- Title
- The new challenge for improving psychosocial cancer care: shifting to a system-based approach
- Creator
- Sanson-Fisher, Rob; Hobden, Breanne; Watson, Rochelle; Turon, Heidi; Carey, Mariko; Bryant, Jamie; Freund, Megan
- Relation
- NHMRC.1073031 http://purl.org/au-research/grants/nhmrc/1073031 & NHMRC.http://purl.org/au-research/grants/nhmrc/1132839
- Relation
- Supportive Care in Cancer Vol. 27, Issue 3, p. 763-769
- Publisher Link
- http://dx.doi.org/10.1007/s00520-018-4568-4
- Publisher
- Springer
- Resource Type
- journal article
- Date
- 2019
- Description
- Introduction: There is a need to improve the psychosocial well-being of cancer patients. To date, intervention research has primarily focussed on improving psychosocial well-being through targeting singular aspects of care at the individual patient level. Sustainable, high-quality psychosocial care should address the issues faced by people diagnosed with cancer throughout the care pathway using a system-based approach. Aims: To examine the number of intervention trials attempting to improve psychosocial cancer care that have implemented a system-based approach. Method: Five journals were selected and relevant studies across all years were extracted. Four criteria, argued to be essential characteristics of system-based change, were assessed: (1) establishing a culture change within the healthcare system/organisation, through designated leaders who endorse organisational goals; (2) adopting a multidisciplinary approach to change; (3) mapping the system and identifying points of leverage; and (4) measuring the impact of change and adapting establish feedback loops. Results: The search strategy returned 1174 citations, of which five met the inclusion criteria. Of the intervention studies identified, three met none of the four defined criteria for a systems-based intervention, one study met criterion 2 only, and one study met all four criteria, however, was not a rigorous study design. Conclusions: This review of published psychosocial intervention trials in top-ranking psychosocial cancer care journals only found one study that met our criteria for evaluating system-based change. This is likely to be a consequence of the significant pragmatic and political barriers to conducting system-based intervention research.
- Subject
- neoplasms; review; research; systems theory; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1415268
- Identifier
- uon:36881
- Identifier
- ISSN:0941-4355
- Rights
- This is a post-peer-review, pre-copyedit version of an article published in Supportive Care in Cancer. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00520-018-4568-4
- Language
- eng
- Full Text
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