[Feasibility and acceptance of computer-based assessment for the identification of psychosocially distressed patients in routine clinical care].
This study investigated feasibility and acceptance of computer-based assessment for the identification of psychosocial distress in routine radiotherapy care. 155 cancer patients were assessed using QSC-R10, PO-Bado-SF and Mach-9. The congruence between computerized tablet PC and conventional paper assessment was analysed in 50 patients. The agreement between the 2 modes was high (ICC 0.869-0.980). Acceptance of computer-based assessment was very high (>95%). Sex, age, education, distress and Karnofsky performance status (KPS) did not influence acceptance. Computerized assessment was rated more difficult by older patients (p = 0.039) and patients with low KPS (p = 0.020). 75.5% of the respondents supported referral for psycho-social intervention for distressed patients. The prevalence of distress was 27.1% (QSC-R10). Computer-based assessment allows easy identification of distressed patients. Level of staff involvement is low, and the results are quickly available for care providers.
Praxis für Zahnheilkunde, München. susanne.sehlen@t-online.de
Susanne
S
Sehlen
Martin
M
Ott
Birgitt
B
Marten-Mittag
Wolfgang
W
Haimerl
Andreas
A
Dinkel
Eckhart
E
Duehmke
Christian
C
Klein
Christof
C
Schaefer
Peter
P
Herschbach
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D003936:Diagnosis, Computer-Assisted; D004644:Emotions / Q000502:physiology; D005221:Fatigue / Q000209:etiology / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008838:Microcomputers; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010342:Patient Acceptance of Health Care; D011878:Radiotherapy / Q000523:psychology; D013315:Stress, Psychological / Q000175:diagnosis* / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult