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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 12 of 12 Research Studies Displayed
Tobin JN, Cassells A, Weiss E
Integrating cancer screening and mental health services in primary care: protocol and baseline results of a patient-centered outcomes intervention study.
Citation: Tobin JN, Cassells A, Weiss E . Integrating cancer screening and mental health services in primary care: protocol and baseline results of a patient-centered outcomes intervention study. J Health Care Poor Underserved 2021;32(4):1907-34. doi: 10.1353/hpu.2021.0173..
Keywords: Patient-Centered Healthcare, Cancer, Behavioral Health, Primary Care, Depression, Women, Screening
Jannat-Khah DP, Khodneva Y, Bryant K
Depressive symptoms do not discriminate: racial and economic influences between time-varying depressive symptoms and mortality among REGARDS participants.
This study examined whether time-varying depressive symptoms (TVDS) predict mortality and if racial and income differences moderate the association in a large cohort. The cohort from the REGARDS study was used to look at that determination. The REGARDS study used community-dwelling U.S. adults aged 45 years or older. They found that there was similar and statistically significant differences with white, black, and low-income ($35,000 or less) participants for the association between TVDS and mortality. High-income participants were found to have a lower hazard.
Citation: Jannat-Khah DP, Khodneva Y, Bryant K . Depressive symptoms do not discriminate: racial and economic influences between time-varying depressive symptoms and mortality among REGARDS participants. Ann Epidemiol 2020 Jun;46:31-40.e2. doi: 10.1016/j.annepidem.2020.04.004..
Keywords: Depression, Behavioral Health, Racial / Ethnic Minorities, Cardiovascular Conditions, Cancer, Low-Income, Social Determinants of Health, Mortality
Nakamura ZM, Nash RP, Quillen LJ
Psychiatric care in hematopoietic stem cell transplantation.
An overview of literature in PubMed and PsychInfo was conducted to identify articles describing psychiatric symptoms and care for adult cancer patients undergoing hematopoietic stem transplantation (HSCT). Neuropsychiatric symptoms included depression, anxiety, distress, post-traumatic stress disorder, delirium, and cognitive impairment. The researchers concluded that consulting psychiatrists should be familiar with the treatment basics of HSCT and the neuropsychiatric outcomes that may follow to guide their treatment plan.
Citation: Nakamura ZM, Nash RP, Quillen LJ . Psychiatric care in hematopoietic stem cell transplantation. Psychosomatics 2019 May - Jun;60(3):227-37. doi: 10.1016/j.psym.2019.01.005..
Keywords: Cancer, Care Management, Behavioral Health, Transplantation
Rhoten BA, Murphy BA, Dietrich MS
Depressive symptoms, social anxiety, and perceived neck function in patients with head and neck cancer.
This study examined the relationships of depressive symptoms and social anxiety with perceived neck function in patients treated for head and neck cancer. Significant associations were found between membership in the neck disability index trajectories and membership in the longitudinal patterns of depressive symptoms and social anxiety. The investigators concluded that impaired physical function and psychological distress are intertwined for patients with head and neck cancer long after completing treatment.
Citation: Rhoten BA, Murphy BA, Dietrich MS . Depressive symptoms, social anxiety, and perceived neck function in patients with head and neck cancer. Head Neck 2018 Jul;40(7):1443-52. doi: 10.1002/hed.25129..
Keywords: Anxiety, Cancer, Depression, Behavioral Health
Hudson KE, Wolf SP, Samsa GP
The surprise question and identification of palliative care needs among hospitalized patients with advanced hematologic or solid malignancies.
Little is known about quality of life (QOL), depression, and end-of-life (EOL) outcomes among hospitalized patients with advanced cancer. The objective of this study was to assess whether a surprise question identified inpatients with advanced cancer likely to have unmet palliative care needs. The investigators indicated that hospitalized patients with advanced cancer may benefit from palliative care interventions to improve mood, QOL, and EOL care, and the surprise question is a practical method to identify those with unmet needs.
Citation: Hudson KE, Wolf SP, Samsa GP . The surprise question and identification of palliative care needs among hospitalized patients with advanced hematologic or solid malignancies. J Palliat Med 2018 Jun;21(6):789-95. doi: 10.1089/jpm.2017.0509..
Keywords: Palliative Care, Cancer, Inpatient Care, Quality of Life, Depression, Behavioral Health
Roydhouse JK, Gutman R, Keating NL
Proxy and patient reports of health-related quality of life in a national cancer survey.
The objective of this study was to evaluate the difference between patient and proxy reports of patient HRQOL in a large national cancer survey, and determine if this difference could be mitigated by adjusting for clinical and sociodemographic information about patients. It concluded that the proxy-reported outcome scores for both physical and mental health were clinically and significantly lower than patient-reported scores for these outcomes.
