Benefits of applying standardized frameworks to implement psychosocial tools such as the ‘My Logbook’
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| Názov: | Benefits of applying standardized frameworks to implement psychosocial tools such as the ‘My Logbook’ |
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| Autori: | Liesa J. Weiler-Wichtl, Verena Fohn-Erhold, Verena Rosenmayr, Rita Hansl, Maximilian Hopfgartner, Katharina Pal-Handl, Verena Wasinger-Brandweiner, Kristina Herzog, Kirsten Neumann, Tobias Schellenberg, Dorothee Schönenberger-Loppacher, Christiane Faist-Schweika, Barbara Schönthaler, Mihaela Budich, Nicole Stember, Karin Wiegele, Maike Reddig, Anne Paduch, Iris Lein-Köhler, Sonja Görgen, Heike Wienands, Hiltrud Gauf, Rahel Hoffmann, Alina Kollmann, Ulrike Just, Nicole Salzmann, Petra Neunsinger, Marina Gerhardt, Stefanie Essl, Janina Borbely, Manuel Köpper, Sarah Rinner, Lisa Schubert, Ulrike Leiss |
| Zdroj: | Support Care Cancer |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2024. |
| Rok vydania: | 2024 |
| Predmety: | ddc:610, 03 medical and health sciences, 0302 clinical medicine, Attitude of Health Personnel, Research, Health Personnel, Neoplasms, Surveys and Questionnaires, Medizin, Humans, Surveys and Questionnaires [MeSH], Quality of care, Psychosocial care, Evidence-based interventions, Health Personnel/psychology [MeSH], Humans [MeSH], Medical Oncology/methods [MeSH], Implementation research, Feasibility, Attitude of Health Personnel [MeSH], Neoplasms/psychology [MeSH], Paediatric oncology, Psychosocial Intervention/methods [MeSH], Medical Oncology/standards [MeSH], Medical Oncology, Psychosocial Intervention |
| Popis: | Purpose Evidence-based interventions (EBIs) are essential to improve the well-being and neurocognitive outcomes of pediatric cancer patients; however, considerable barriers hamper the implementation of these tools. The present study assessed health care professionals’ (HCP) perceived barriers and facilitators to the implementation of a specific EBI for pediatric oncology in a standardized manner to define effective solutions and practical recommendations. Methods An adapted version of the Consolidated Framework for Implementation Research (CFIR) questionnaire was applied to inquire n = 31 HCPs in pediatric oncology about the five domains of implementation. Results While most ‘intervention characteristics’ were considered beneficial for implementation, various aspects of the ‘inner’ and ‘outer setting’ were considered problematic. The most prevalent barriers included a shortage in resources, poor integration of EBIs into policies and lacking incentives such as user benefits. Concrete proposed and realized steps to facilitate effective implementation include a patient-focused design and continuous evaluation and adaption of the tool, a detailed EBI user manual and application workshops, as well as regular interdisciplinary meetings to improve communication. Regarding the internal and external settings, involving policy makers, establishing psychosocial care in the insurance system and increasing awareness by sharing evidence are essential steps for improved implementation. Conclusion Based on standardized implementation evaluation, various targeted actions could be defined and implemented to facilitate successful implementation of EBIs in pediatric oncology. The results emphasize that psychosocial care must become an integral part of treatment standards and public health policies to ensure that effective psychosocial interventions for improved wellbeing and neurocognitive skills successfully reach pediatric cancer patients. Trial registration number ClinicalTrials.gov Identifier: NCT04474678 (July 17th 2020). |
| Druh dokumentu: | Article Other literature type |
| Popis súboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-024-08981-7 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39538073 https://repository.publisso.de/resource/frl:6500602 https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/39245 https://opus.bibliothek.uni-wuerzburg.de/files/39245/00520_2024_Article_8981.pdf https://doi.org/10.1007/s00520-024-08981-7 https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-392452 |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....7c9e0521a98309a08a30b49b643fe999 |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Purpose Evidence-based interventions (EBIs) are essential to improve the well-being and neurocognitive outcomes of pediatric cancer patients; however, considerable barriers hamper the implementation of these tools. The present study assessed health care professionals’ (HCP) perceived barriers and facilitators to the implementation of a specific EBI for pediatric oncology in a standardized manner to define effective solutions and practical recommendations. Methods An adapted version of the Consolidated Framework for Implementation Research (CFIR) questionnaire was applied to inquire n = 31 HCPs in pediatric oncology about the five domains of implementation. Results While most ‘intervention characteristics’ were considered beneficial for implementation, various aspects of the ‘inner’ and ‘outer setting’ were considered problematic. The most prevalent barriers included a shortage in resources, poor integration of EBIs into policies and lacking incentives such as user benefits. Concrete proposed and realized steps to facilitate effective implementation include a patient-focused design and continuous evaluation and adaption of the tool, a detailed EBI user manual and application workshops, as well as regular interdisciplinary meetings to improve communication. Regarding the internal and external settings, involving policy makers, establishing psychosocial care in the insurance system and increasing awareness by sharing evidence are essential steps for improved implementation. Conclusion Based on standardized implementation evaluation, various targeted actions could be defined and implemented to facilitate successful implementation of EBIs in pediatric oncology. The results emphasize that psychosocial care must become an integral part of treatment standards and public health policies to ensure that effective psychosocial interventions for improved wellbeing and neurocognitive skills successfully reach pediatric cancer patients. Trial registration number ClinicalTrials.gov Identifier: NCT04474678 (July 17th 2020). |
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| ISSN: | 14337339 09414355 |
| DOI: | 10.1007/s00520-024-08981-7 |