a randomised trial of a psychosocial intervention for cancer patients integrated into routine care the prompt study (promoting optimal outcomes in mood through tailored psychosocial therapies)心理干预对癌症患者的随机试验集成到日常保健研究提示(促进情绪通过定制的心理疗法)的最优结果.pdfVIP

Turner et al. BMC Cancer 2011, 11:48 /1471-2407/11/48 STUDY PROTOCOL Open Access A randomised trial of a psychosocial intervention for cancer patients integrated into routine care: the PROMPT study (promoting optimal outcomes in mood through tailored psychosocial therapies) 1 2 3 4* 5 6 7 Jane Turner , Brian Kelly , David Clarke , Patsy Yates , Sanchia Aranda , Damien Jolley , Suzanne Chambers , Maryanne Hargraves8, Lisa McFadyen9 Abstract Background: Despite evidence that up to 35% of patients with cancer experience significant distress, access to effective psychosocial care is limited by lack of systematic approaches to assessment, a paucity of psychosocial services, and patient reluctance to accept treatment either because of perceived stigma or difficulties with access to specialist psycho-oncology services due to isolation or disease burden. This paper presents an overview of a randomised study to evaluate the effectiveness of a brief tailored psychosocial Intervention delivered by health professionals in cancer care who undergo focused training and participate in clinical supervision. Methods/design: Health professionals from the disciplines of nursing, occupational therapy, speech pathology, dietetics, physiotherapy or radiation therapy will participate in training to deliver the psychosocial Intervention focusing on core concepts of supportive-expressive, cognitive and dignity-conserving care. Health professional training will consist of completion of a self-directed manual and participation in a skills development session. Participating health professionals will be supported through structured clinical supervision whilst delivering the Intervention. In the stepped wedge design e