The use of the modified distress thermometer in identifying. A tool to measure levels of psychological distress. The screening tool has been primarily studied in the context of mental health and the mobilization of support to assist patients and their families. Nccn distress thermometer for patients ucsf radiation oncology. Jan 18, 2017 in 2012, staff at the comprehensive cancer center of va connecticut healthcare system in west haven vachs decided to create a template for a cancer survivorship treatment summary and care plan survivorship care plan scp and treatment summary are used interchangeably in this article and refer to the same document in the vachs computerized patient record system cprs to be used as one. Patients are comfortable using the distress thermometer and problem list and physicians see these tools as useful checklists to prompt and guide questions about physical and psychological symptoms. Ford a et al 2012 a tool to measure levels of psychological distress.
It can include feelings of unease, sadness, worry, anger, helplessness, guilt, and so forth. New nccn distress guidelines and tools encourage patients to. The national comprehensive cancer network nccn makes no. Measurement of psychological distress in patients with. Nccn distress thermometer and problem list for patients. The national comprehensive cancer network and the institute of medicine have created screening guidelines and recommendations for integrating routine distress screening as a quality standard in cancer care. The team elected to take the distress assessment language out of the scp and create a separate note template to record the distress scores for vachs patients.
Although there is no unanimous cutoff for psychological distress, relevant literature has used a cutoff of 26 to indicate moderate to severe distress. Implementation of nccn distress management guidelines by. The consumer resource, cancer how are you travelling. To examine the validation and reliability of the distress thermometer dt recommended by national comprehensive cancer network nccn in chinese cancer patients. Screening for distress in the united states using the. The national comprehensive cancer network nccn makes no representations or warranties of any kind regarding their content, use or application and disclaims any responsibility for their application or use in any way. The german version of the nccn distressthermometer empirical examination of a screening instrument for the detection of psychosocial load for cancer patients lidoxnccn distressthermometer. The national comprehensive cancer network distress thermometer nccndt, a validated distress screening tool, has been widely used for the evaluation of psychiatric distress in cancer patients 2, 7, to improve the identification, management, and. Read online nccn clinical practice guidelines in oncology nccn. The nccn clinical practice guidelines in oncology nccn guidelines are a statement of evidence and consensus of the authors regarding their views of currently accepted approaches to treatment. Distress is an unpleasant emotional state that may affect how you feel, think, and act. Extreme distress no distress 10 9 8 7 6 5 4 3 2 1 0. Analysis of the distress thermometers psychometric properties and applicability to subgroups traditional cancer care has focused on assessing and treating cancer and its physical effects.
We found only 45% of responders marked the distress thermometer. Methods first, the original version of the dt was translated using a forward and backward translation procedure according to the guidelines. However, in the past ten years the focus of care has expanded to include assessment and. The distress thermometer dt is a singleitem rapid distress screening tool by use of which these difficulties can be. Use of the distress thermometer in clinical practice. Nccn clinical practice guidelines in oncology nccn. The nccn introduced the dt as a screening tool to identify sources of distress. This article describes a pilot of the distress thermometer, a tool used to measure patients levels of distress, and found it was useful in screening patients and identified those who needed help. The national comprehensive cancer network nccn developed a guideline for screening and managing distress in 1999 and has updated the guideline on an annual basis ever since. Of those, 54 patients receiving definitive treatment were included in this analysis.
Second, the nccn distress thermometer dt was used, which asks patients to identify their overall psychosocial distress in the last week on a thermometer with scores ranging from 0 to 10. Translating research on the distress thermometer into practice. Pdf the clinical utility of the distress thermometer. Jacobsen, phd, a and sean ransom, phd, b tampa, florida, and laie, hawaii it causes, heightened distress has been shown to be associated with poorer adherence to treatment recommendations, 4 poorer satisfaction with care, 5 and poorer quality. Mar 10, 2019 download nccn clinical practice guidelines in oncology nccn. In 2003, the nccn distress management panel published more fully. The distress thermometer serves as a rough, initial, singleitem questionnaire, which identifies distress from any source, even if unrelated to cancer see figure 1, right. National comprehensive cancer network distress thermometer and problem checklist in preparing for the pilot, a distress screening tool had to be selected. The nccn clinical practice guidelines in oncology nccn guidelines are a statement of evidence and consensus of the authors regarding their views of. Distress associated with missed appointments and hospital. Validation and reliability of distress thermometer in. Health psychology providers at vachs used the nccn distress thermometer to monitor distress in oncology patients.
