Yet, if recognised, distress can be successfully treated even in patients with only 46 weeks left to live. To examine the validation and reliability of the distress thermometer dt recommended by national comprehensive cancer network nccn in chinese cancer patients. Jul 09, 2010 to examine the validation and reliability of the distress thermometer dt recommended by national comprehensive cancer network nccn in chinese cancer patients. Initially developed by the national comprehensive cancer network nccn the german version was adapted by mehnert et al. New nccn distress guidelines and tools encourage patients to. Patients rate their distress over the last week, with 0 indicating no distress and 10 indicating high distress. Therefore, such an instrument does not indicate whether. The feasibility and impact of using the distress thermometer. The distress thermometer is a pen and paper tool for patients to report how distressed they are about their psychosocial and physical problems. Short screening measures have gained substantial support, in particular the single item measure of distress, the distress thermometer dt mitchell, 2007. In response, the national comprehensive cancer network nccn, a consortium of leading cancer centers in the united states, convened a panel of professionals to formalize multidisciplinary psychosocial treatment pathways that include the development of a rapid screening measure for the assessment of patient distress. Use of the distress thermometer in clinical practice.
The measure contains a singleitem visual analogue scale ranging from 0. The nccn distress thermometer and problem list for patients measures distress in a similar way to pain on a scale of zero to 10, 10 being the worst. The distress thermometer dt was developed as a simple tool to. Distress in cancer is a multifactorial unpleasant emotional experience of a psychological cognitive, behavioural, emotional, social, andor spiritual nature that may interfere with the ability to cope effectively with cancer, its physical symptoms and its treatment nccn v2 2014 page 3. Distress in patients with cancer influences their quality of life.
The national comprehensive cancer network nccn practice guidelines for the management of psychosocial distress, 2014 defines distress as a multifactorial distressing. Using a visual distress thermometer see the collection methods section below for an example, ask the person to indicate the level of distress that they have experienced in the past week on a scale from 010, where 0 indicates no distress and 10 indicates extreme distress. Distress is defined in the nccn guidelines for distress management as a multifactorial, unpleasant experience of a psychologic ie, cognitive, behavioral, emotional, social, spiritual, andor physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment. A study to assess the psychosocial consequences of the systematic use of the dt and its discussion by a nurse as. Distress thermometer assesses psychosocial distress. A study to assess the psychosocial consequences of the systematic use of the dt and its discussion by a nurse as compared. The national comprehensive cancer network nccn recently posted a new translation of the nccn clinical practice guidelines in oncology nccn guidelines for melanoma in turkish. Validation and reliability of distress thermometer in chinese. Dec 29, 2010 identification of patients suffering from elevated psychosocial distress, the sources of the distress, and the necessary treatment of the distress can be rather difficult within the neurosurgical setting e. Patients with a cancer diagnosis experience complex issues that can cause distress. Patients are comfortable using the distress thermometer and problem list and physicians see these tools as useful checklists to prompt and guide questions about physical and psychological symptoms. In phase 1, the linguistic validation of the nccn dt was done.
About europe pmc funders joining europe pmc governance roadmap outreach. The distress thermometer dt and problem checklist pc were developed to efficiently and reliably measure distress and factors contributing to distress. The nccn 20 recommends screening for distress using a tool such as the distress thermometer, a singleitem tool asking people to score how distressed they have been over the past week on a picture of a thermometer using a scale from 0 no distress to 10 extreme distress located at the top see figure 1. Analysis of the distress thermometers psychometric properties and applicability to subgroups traditional cancer care has focused on assessing and treating cancer and its physical effects. Request permission to use the nccn distress thermometer andor problem list disa from the nccn guidelines for distress management. Distress is commonly unrecognised in medical environments, including palliative care settings. However, the effects of the use of the dt on the psychosocial wellbeing of the patient are unknown. Use of the distress thermometer in clinical practice ncbi. The distress thermometer is a modified visual analogue scale that resembles a thermometer. The organization has published the first nccn guidelines for patients and nccn quick guide for distress. Use of distress thermometers in an outpatient oncology.
