A community-based approach to cancer counselling for patients and carers: a preliminary study

Psychooncology. 2011 Aug;20(8):897-901. doi: 10.1002/pon.1786. Epub 2010 Jun 3.

Abstract

Objective: The delivery of psychological care services to people with cancer and their carers is a key clinical priority that has yet to be broadly implemented. The present study aimed to provide guidance for service provision by describing a community-based intervention approach; outlining the characteristics, psychological concerns, and distress outcomes for people who utilise the service.

Methods: Over a 3-year period 681 patients and 520 significant others referred from a community-based Cancer Helpline received tele-based psychosocial interventions.

Results: In this case series presenting problems varied between patients and significant others, with significant others reporting higher levels of distress (p<0.001). Both patients and significant others experienced decreases in distress over the period of the intervention (p<0.001).

Conclusions: This study provides level IV evidence that the tele-based intervention for cancer-related distress is an effective approach to service delivery. A randomised control trial is currently underway to assess the effectiveness of this approach.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Community Mental Health Services / methods
  • Counseling / methods*
  • Female
  • Hotlines
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / psychology*
  • Outcome Assessment, Health Care
  • Patient Satisfaction
  • Pilot Projects
  • Queensland
  • Socioeconomic Factors
  • Stress, Psychological / etiology
  • Stress, Psychological / therapy
  • Young Adult