The use of the modified distress thermometer in identifying and managing distress amongst aya cancer patients pandora patterson canteen australia. Several standardized, short scales are available to measure distress, including the nccns distress thermometer dt, one of the most widelyused validated scales with people affected by cancer 16, 17. The guideline recommends routine screening of cancerrelated distress using. We would like to show you a description here but the site wont allow us.
The nccn distress management guideline is a useful tool to screen for and manage. In 2012, staff at the comprehensive cancer center of va connecticut healthcare system in west haven vachs decided to create a template for a cancer survivorship treatment summary and care plan survivorship care plan scp and treatment summary are used interchangeably in this article and refer to the same document in the vachs computerized. Current nccn guidelines suggest a cutoff of 4 ie, scores of 4 or higher for determining whether patients require referral to psychosocial services. New nccn distress guidelines and tools encourage patients. This site is like a library, you could find million book here by using search box in the header. In an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress.
Why palliative care isnt just for older patients with. Distress thermometer and problem checklist instructions. Implementation of nccn distress management guidelines by member institutions paul b. Distress is defined in the nccn guidelines for distress management as a multifactorial, unpleasant experience of a psychologic ie, cognitive, behavioral, emotional, social, spiritual, andor physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment. The german version of the nccn distress thermometer empirical examination of a screening instrument for the detection of psychosocial load for cancer patients lidox nccn distress the. An external file that holds a picture, illustration, etc. Validation and reliability of distress thermometer in chinese.
A few studies have investigated the prevalence of distress as measured by the national comprehensive cancer network distress thermometer dt or other screening instruments, such as the brief symptom inventory bsi. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding. Nccn distress thermometer and problem list for patients created date. Orlando, flin recognition of the distress associated with the diagnosis and treatment of cancer, the national comprehensive cancer network nccn has produced several resources to help patients report their distress and cope with it.
Screening for distress in patients with primary brain. Translating research on the distress thermometer into. The distress thermometer is a tool that you can use to talk to your doctors about your. Nccn distress thermometer problem list please indicate if any of the following has been a problem for you in the past week including today. Please circle the number 010 that best describes how much distress you have been experiencing in the past week including today. Jan 31, 2011 in an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress. May 31, 2012 this article describes a pilot of the distress thermometer, a tool used to measure patients levels of distress, and found it was useful in screening patients and identified those who needed help.
Distress and financial distress in adults with cancer. The use of the modified distress thermometer in identifying and managing distress amongst aya cancer patients pandora patterson canteen australia university of sydney. Extreme distress 10 hematologyoncology associates of cny. If you have lung cancer or mesothelioma, please call either johanna lynch or lucy pike on. Purpose this study aims to translate the distress thermometer dt into indonesian, test its validity in indonesian women with breast cancer and determine norm scores of the indonesian dt for clinically relevant distress. Identification of patients suffering from elevated psychosocial distress, the sources of the distress, and the necessary treatment of the distress can be rather difficult within the neurosurgical setting e. Adapted and reproduced with permission from the nccn 1. D yale university new haven, connecticut, usa uicc world congress, montreal, canada 29 august 2012. A tool to measure levels of psychological distress nursing. Results indicate that adding a distress assessment using the distress thermometer and problem checklist did not present substantial burden to nurses in the clinic or overwhelm the mental health, pastoral care, or oncology social work referral sources with more patients. Empirische prufung eines screeninginstruments zur erfassung psychosozialer belastung bei krebspatienten. The national comprehensive cancer network distress thermometer nccn dt, a validated distress screening tool, has been widely used for the evaluation of psychiatric distress in cancer patients 2, 7, to improve the identification, management, and treatment of psychological distress. Understanding distress scores and problems identi ed by patients helped the.