Chi health good samaritan cancer center uses the nccn distress thermometer and problem list. Short screening measures have gained substantial support, in particular the single item measure of. Validation of the distress thermometer among stroke survivors. Patient distress thermometer and problem list openi. Identification of patients suffering from elevated psychosocial distress, the sources of the distress, and the necessary treatment of the distress can be rather difficult within the neurosurgical setting e. Please circle the number 010 that best describes how much distress you have been experiencing in the past week including today. Validation of the distress thermometer for use among. Use of the distress thermometer in clinical practice europe pmc. Purpose this study aims to translate the distress thermometer dt into indonesian, test its validity in indonesian women with breast cancer and determine norm scores of the indonesian dt for clinically relevant distress. However, in the past ten years the focus of care has expanded to include assessment and. A total of 574 chinese cancer patients from beijing cancer hospital completed the detection. The nccn argued the case for distress to be classified as the sixth vital sign. Jan 31, 2011 in an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress. Measurement of psychological distress in patients with.
The distress thermometer dt is a singleitem rapid distress screening tool by use of which these difficulties can be. The national comprehensive cancer network nccn developed a guideline for screening and managing distress in 1999 and has updated the guideline on an annual basis ever since. If you have lung cancer or mesothelioma, please call either johanna lynch or lucy pike on. Validation of the distress thermometer worldwide wiley online. The cancer center has included additional items under the other problems section. Patients and clinicians experiences of holistic needs. A 8week single arm study will be conducted among university of california, san francisco ucsf patients with metastatic colorectal cancer undergoing chemotherapy and caregivers of these patients 44 participants total. Current nccn guidelines suggest a cutoff of 4 ie, scores of 4 or higher for determining whether patients require referral to psychosocial services. These modules define stress, distress and depression, describe how to conduct screening for supportive care needs, and identify followup processes for patients based on a mild, moderate or severe score for depression or anxiety. If your organization would like to use, reproduce, andor distribute nccn content for any purpose, please visit the nccn permissions request form. Empirische prufung eines screeninginstruments zur erfassung psychosozialer belastung bei krebspatienten.
Tavernier, phd, aprncns, aocn distress is commonly experienced by people with cancer. It ranges from 0 no distress to 10 extreme distress. This is a audio based mindfulness meditation intervention for colorectal cancer patients and caregivers. Only three institutions screened every patient, and the other five screened certain groups of cancer patients. Full text validation of the distress thermometer for use among. The instrument is a selfreported tool using a 0to10 rating scale. The distress thermometer please circle or pick a number 010 from the drop down box that best describes how much distress you have been experiencing in the past week including today. Evidencebased information on distress thermometer from hundreds of trustworthy sources for health and social care. Nccn distress thermometer and problem list for patients.
Nccn clinical practice guidelines in oncology nccn. Current nccn guidelines suggest a cutoff of 4 ie, scores of 4 or higher for determining whether patients require referral to. In 1999, the national comprehensive cancer network nccn, recommended routine screening for distress in all cancer patients. Distress thermometer, feasibility, malayalam, validation. Translating research on the distress thermometer into practice. Resource guide for distress thermometer screening if a patient identifies a barrier on the left column, consider using a resource in the right column. It also contains an accompanying list of 34 problems grouped into five categories practical, family, emotional, spiritualreligious and physical. Jacobsen, phd, a and sean ransom, phd, b tampa, florida, and laie, hawaii it causes, heightened distress has been shown to be associated with poorer adherence to treatment recommendations, 4 poorer satisfaction with care, 5 and poorer quality. The best method of detecting psychological distress is through clinical diagnostic interviews. The distress thermometer dt has been used in psychooncology research across. Extreme distress no distress yes no practical problems child care housing insurancefinancial transportation workschool treatment decisions. It can include feelings of unease, sadness, worry, anger, helplessness, guilt, and so forth. In an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress.
