Skip to main content
Top
Gepubliceerd in: Quality of Life Research 10/2014

01-12-2014

Discriminatory power of a 25-item distress screening tool: a cross-sectional survey of 251 cancer survivors

Auteurs: Melissa F. Miller, C. Daniel Mullins, Eberechukwu Onukwugha, Mitch Golant, Joanne S. Buzaglo

Gepubliceerd in: Quality of Life Research | Uitgave 10/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objective

The objective was to test the discriminatory power of a 25-item distress screening tool for use among cancer survivors. We used a measure of item discrimination to determine which items perform better than others at identifying those at greatest risk of distress.

Methods

A total of 251 members (90 % female, median age 57 years) of a community-based cancer support organization completed a web-based distress screening tool. Participants were asked to rate each of 25 items according to the question “Today, how concerned are you about…?” using a five-point Likert scale (0 not at all to 4 very seriously concerned). An overall distress score was calculated as the sum of items rated at or above two for somewhat concerned. Participants were categorized as high scorers (≥13, n = 59) and low scorers (≤4, n = 60). The item discrimination index (IDI) was calculated for each item as the percentage difference in concerned (somewhat or greater) responses between high and low scorers.

Results

Items with the greatest discriminatory power (IDI ≥0.8) were as follows: changes or disruptions in work, school or home life; feeling sad or depressed; feeling too tired to do the things you need or want to do; worrying about the future and what lies ahead; and feeling nervous or afraid. Conversely, items with the lowest IDI included considering taking your own life; eating and nutrition; tobacco or substance use; and transportation to treatment and appointments.

