- Title
- Development of psycho-oncology telehealth guidelines: A modified Delphi consensus study
- Creator
- Cooper, Claire; Gilchrist, Jemma; Dhillon, Haryana; Kelly, Brian; Shaw, Joanne; Beatty, Lisa; Kirsten, Laura; Sharpe, Louise; Zomerdijk, Nienke; Grier, Maree; Turner, Jane; Hobbs, Kim; Haydon, Helen M.
- Relation
- Journal of Psychosocial Oncology Research and Practice Vol. 6, Issue 1, no. 123
- Publisher Link
- http://dx.doi.org/10.1097/OR9.0000000000000123
- Publisher
- Wolters Kluwer Health
- Resource Type
- journal article
- Date
- 2024
- Description
- Objective: In response to COVID-19, psycho-oncology clinicians moved to a model of telephone and videoconference treatment in Australia. The Psycho-oncology Co-operative Research Group (PoCoG) identified a paucity of evidence available to guide adaptation of therapy for remote delivery. This research aimed to develop consensus for evidence-based guidelines on ways to adapt psychological therapies in psycho-oncology for remote delivery. Methods: A national expert advisory group (N = 11) was convened consisting of psycho-oncology clinicians and clinical researchers. An iterative codesign methodology was used to draft psycho-oncology telehealth guidelines. Australian psycho-oncology clinicians participated in a Delphi consensus process to guide the content included in the guidelines. Content was presented under six domains: (i) screening and outcome measures, (ii) formulation, (iii) safety considerations, (iv) resource adaptation, (v) adaptations to therapy, and (vi) example case studies. Participants rated items based on importance, therapeutic appropriateness, and/or usefulness. Consensus was defined as >80% agreement. Results: Thirty-two psycho-oncology clinicians with telehealth experience participated in three Delphi rounds. Agreement was reached on (i) the importance of including screening and outcome measures (90%) and items (n = 5) related to how best to facilitate this; (ii) the importance of addressing provision of a formulation (100%), although only 2/6 strategies presented to facilitate formulation reached consensus; (iii) the appropriateness of proposed risk assessment and management strategies (84%); (iv) therapeutic appropriateness of simplifying resources (100%), including 3/5 visual optimization strategies; and (v) common behavioral components of therapy (n=5). Conclusions: Providing guidance to psycho-oncology clinicians for integrating telehealth into routine clinical practice must go beyond logistical considerations. These consensus-based guidelines provide support to clinicians for adaptation of psycho-oncology therapy to telehealth and will ensure evidence-based practice.
- Subject
- psycho-oncology; psychological therapy; telehealth; Delphi consensus; guideline
- Identifier
- http://hdl.handle.net/1959.13/1505076
- Identifier
- uon:55619
- Identifier
- ISSN:2637-5974
- Rights
- X
- Language
- eng
- Reviewed
- Hits: 254
- Visitors: 254
- Downloads: 0