The 2016 nccn case manager and medical director program live webinar series will consist of six webinars on the topics of colorectal cancer, prostate cancer, distress management, cml, ovarian cancer, and multiple myeloma. Implementation of nccn distress management guidelines by member institutions paul b. No distress 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 nccn distress thermometer for patients help for distress distress is an unpleasant emotional state that may affect how you feel, think, and act. Validation of distress thermometer for palliative care. Patients and clinicians experiences of holistic needs assessment using a cancer distress thermometer and problem list. Article translating research on the distress thermometer. Implementation of nccn distress management guidelines by. The distress thermometer dt was developed as a simple tool to effectively screen for symptoms of distress. The dt is reportedly a brief, noninvasive, valid and acceptable alternative to longer psychometric instruments. Ebscohost serves thousands of libraries with premium essays, articles and other content including the distress thermometer in spanish cancer patients.
Sep 06, 2010 the distress thermometer dt and problem checklist pc were developed to efficiently and reliably measure distress and factors contributing to distress. Validation of malayalam version of national comprehensive cancer. The distress thermometer in spanish cancer patients. The national comprehensive cancer network nccn makes no representations or warranties of any kind regarding their content, use or application and disclaims any responsibility for their application or use in any way.
The nccn clinical practice guidelines in oncology nccn guidelines are a statement of evidence and consensus of the authors regarding their views of. Several tools were considered in terms of ease of patient and nurse use, cost, and length of tool. Extreme distress no distress yes no practical problems child care housing insurancefinancial transportation workschool. Dabrowski m, boucher k, ward jh et al 2007 clinical experience with the nccn distress thermometer in. A step towards personcentred care kathryn taylor clinical psychologist kathryn. The nccn 20 recommends screening for distress using a tool such as the distress thermometer, a singleitem tool asking people to score how distressed they have been over the past week on a picture of a thermometer using a scale from 0 no distress to 10. Routine screening for psychological distress on an australian. Using the distress thermometer and hospital anxiety and. The differences between the translations were reconciled and merged into a single forward translation with inputs from both the translators.
In 1999, the national comprehensive cancer network nccn. Methods first, the original version of the dt was translated using a forward and backward translation procedure according to the guidelines. Use of distress thermometers in an outpatient oncology setting. Pdf use of the distress thermometer in clinical practice. The two subscales combine to give a total score for spiritual wellbeing. Download the nccn distress thermometer 296kb pdf from. Oct 16, 2014 patients with a cancer diagnosis experience complex issues that can cause distress. The distress thermometer is a valid and reliable measure for screening psychological distress in patients with cancer. Article translating research on the distress thermometer into. National comprehensive cancer network distress thermometer and problem checklist in preparing for the pilot, a distress screening tool had to be selected. In 2003, the nccn distress management panel published more fully.
Holland jc, alici y 2010 management of distress in cancer patients. Health, general sociology and social work cancer care and treatment cancer patients cancer treatment head and neck cancer diagnosis measuring instruments medical thermometers usage outpatients social workers. About nccn new translations of nccn guidelines content available. Mindfulness meditation intervention for colorectal cancer. Recent studies have found that 2050% of newly diagnosed and recurrent cancer patients demonstrate a significant level of distress carlson. National guidelines for stroke recommend that all patients entering rehabilitation are screened for mood disturbance using a validated measure. Researchers conducted a secondary data analysis of distress ratings n 1205 for people receiving outpatient care at a midwestern us cancer center from 2005 to 2009 to describe the. The purpose of this study is to identify factors associated with overall distress for a diverse population of cancer survivors. Orlando, flin recognition of the distress associated with the diagnosis and treatment of cancer, the national comprehensive cancer network nccn has produced several resources to help patients report their distress and cope with it. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding. This translation is a direct result of nccn s inaugural international day held.
Diffusion of distress management guideline into practice. Acceptability of the distress thermometer and problem list to. Jonathan larsen, mpp, manager, global business development. The national comprehensive cancer network nccn makes no. Screening for distress in ambulatory oncology patients. Childcare familyfriends resources social services housing shelters financial grants see finances below low incomesection 8 housing halfwaytransitional houses. Distress thermometer and problem list problem list yes no. An analysis of the distress thermometer problem list and.
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