Conclusion

The results highlight, among 25 items of a community-based distress screening tool, items with the greatest discriminatory power to identify cancer survivors with psychosocial distress. Results suggest targeted screening items to identify those most at risk for distress and priority areas for support services.
Literatuur
1.
go back to reference Carlson, L. E., & Bultz, B. D. (2003). Benefits of psychosocial oncology care: Improved quality of life and medical cost offset. Health Qual Life Outcomes, 1, 8.PubMedCentralPubMedCrossRef Carlson, L. E., & Bultz, B. D. (2003). Benefits of psychosocial oncology care: Improved quality of life and medical cost offset. Health Qual Life Outcomes, 1, 8.PubMedCentralPubMedCrossRef
2.
go back to reference Stanton, A. L. (2012). What happens now? Psychosocial care for cancer survivors after medical treatment completion. Journal of Clinical Oncology, 30(11), 1215–1220.PubMedCrossRef Stanton, A. L. (2012). What happens now? Psychosocial care for cancer survivors after medical treatment completion. Journal of Clinical Oncology, 30(11), 1215–1220.PubMedCrossRef
3.
go back to reference Carlson, L. E., et al. (2012). Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: Randomised controlled trials of computerised vs personalised triage. British Journal of Cancer, 107(4), 617–625.PubMedCentralPubMedCrossRef Carlson, L. E., et al. (2012). Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: Randomised controlled trials of computerised vs personalised triage. British Journal of Cancer, 107(4), 617–625.PubMedCentralPubMedCrossRef
4.
go back to reference Carlson, L. E., Waller, A., & Mitchell, A. J. (2012). Screening for distress and unmet needs in patients with cancer: Review and recommendations. Journal of Clinical Oncology, 30(11), 1160–1177.PubMedCrossRef Carlson, L. E., Waller, A., & Mitchell, A. J. (2012). Screening for distress and unmet needs in patients with cancer: Review and recommendations. Journal of Clinical Oncology, 30(11), 1160–1177.PubMedCrossRef
5.
go back to reference Jacobsen, P. B., Holland, J. C., & Steensma, D. P. (2012). Caring for the whole patient: The science of psychosocial care. Journal of Clinical Oncology, 30(11), 1151–1153.PubMedCrossRef Jacobsen, P. B., Holland, J. C., & Steensma, D. P. (2012). Caring for the whole patient: The science of psychosocial care. Journal of Clinical Oncology, 30(11), 1151–1153.PubMedCrossRef
6.
go back to reference Institute of Medicine (US) (2008) Committee on psychosocial services to cancer patients/families in a community setting. In N. E. Adler & A. E. K. Page (Eds.), Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: National Academies Press (US). Available from http://www.ncbi.nlm.nih.gov/books/NBK4015/. Institute of Medicine (US) (2008) Committee on psychosocial services to cancer patients/families in a community setting. In N. E. Adler & A. E. K. Page (Eds.), Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: National Academies Press (US). Available from http://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK4015/​.
7.
go back to reference NCCN Practice Guidelines for the Management of Psychosocial Distress. (1999). National comprehensive cancer network. Oncology (Williston Park), 13(5A), 113–147. NCCN Practice Guidelines for the Management of Psychosocial Distress. (1999). National comprehensive cancer network. Oncology (Williston Park), 13(5A), 113–147.
8.
go back to reference American College of Surgeons. (2011). Commission on Cancer, Cancer Program Standards 2012: Ensuring Patient-Centered Care. Chicago, IL: American College of Surgeons. American College of Surgeons. (2011). Commission on Cancer, Cancer Program Standards 2012: Ensuring Patient-Centered Care. Chicago, IL: American College of Surgeons.
9.
go back to reference Neuss, M. N., et al. (2005). A process for measuring the quality of cancer care: The quality oncology practice initiative. Journal of Clinical Oncology, 23(25), 6233–6239.PubMedCrossRef Neuss, M. N., et al. (2005). A process for measuring the quality of cancer care: The quality oncology practice initiative. Journal of Clinical Oncology, 23(25), 6233–6239.PubMedCrossRef
10.
go back to reference Rebalance Focus Action Group. (2005). A position paper: Screening key indicators in cancer patients: Pain as a 5th vital sign and emotional distress as a 6th vital sign. Canadian Strategy for Cancer Control Bulletin, 7(suppl), 4. Rebalance Focus Action Group. (2005). A position paper: Screening key indicators in cancer patients: Pain as a 5th vital sign and emotional distress as a 6th vital sign. Canadian Strategy for Cancer Control Bulletin, 7(suppl), 4.
12.
go back to reference Department of Health Victoria. (2008). Victorian cancer action plan 2008–2011. Melbourne: Published by the Victorian Government, Department of Human Services. Department of Health Victoria. (2008). Victorian cancer action plan 2008–2011. Melbourne: Published by the Victorian Government, Department of Human Services.
13.
go back to reference Mosher, C. E., & Duhamel, K. N. (2012). An examination of distress, sleep, and fatigue in metastatic breast cancer patients. Psychooncology, 21(1), 100–107.PubMedCentralPubMedCrossRef Mosher, C. E., & Duhamel, K. N. (2012). An examination of distress, sleep, and fatigue in metastatic breast cancer patients. Psychooncology, 21(1), 100–107.PubMedCentralPubMedCrossRef
14.
go back to reference Steinberg, T., et al. (2009). Prevalence of emotional distress in newly diagnosed lung cancer patients. Supportive Care in Cancer, 17(12), 1493–1497.PubMedCrossRef Steinberg, T., et al. (2009). Prevalence of emotional distress in newly diagnosed lung cancer patients. Supportive Care in Cancer, 17(12), 1493–1497.PubMedCrossRef
