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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Liesa J. Weiler-Wichtl - , Medical University of Vienna (Author)
  • Verena Fohn-Erhold - , Medical University of Vienna (Author)
  • Verena Rosenmayr - , Medical University of Vienna (Author)
  • Rita Hansl - , Chair of Clinical Psychology and Behavioral Neuroscience, Medical University of Vienna (Author)
  • Maximilian Hopfgartner - , Medical University of Vienna (Author)
  • Katharina Pal-Handl - , Medical University of Vienna (Author)
  • Verena Wasinger-Brandweiner - , Medical University of Vienna (Author)
  • Kristina Herzog - , Department of Psychiatry and Psychotherapy (Author)
  • Kirsten Neumann - , Klinik Bad Oexen Brinkmeier GmbH & Co. KG (Author)
  • Tobias Schellenberg - , Charité – Universitätsmedizin Berlin (Author)
  • Dorothee Schönenberger-Loppacher - , Inselspital University Hospital Bern (Author)
  • Christiane Faist-Schweika - , Medical Center Bethel (Author)
  • Barbara Schönthaler - , Regional Hospital of Bolzano (Author)
  • Mihaela Budich - , University Hospital Carl Gustav Carus Dresden (Author)
  • Nicole Stember - , University of Duisburg-Essen (Author)
  • Karin Wiegele - , University of Graz (Author)
  • Maike Reddig - , University of Münster (Author)
  • Anne Paduch - , Hannover Medical School (MHH) (Author)
  • Iris Lein-Köhler - , Saarland University (Author)
  • Sonja Görgen - , Städtischen Klinikum Karlsruhe (Author)
  • Heike Wienands - , University Hospital Schleswig-Holstein Campus Kiel (Author)
  • Hiltrud Gauf - , University of Cologne (Author)
  • Rahel Hoffmann - , Leipzig University (Author)
  • Alina Kollmann - , Kepler University Hospital (Author)
  • Ulrike Just - , Universitätsmedizin Mannheim (Author)
  • Nicole Salzmann - , University of Münster (Author)
  • Petra Neunsinger - , Klinik Hallerwiese-Cnopfsche Kinderklinik (Author)
  • Marina Gerhardt - , University of Regensburg (Author)
  • Stefanie Essl - , Universitätskliniken Salzburg (Author)
  • Janina Borbely - , Child and adolescent rehabilitation center Leuwaldhof (Author)
  • Manuel Köpper - , University Hospital Tübingen (Author)
  • Sarah Rinner - , St. Anna Kinderspital Vienna (Author)
  • Lisa Schubert - , University of Würzburg (Author)
  • Ulrike Leiss - , Medical University of Vienna (Author)

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

Original languageEnglish
Article number789
Number of pages12
JournalSupportive care in cancer
Volume32 (2024)
Issue number12
Early online date14 Nov 2024
Publication statusPublished - 14 Nov 2024
Peer-reviewedYes

External IDs

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

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

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