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    Comprehensive Psychosocial Distress Screening in Patients Newly Diagnosed with Lung Cancer – A Mixed Methods Study

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    Name:
    Oluwabunmi_Emidio_s_Doctoral_D ...
    Embargo:
    2024-03-31
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    690.4Kb
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    Authors
    Emidio, Oluwabunmi M.
    Faculty Advisor
    Stephenie C. Lemon
    Academic Program
    Clinical and Population Health Research
    UMass Chan Affiliations
    Population and Quantitative Health Sciences
    Document Type
    Doctoral Dissertation
    Publication Date
    2022-01-28
    Keywords
    Psychosocial DIstress
    Screening
    Lung Cancer
    Social Determinants of Health
    Time to Treatment
    Qualitative
    Mixed Methods
    Psycho-Oncology
    SES
    Health Services Research
    Medicine and Health Sciences
    Oncology
    Public Health
    Social and Behavioral Sciences
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    Abstract
    Background: Patients with newly diagnosed lung cancer have one of the highest rates of psychosocial distress which may be reduced by identifying factors associated with psychosocial distress. This dissertation examined the association of neighborhood-level Social Determinants of Health (SDOH) and delay in treatment initiation with psychosocial distress. It also qualitatively explored perceptions and practices of the lung cancer care team regarding psychosocial distress screening. Methods: Sociodemographic, clinical, and SDOH data of patients newly diagnosed with lung cancer between 2017 and 2021 was analyzed via logistic regression. Thematic analysis was done for interviews conducted with the lung cancer care team. Results: SDOH and delay in treatment were not significantly associated with psychosocial distress. However, a high deprivation level of SDOH was associated with delay in treatment initiation. Qualitatively, four principal themes emerged: (1) Timing and frequency of screening: Multiple screenings at different time points may be more effective; (2) Training needs: All staff would benefit from training; (3) Staffing needs: More psychologists and social workers are needed to address identified patient psychosocial distress and; (4) Opportunity for holistic patient care: Consistent communication of distress screening information to physicians and surgeons may enhance a holistic care model for patients. Conclusions: The lung cancer care team valued psychosocial distress screening and identified opportunities for improving screening processes. The finding of association of high deprivation level of SDOH with greater delay in treatment initiation suggests that targeted interventions to reduce delay in treatment initiation, focusing on economically marginalized groups may be warranted.
    DOI
    10.13028/c3es-ja11
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/31409
    Rights
    Copyright is held by the author, with all rights reserved.
    ae974a485f413a2113503eed53cd6c53
    10.13028/c3es-ja11
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    Morningside Graduate School of Biomedical Sciences Dissertations and Theses

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