15.
go back to reference van Scheppingen, C., et al. (2011). Does screening for distress efficiently uncover meetable unmet needs in cancer patients? Psychooncology, 20(6), 655–663.PubMedCrossRef van Scheppingen, C., et al. (2011). Does screening for distress efficiently uncover meetable unmet needs in cancer patients? Psychooncology, 20(6), 655–663.PubMedCrossRef
16.
go back to reference Jacobsen, P. B. (2007). Screening for psychological distress in cancer patients: Challenges and opportunities. Journal of Clinical Oncology, 25, 4526–4527.PubMedCrossRef Jacobsen, P. B. (2007). Screening for psychological distress in cancer patients: Challenges and opportunities. Journal of Clinical Oncology, 25, 4526–4527.PubMedCrossRef
17.
go back to reference Mitchell, A. J., et al. (2010). Can the distress thermometer be improved by additional mood domains? Part I. Initial validation of the emotion thermometers tool. Psychooncology, 19(2), 125–133.PubMedCrossRef Mitchell, A. J., et al. (2010). Can the distress thermometer be improved by additional mood domains? Part I. Initial validation of the emotion thermometers tool. Psychooncology, 19(2), 125–133.PubMedCrossRef
18.
go back to reference Vodermaier, A., Linden, W., & Siu, C. (2009). Screening for emotional distress in cancer patients: A systematic review of assessment instruments. Journal of the National Cancer Institute, 101(21), 1464–1488.PubMedCentralPubMedCrossRef Vodermaier, A., Linden, W., & Siu, C. (2009). Screening for emotional distress in cancer patients: A systematic review of assessment instruments. Journal of the National Cancer Institute, 101(21), 1464–1488.PubMedCentralPubMedCrossRef
19.
go back to reference Loscalzo, M., et al. (2010). SupportScreen: A model for improving patient outcomes. Journal of the National Comprehensive Cancer Network, 8, 496–504. Loscalzo, M., et al. (2010). SupportScreen: A model for improving patient outcomes. Journal of the National Comprehensive Cancer Network, 8, 496–504.
20.
go back to reference Carlson, L. E., & Bultz, B. D. (2004). Efficacy and medical cost offset of psychosocial interventions in cancer care: Making the case for economic analyses. Psychooncology, 13(12), 837–849; discussion, 850–856. Carlson, L. E., & Bultz, B. D. (2004). Efficacy and medical cost offset of psychosocial interventions in cancer care: Making the case for economic analyses. Psychooncology, 13(12), 837–849; discussion, 850–856.
21.
go back to reference Carlson, L. E., Groff, S. L., Maciejewski, O., et al. (2010). Screening for distress in lung and breast cancer outpatients: A randomized controlled trial. Journal of Clinical Oncology, 28, 4884–4891.PubMedCrossRef Carlson, L. E., Groff, S. L., Maciejewski, O., et al. (2010). Screening for distress in lung and breast cancer outpatients: A randomized controlled trial. Journal of Clinical Oncology, 28, 4884–4891.PubMedCrossRef
22.
go back to reference Carlson, L. E., Waller, A., Groff, S. L., et al. (2012). Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: Randomised controlled trial of computerised vs personalised triage. British Journal of Cancer, 107, 617–625.PubMedCentralPubMedCrossRef Carlson, L. E., Waller, A., Groff, S. L., et al. (2012). Online screening for distress, the 6th vital sign, in newly diagnosed oncology outpatients: Randomised controlled trial of computerised vs personalised triage. British Journal of Cancer, 107, 617–625.PubMedCentralPubMedCrossRef
23.
go back to reference Miller, M. F., Buzaglo, J. S., Taylor, J., Kennedy, V., Singelton, S., Gayer, C., Golant, M. (2012). Psychometric properties of a 25-item distress screening tool in a community sample of 251 cancer survivors. 6th Biennial Cancer Survivorship Research Conference: Arlington, VA. Miller, M. F., Buzaglo, J. S., Taylor, J., Kennedy, V., Singelton, S., Gayer, C., Golant, M. (2012). Psychometric properties of a 25-item distress screening tool in a community sample of 251 cancer survivors. 6th Biennial Cancer Survivorship Research Conference: Arlington, VA.
24.
go back to reference Buzaglo, J. S., Miller, M. F., Gayer, C., Morris, A., & Golant, M. (2013). CancerSupportSource: Validating a web-based distress screening tool in the community. Journal of the National Comprehensive Cancer Network, 11(3), 242–243. Buzaglo, J. S., Miller, M. F., Gayer, C., Morris, A., & Golant, M. (2013). CancerSupportSource: Validating a web-based distress screening tool in the community. Journal of the National Comprehensive Cancer Network, 11(3), 242–243.
25.
go back to reference Thiboldeaux, K. G. (2007). The total cancer wellness guide: Reclaiming your life after diagnosis. BenBella: Dallas. Thiboldeaux, K. G. (2007). The total cancer wellness guide: Reclaiming your life after diagnosis. BenBella: Dallas.
26.
go back to reference Miller, M. F., et al. (2013). Demonstrating the psychometric properties of a problem-related distress screener in a community sample of 319 cancer survivors. Psycho-Oncology, 22(6), 1249–1257.PubMedCrossRef Miller, M. F., et al. (2013). Demonstrating the psychometric properties of a problem-related distress screener in a community sample of 319 cancer survivors. Psycho-Oncology, 22(6), 1249–1257.PubMedCrossRef
27.
go back to reference Waltz, C. F., Strickland, O. L., & Lenz, E. R. (1991). Measurement in nursing research (Vol. 2). Philadelphia, PA: Davis. Waltz, C. F., Strickland, O. L., & Lenz, E. R. (1991). Measurement in nursing research (Vol. 2). Philadelphia, PA: Davis.
