Oncology. Apr2019, Vol. 28 Issue 4, p830-838. 9p. 1 Diagram, 3 Charts.
Subjects: Cancer patients, Psycho-oncology, Evaluation research, Research funding, Questionnaires, Severity of illness index, Research methodology, Research, Comparative studies, Mental depression, Patients' attitudes, Psychosocial factors
Abstract: Objective: In line with screening guidelines, cancer survivors were consecutively screened on depressive symptoms (as part of standard care), with those reporting elevated levels of symptoms offered psychological care as part of a trial. Because of the low uptake, no conclusions could be drawn about the interventions' efficacy. Given the trial set-up (following screening guidelines and strict methodological quality criteria), we believe that this observational study reporting the flow of participation, reasons for and characteristics associated with nonparticipation, adds to the debate about the feasibility and efficiency of screening guidelines.Methods: Two thousand six hundred eight medium- to long-term cancer survivors were consecutively screened on depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9). Those with moderate depressive symptoms (PHQ-9 ≥ 10) were contacted and informed about the trial. Patient flow and reasons for nonparticipation were carefully monitored.Results: One thousand thirty seven survivors (74.3%) returned the questionnaire, with 147 (7.6%) reporting moderate depressive symptoms. Of this group, 49 survivors (33.3%) were ineligible, including 26 survivors (17.7%) already receiving treatment and another 44 survivors (30.0%) reporting no need for treatment. Only 25 survivors (1.0%) participated in the trial.Conclusion: Of the approached survivors for screening, only 1% was eligible and interested in receiving psychological care as part of our trial. Four reasons for nonparticipation were: nonresponse to screening, low levels of depressive symptoms, no need, or already receiving care. Our findings question whether to spend the limited resources in psycho-oncological care on following screening guidelines and the efficiency of using consecutive screening for trial recruitment in cancer survivors. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Reasons for low uptake of a psychological intervention offered to cancer survivors with elevated depressive symptoms.
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  Data: <searchLink fieldCode="AR" term="%22Donk%2C+Loek+J%2E%22">Donk, Loek J.</searchLink><br /><searchLink fieldCode="AR" term="%22Tovote%2C+K%2E+Annika%22">Tovote, K. Annika</searchLink><br /><searchLink fieldCode="AR" term="%22Links%2C+Thera+P%2E%22">Links, Thera P.</searchLink><br /><searchLink fieldCode="AR" term="%22Roodenburg%2C+Jan+L%2EN%2E%22">Roodenburg, Jan L.N.</searchLink><br /><searchLink fieldCode="AR" term="%22Kluin‐Nelemans%2C+Johanna+C%2E%22">Kluin‐Nelemans, Johanna C.</searchLink><br /><searchLink fieldCode="AR" term="%22Arts%2C+Henriette+J%2EG%2E%22">Arts, Henriette J.G.</searchLink><br /><searchLink fieldCode="AR" term="%22Mul%2C+Veronique+E%2EM%2E%22">Mul, Veronique E.M.</searchLink><br /><searchLink fieldCode="AR" term="%22Ginkel%2C+Robert+J%2E%22">Ginkel, Robert J.</searchLink><br /><searchLink fieldCode="AR" term="%22Baas%2C+Peter+C%2E%22">Baas, Peter C.</searchLink><br /><searchLink fieldCode="AR" term="%22Hoff%2C+Christiaan%22">Hoff, Christiaan</searchLink><br /><searchLink fieldCode="AR" term="%22Sanderman%2C+Robbert%22">Sanderman, Robbert</searchLink><br /><searchLink fieldCode="AR" term="%22Fleer%2C+Joke%22">Fleer, Joke</searchLink><br /><searchLink fieldCode="AR" term="%22Schroevers%2C+Maya+J%2E%22">Schroevers, Maya J.</searchLink><br /><searchLink fieldCode="AR" term="%22van+der+Donk%2C+Loek+J%22">van der Donk, Loek J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kluin-Nelemans%2C+Johanna+C%22">Kluin-Nelemans, Johanna C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Ginkel%2C+Robert+J%22">van Ginkel, Robert J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Apr2019, Vol. 28 Issue 4, p830-838. 9p. 1 Diagram, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Psycho-oncology%22">Psycho-oncology</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Objective: </bold>In line with screening guidelines, cancer survivors were consecutively screened on depressive symptoms (as part of standard care), with those reporting elevated levels of symptoms offered psychological care as part of a trial. Because of the low uptake, no conclusions could be drawn about the interventions' efficacy. Given the trial set-up (following screening guidelines and strict methodological quality criteria), we believe that this observational study reporting the flow of participation, reasons for and characteristics associated with nonparticipation, adds to the debate about the feasibility and efficiency of screening guidelines.<bold>Methods: </bold>Two thousand six hundred eight medium- to long-term cancer survivors were consecutively screened on depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9). Those with moderate depressive symptoms (PHQ-9 ≥ 10) were contacted and informed about the trial. Patient flow and reasons for nonparticipation were carefully monitored.<bold>Results: </bold>One thousand thirty seven survivors (74.3%) returned the questionnaire, with 147 (7.6%) reporting moderate depressive symptoms. Of this group, 49 survivors (33.3%) were ineligible, including 26 survivors (17.7%) already receiving treatment and another 44 survivors (30.0%) reporting no need for treatment. Only 25 survivors (1.0%) participated in the trial.<bold>Conclusion: </bold>Of the approached survivors for screening, only 1% was eligible and interested in receiving psychological care as part of our trial. Four reasons for nonparticipation were: nonresponse to screening, low levels of depressive symptoms, no need, or already receiving care. Our findings question whether to spend the limited resources in psycho-oncological care on following screening guidelines and the efficiency of using consecutive screening for trial recruitment in cancer survivors. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/pon.5029
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        Text: English
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      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Psycho-oncology
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      – SubjectFull: Evaluation research
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Mental depression
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      – SubjectFull: Psychosocial factors
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