Weiler-Wichtl, Liesa J. and Fohn-Erhold, Verena and Rosenmayr, Verena and Hansl, Rita and Hopfgartner, Maximilian and Pal-Handl, Katharina and Wasinger-Brandweiner, Verena and Herzog, Kristina and Neumann, Kirsten and Schellenberg, Tobias and Schonenberger-Loppacher, Dorothee and Faist-Schweika, Christiane and Schonthaler, Barbara and Budich, Mihaela and Stember, Nicole and Wiegele, Karin and Reddig, Maike and Paduch, Anne and Lein-Koehler, Iris and Goergen, Sonja and Wienands, Heike and Gauf, Hiltrud and Hoffmann, Rahel and Kollmann, Alina and Just, Ulrike and Salzmann, Nicole and Neunsinger, Petra and Gerhardt, Marina and Essl, Stefanie and Borbely, Janina and Koepper, Manuel and Rinner, Sarah and Schubert, Lisa and Leiss, Ulrike (2024) Benefits of applying standardized frameworks to implement psychosocial tools such as the 'My Logbook'. SUPPORTIVE CARE IN CANCER, 32 (12): 789. ISSN 0941-4355, 1433-7339
Full text not available from this repository. (Request a copy)Abstract
PurposeEvidence-based interventions (EBIs) are essential to improve the well-being and neurocognitive outcomes of pediatric cancer patients; however, considerable barriers hamper the implementation of these tools. The present study assessed health care professionals' (HCP) perceived barriers and facilitators to the implementation of a specific EBI for pediatric oncology in a standardized manner to define effective solutions and practical recommendations.MethodsAn adapted version of the Consolidated Framework for Implementation Research (CFIR) questionnaire was applied to inquire n = 31 HCPs in pediatric oncology about the five domains of implementation.ResultsWhile most 'intervention characteristics' were considered beneficial for implementation, various aspects of the 'inner' and 'outer setting' were considered problematic. The most prevalent barriers included a shortage in resources, poor integration of EBIs into policies and lacking incentives such as user benefits. Concrete proposed and realized steps to facilitate effective implementation include a patient-focused design and continuous evaluation and adaption of the tool, a detailed EBI user manual and application workshops, as well as regular interdisciplinary meetings to improve communication. Regarding the internal and external settings, involving policy makers, establishing psychosocial care in the insurance system and increasing awareness by sharing evidence are essential steps for improved implementation.ConclusionBased on standardized implementation evaluation, various targeted actions could be defined and implemented to facilitate successful implementation of EBIs in pediatric oncology. The results emphasize that psychosocial care must become an integral part of treatment standards and public health policies to ensure that effective psychosocial interventions for improved wellbeing and neurocognitive skills successfully reach pediatric cancer patients.Trial registration numberClinicalTrials.gov Identifier: NCT04474678 (July 17th 2020).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CHILDREN; CANCER; CARE; Paediatric oncology; Quality of care; Implementation research; Feasibility; Evidence-based interventions; Psychosocial care |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Pädiatrische Hämatologie, Onkologie und Stammzelltransplantation |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Aug 2025 06:23 |
| Last Modified: | 14 Aug 2025 06:23 |
| URI: | https://pred.uni-regensburg.de/id/eprint/65656 |
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