title: The James Supportive Care Screening: integrating science and practice to meet the NCCN guidelines for distress management at a Comprehensive Cancer Center.
abstract: BACKGROUND
  Selecting a measure for oncology distress screening can be challenging. The measure must be brief, but comprehensive, capturing patients' most distressing concerns. The measure must provide meaningful coverage of multiple domains, assess symptom and problem-related distress, and ideally be suited for both clinical and research purposes.
  
  
  METHODS
  From March 2006 to August 2012, the James Supportive Care Screening (SCS) was developed and validated in three phases including content validation, factor analysis, and measure validation. Exploratory factor analyses were completed with 596 oncology patients followed by a confirmatory factor analysis with 477 patients.
  
  
  RESULTS
  Six factors were identified and confirmed including (i) emotional concerns; (ii) physical symptoms; (iii) social/practical problems; (iv) spiritual problems; (v) cognitive concerns; and (vi) healthcare decision making/communication issues. Subscale evaluation reveals good to excellent internal consistency, test-retest reliability, and convergent, divergent, and predictive validity. Specificity of individual items was 0.90 and 0.87, respectively, for identifying patients with DSM-IV-TR diagnoses of major depression and generalized anxiety disorder.
  
  
  CONCLUSIONS
  Results support use of the James SCS to quickly detect the most frequent and distressing symptoms and concerns of cancer patients. The James SCS is an efficient, reliable, and valid clinical and research outcomes measure.
authors: Psychiatry, Psychosocial Oncology, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, OH, USA. sharla.wells@osumc.edu
authors: Sharla
authors: S
authors: Wells-Di Gregorio
authors: Emily K
authors: EK
authors: Porensky
authors: Matthew
authors: M
authors: Minotti
authors: Susan
authors: S
authors: Brown
authors: Janet
authors: J
authors: Snapp
authors: Robert M
authors: RM
authors: Taylor
authors: Michael D
authors: MD
authors: Adolph
authors: Sherman
authors: S
authors: Everett
authors: Kenneth
authors: K
authors: Lowther
authors: Kelly
authors: K
authors: Callahan
authors: Devita
authors: D
authors: Streva
authors: Vicki
authors: V
authors: Heinke
authors: Debra
authors: D
authors: Leno
authors: Courtney
authors: C
authors: Flower
authors: Anne
authors: A
authors: McVey
authors: Barbara Lee
authors: BL
authors: Andersen
mesh_terms: D001007:Anxiety / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D002173:Cancer Care Facilities; D017281:Cost of Illness; D005163:Factor Analysis, Statistical; D005221:Fatigue / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications / Q000523:psychology*; D017410:Practice Guidelines as Topic; D011594:Psychometrics / Q000295:instrumentation; D011788:Quality of Life; D015203:Reproducibility of Results; D013315:Stress, Psychological / Q000175:diagnosis* / Q000209:etiology; D011795:Surveys and Questionnaires
keywords: cancer; distress; factor analysis; oncology; screening