28.
go back to reference Doran, R. (1980). Basic measurement and evaluation of science instruction. Washington, DC: National Science Teachers Association. Doran, R. (1980). Basic measurement and evaluation of science instruction. Washington, DC: National Science Teachers Association.
29.
go back to reference Aiken, L. R. (1979). Relationships between the item difficulty and discrimination indexes. Educational and Psychological Measurement, 39(4), 821–824.CrossRef Aiken, L. R. (1979). Relationships between the item difficulty and discrimination indexes. Educational and Psychological Measurement, 39(4), 821–824.CrossRef
30.
go back to reference Tilson, J. K. (2010). Validation of the modified Fresno test: Assessing physical therapists’ evidence based practice knowledge and skills. BMC Medical Education, 10, 38.PubMedCentralPubMedCrossRef Tilson, J. K. (2010). Validation of the modified Fresno test: Assessing physical therapists’ evidence based practice knowledge and skills. BMC Medical Education, 10, 38.PubMedCentralPubMedCrossRef
31.
go back to reference Smith, M. K., Wood, W. B., & Knight, J. K. (2008). The genetics concept assessment: A new concept inventory for gauging student understanding of genetics. CBE—Life Sciences Education, 7, 422–430.PubMedCentralPubMedCrossRef Smith, M. K., Wood, W. B., & Knight, J. K. (2008). The genetics concept assessment: A new concept inventory for gauging student understanding of genetics. CBE—Life Sciences Education, 7, 422–430.PubMedCentralPubMedCrossRef
32.
go back to reference Ailinger, R. L., Harper, D. C., & Lasus, H. A. (1998). Bone up on osteoporosis: Development of the facts on osteoporosis quiz. Orthopaedic Nursing, 17(5), 66–73.PubMedCrossRef Ailinger, R. L., Harper, D. C., & Lasus, H. A. (1998). Bone up on osteoporosis: Development of the facts on osteoporosis quiz. Orthopaedic Nursing, 17(5), 66–73.PubMedCrossRef
33.
go back to reference Sedlak, C. A., & Zeller, R. A. (1998). Using item discrimination to improve measurement. Orthopaedic Nursing, 17(5), 71–72. Sedlak, C. A., & Zeller, R. A. (1998). Using item discrimination to improve measurement. Orthopaedic Nursing, 17(5), 71–72.
34.
go back to reference Meyer, T. J., & Mark, M. M. (1995). Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychology, 14(2), 101–108.PubMedCrossRef Meyer, T. J., & Mark, M. M. (1995). Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychology, 14(2), 101–108.PubMedCrossRef
35.
go back to reference Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: Meta analysis of 37 published controlled outcome studies. Patient Education and Counseling, 50(2), 179–186.PubMedCrossRef Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: Meta analysis of 37 published controlled outcome studies. Patient Education and Counseling, 50(2), 179–186.PubMedCrossRef
36.
go back to reference Sheard, T., & Maguire, P. (1999). The effect of psychological interventions on anxiety and depression in cancer patients: Results of two meta-analyses. British Journal of Cancer, 80(11), 1770–1780.PubMedCentralPubMedCrossRef Sheard, T., & Maguire, P. (1999). The effect of psychological interventions on anxiety and depression in cancer patients: Results of two meta-analyses. British Journal of Cancer, 80(11), 1770–1780.PubMedCentralPubMedCrossRef
37.
go back to reference Faller, H., et al. (2003). Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: Systematic review and meta-analysis. Journal of Clinical Oncology, 31(6), 782–793.CrossRef Faller, H., et al. (2003). Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: Systematic review and meta-analysis. Journal of Clinical Oncology, 31(6), 782–793.CrossRef
38.
go back to reference Golant, M., & Haskins, N. V. (2008). “Other cancer survivors”: The impact on family and caregivers. Cancer Journal, 14(6), 420–424.CrossRef Golant, M., & Haskins, N. V. (2008). “Other cancer survivors”: The impact on family and caregivers. Cancer Journal, 14(6), 420–424.CrossRef
39.
go back to reference Cohen, G., (2002). Cancer clinical trials: A primer for participation of community physicians. In M. C. Perry (Ed) American Society of Clinical Oncology 2002 Educational Book (pp. 283–289). Baltimore, MD: Lippincott Williams and Wilkins. Cohen, G., (2002). Cancer clinical trials: A primer for participation of community physicians. In M. C. Perry (Ed) American Society of Clinical Oncology 2002 Educational Book (pp. 283–289). Baltimore, MD: Lippincott Williams and Wilkins.
40.
go back to reference Edwards, B. K., et al. (2005). Annual report to the nation on the status of cancer, 1975–2002, featuring population-based trends in cancer treatment. Journal of the National Cancer Institute, 97(19), 1407–1427.PubMedCrossRef Edwards, B. K., et al. (2005). Annual report to the nation on the status of cancer, 1975–2002, featuring population-based trends in cancer treatment. Journal of the National Cancer Institute, 97(19), 1407–1427.PubMedCrossRef
41.
go back to reference Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10(1), 19–28.PubMedCrossRef Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10(1), 19–28.PubMedCrossRef
Metagegevens
Titel
Discriminatory power of a 25-item distress screening tool: a cross-sectional survey of 251 cancer survivors
Auteurs
Melissa F. Miller
C. Daniel Mullins
Eberechukwu Onukwugha
Mitch Golant
Joanne S. Buzaglo
Publicatiedatum
01-12-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0742-4

Andere artikelen Uitgave 10/2014

Quality of Life Research 10/2014 Naar de uitgave