Get comprehensive information about anxiety and distress including screening, assessment, and interventions in this summary for clinicians. Extreme distress no distress 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 nccn distress thermometer for patients help for distress distress is an unpleasant emotional state that may affect how you feel, think, and act. Use of the distress thermometer in clinical practice ncbi. Assessing psychological toxicity and patientreported. The nccn recommends screening patients at the initial visit soon after diagnosis and at each visit, although the screening schedule may be revised as clinically indicated. The national comprehensive cancer networks distress thermometer dt has been adopted as a screening measure to identify and address. Anxiety and distress are emotional responses that can be related to cancer and vary from normal adjustment to more serious disorders. Acceptability of the distress thermometer and problem list. Several tools were considered in terms of ease of patient and nurse use, cost, and length of tool. A total of 574 chinese cancer patients from beijing cancer hospital completed the detection. Acceptability of the distress thermometer and problem list to. The nccn guidelines are ed by national comprehensive cancer network.
No distress 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 nccn distress thermometer for patients help for distress distress is an unpleasant emotional state that may affect how you feel, think, and act. The national comprehensive cancer network nccn practice guidelines for the management of psychosocial distress, 2014 defines distress as a multifactorial distressing. The national comprehensive cancer network nccn makes no representations or warranties of any kind regarding their content, use, or application, and disclaims any responsibility for their application or use in any way. Diagnostic and statistical manual of mental disorders 5th ed. In 1999, the national comprehensive cancer network nccn, recommended routine. The nccn guidelines and the illustrations herein may not be reproduced in any form without the express written permission of nccn. The distress thermometer please circle or pick a number 010 from the drop down box that best describes how much distress you have been experiencing in the past week including today.
First please circle the number 010 that best describes how much distress you have been experiencing in the past week including today. Please circle or pick a number 010 from the drop down box that best describes how much distress you have been experiencing in the past week including today. The organization has published the first nccn guidelines for patients and nccn quick guide for distress. Diffusion of distress management guideline into practice. The national comprehensive cancer network nccn makes no representations or warranties of any kind regarding their content use or application and disclaims any responsibility for their application or use in any way. Patients with cancer, and their families and carers, may experience a range of psychological symptoms. Nccn distress thermometer for patients munson healthcare. The national comprehensive cancer network nccn developed the distress management guideline dmg. Also, systematic screening can be linked to palliative care referral to further improve patient outcomes. Jul 09, 2010 to examine the validation and reliability of the distress thermometer dt recommended by national comprehensive cancer network nccn in chinese cancer patients.
A road map for creating a cprs template for a cancer. Distress screening and management in an outpatient va. The nccn currently recommends using a distress thermometer and problem list survey to serve as a means to quantify patients distress and communicate specific concerns to providers. The distress thermometer dt was developed as a simple tool to effectively. All books are in clear copy here, and all files are secure so dont worry about it. Emerging evidence suggests routine distress screening in the oncology setting can be very helpful in improving patients quality of life and maybe improve their survival outcome. From 20152016, 129 new patients completed the nccn distress thermometer. Screening for distress in patients with primary brain tumor. The distress thermometer dt is a well validated screening tool, demonstrably sensitive and reasonably specific to the construct of distress in cancer. Using a visual distress thermometer see the collection methods section below for an example, ask the person to indicate the level of distress that they have experienced in the past week on a scale from 010, where 0 indicates no distress and 10 indicates extreme distress.
As a defined construct, distress is readily measurable. Patients rate their distress over the last week, with 0 indicating no distress and 10 indicating high distress. The 2016 nccn case manager and medical director program live webinar series will consist of six webinars on the topics of colorectal cancer, prostate cancer, distress management, cml, ovarian cancer, and multiple myeloma. A high number indicates that patients should speak to a healthcare professional for assistance in decreasing their distress. Therefore, such an instrument does not indicate whether. Validation of the distress thermometer for use among.
Screening for distress in the united states using the national comprehensive cancer networks distress thermometer mark lazenby, ph. Pooled results from multiple studies suggest that approximately 40% of cancer. Dealing with children appearance family problems yes no. The distress thermometer dt is a singleitem rapid distress screening tool by use of which these. The dt is reportedly a brief, noninvasive, valid and acceptable alternative to longer psychometric instruments. Dec 29, 2010 identification of patients suffering from elevated psychosocial distress, the sources of the distress, and the necessary treatment of the distress can be rather difficult within the neurosurgical setting e. Eight patients had an increase in their distress score over the course of figure 3.