Citation: Roydhouse JK, Gutman R, Keating NL . Proxy and patient reports of health-related quality of life in a national cancer survey. Health Qual Life Outcomes 2018 Jan 5;16(1):6. doi: 10.1186/s12955-017-0823-5.
Keywords: Cancer, Quality of Life, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Behavioral Health
Loucas CA, Brand SR, Bedoya SZ
Preparing youth with cancer for amputation: a systematic review.
This review aimed to examine and identify the type and degree of psychosocial preparation provided to the child with cancer and family prior to amputation. Its findings demonstrate that there is a lack of studies to date that have adequately addressed psychosocial preparation prior to amputation for pediatric oncology patients.
Citation: Loucas CA, Brand SR, Bedoya SZ . Preparing youth with cancer for amputation: a systematic review. J Psychosoc Oncol 2017 Jul-Aug;35(4):483-93. doi: 10.1080/07347332.2017.1307894.
Keywords: Cancer, Children/Adolescents, Behavioral Health, Surgery
Brand S, Wolfe J, Samsel C
The impact of cancer and its treatment on the growth and development of the pediatric patient.
Researchers sought to clarify the different models of psychosocial development and applicable psychosocial interventions to better prepare and tailor cancer treatment to pediatric patients. They found that pediatric patients of all ages cope and adjust better to all phases of treatment when their care is delivered in a developmentally-informed and psychosocially thoughtful way.
Citation: Brand S, Wolfe J, Samsel C . The impact of cancer and its treatment on the growth and development of the pediatric patient. Curr Pediatr Rev 2017;13(1):24-33. doi: 10.2174/1573396313666161116094916.
Keywords: Cancer, Children/Adolescents, Behavioral Health, Children/Adolescents
Body image disturbance in adults treated for cancer - a concept analysis.
The author analyzed the concept of body image disturbance in adults who have been treated for cancer as a phenomenon of interest to nurses. Rhoten used Walker and Avant's 8-step method of concept analysis and concluded that a better understanding of body image disturbance in adults treated for cancer will assist nurses and other clinicians in identifying this phenomenon and will assist nurse scientists in developing instruments that accurately measure this condition, along with interventions that will promote a better quality of life for survivors.
Citation: Rhoten BA . Body image disturbance in adults treated for cancer - a concept analysis. J Adv Nurs 2016 May;72(5):1001-11. doi: 10.1111/jan.12892.
Keywords: Behavioral Health, Cancer, Stress
Kenzik K, Pisu M, Fouad MN
Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?
This study aimed to (1) describe the proportion of survivors reporting that a physician discussed strategies to improve health and (2) identify which groups are more likely to report these discussions. It concluded that the frequency of health promotion discussions varied across survivor characteristics. Discussions were more frequently reported by some groups, e.g., survivors with diabetes, or among individuals less likely to engage in healthy behaviors.
Citation: Kenzik K, Pisu M, Fouad MN . Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors? J Cancer Surviv 2016 Apr;10(2):271-9. doi: 10.1007/s11764-015-0473-8.
Keywords: Behavioral Health, Cancer, Health Promotion, Patient and Family Engagement, Practice Patterns
Rocque GB, Taylor RA, Acemgil A
Guiding lay navigation in geriatric patients with cancer using a distress assessment tool.
This study assessed the feasibility and impact of using distress assessments to frame lay navigator interactions with geriatric patients with cancer who were enrolled in navigation between January 1, 2014, and December 31, 2014. It concluded that lay navigators were able to routinely screen for patient distress at a high degree of penetration using a structured distress assessment.
Citation: Rocque GB, Taylor RA, Acemgil A . Guiding lay navigation in geriatric patients with cancer using a distress assessment tool. J Natl Compr Canc Netw 2016 Apr;14(4):407-14.
Keywords: Elderly, Cancer, Tools & Toolkits, Stress, Behavioral Health
Schumacher JR, Palta M, Loconte NK
Characterizing the psychological distress response before and after a cancer diagnosis.
The purpose of this study was to estimate the magnitude and long-term temporal course of the cancer psychological distress response, incorporating negative (depression and anxiety) and positive (psychological well-being). Cancer survivors were more likely to experience clinically significant increases in depression and anxiety, with no significant results being found for well-being.
Citation: Schumacher JR, Palta M, Loconte NK . Characterizing the psychological distress response before and after a cancer diagnosis. J Behav Med. 2013 Dec;36(6):591-600. doi: 10.1007/s10865-012-9453-x..
Keywords: Cancer, Behavioral Health, Quality of Life