Benefits of applying standardized frameworks to implement psychosocial tools such as the ‘My Logbook’

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Liesa J. Weiler-Wichtl - , Medizinische Universität Wien (Autor:in)
  • Verena Fohn-Erhold - , Medizinische Universität Wien (Autor:in)
  • Verena Rosenmayr - , Medizinische Universität Wien (Autor:in)
  • Rita Hansl - , Professur für Klinische Psychologie und Behaviorale Neurowissenschaft, Medizinische Universität Wien (Autor:in)
  • Maximilian Hopfgartner - , Medizinische Universität Wien (Autor:in)
  • Katharina Pal-Handl - , Medizinische Universität Wien (Autor:in)
  • Verena Wasinger-Brandweiner - , Medizinische Universität Wien (Autor:in)
  • Kristina Herzog - , Klinik und Poliklinik für Psychiatrie und Psychotherapie (Autor:in)
  • Kirsten Neumann - , Klinik Bad Oexen Brinkmeier GmbH & Co. KG (Autor:in)
  • Tobias Schellenberg - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Dorothee Schönenberger-Loppacher - , Inselspital - Universitätsspital Bern (Autor:in)
  • Christiane Faist-Schweika - , Evangelisches Klinikum Bethel (EvKB) (Autor:in)
  • Barbara Schönthaler - , Regional Hospital of Bolzano (Autor:in)
  • Mihaela Budich - , Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Nicole Stember - , Universität Duisburg-Essen (Autor:in)
  • Karin Wiegele - , Karl-Franzens-Universität Graz (Autor:in)
  • Maike Reddig - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Anne Paduch - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Iris Lein-Köhler - , Universität des Saarlandes (Autor:in)
  • Sonja Görgen - , Städtisches Klinikum Karlsruhe gGmbH (Autor:in)
  • Heike Wienands - , Universitätsklinikum Schleswig-Holstein Campus Kiel (Autor:in)
  • Hiltrud Gauf - , Universität zu Köln (Autor:in)
  • Rahel Hoffmann - , Universität Leipzig (Autor:in)
  • Alina Kollmann - , Kepler Universitätsklinikum (Autor:in)
  • Ulrike Just - , Universitätsmedizin Mannheim (Autor:in)
  • Nicole Salzmann - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Petra Neunsinger - , Klinik Hallerwiese-Cnopfsche Kinderklinik (Autor:in)
  • Marina Gerhardt - , Universität Regensburg (Autor:in)
  • Stefanie Essl - , Universitätskliniken Salzburg (Autor:in)
  • Janina Borbely - , Kinder- und Jugend-Rehabilitationszentrum Leuwaldhof (Autor:in)
  • Manuel Köpper - , Universitätsklinikum Tübingen (Autor:in)
  • Sarah Rinner - , St. Anna Kinderspital Wien (Autor:in)
  • Lisa Schubert - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Ulrike Leiss - , Medizinische Universität Wien (Autor:in)

Abstract

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).

Details

OriginalspracheEnglisch
Aufsatznummer789
Seitenumfang12
FachzeitschriftSupportive care in cancer
Jahrgang32 (2024)
Ausgabenummer12
Frühes Online-Datum14 Nov. 2024
PublikationsstatusVeröffentlicht - 14 Nov. 2024
Peer-Review-StatusJa

Externe IDs

PubMed 39538073
PubMedCentral PMC11561021
ORCID /0000-0003-2902-0171/work/173517184

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • Evidence-based interventions, Feasibility, Implementation research, Paediatric oncology, Psychosocial care, Quality of care