Browsing by Author "Groff, Shannon"

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    Examining the Sustainability of Screening for Distress, the Sixth Vital Sign, in Two Outpatient Oncology Clinics
    (2013-12-23) Groff, Shannon; Holroyd-Leduc, Jayna M.; Bultz, Barry
    Background: This study explored the sustainability of Screening for Distress, a program that facilitates distress management, in two cancer clinics six months post-implementation. Methods: A mixed-method cross-sectional design was utilized. To assess program sustainability and explore the barriers and facilitators of sustainability 184 charts were reviewed and sixteen semi-structured interviews were conducted. Results: 163 (88.6%) charts had completed tools and a conversation about the tool took place in 130 (79.8%) of those. 89 (54.6%) tools warranted an intervention and 68 (76.4%) of those had an intervention documented. Five themes influencing sustainability emerged: attitudes, knowledge and beliefs, outcome expectancy, implementation approach, integration with existing practices, and external factors. Conclusions: This study suggests that screening was largely sustained, possibly due to positive attitudes and outcome expectancy. However, sustainability may be enhanced by formally integrating screening with existing practices, addressing potential knowledge gaps, and ensuring engagement with all stakeholder groups.
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    Screening for distress, the 6th vital sign: common problems in cancer outpatients over one year in usual care: associations with marital status, sex, and age
    (Springer Nature, 2012-10-2) Neri, Eric; Bultz, Barry D.; Dunlop, Bernie; Rancourt, Kate M.S.; Adamyk-Simpson, Jassandre; Giese-Davis, Janine; Waller, Amy; Carlson, Linda E.; Groff, Shannon; Zhong, Lihong; Bachor, Sacha M.
    Very few studies examine the longitudinal prevalence of problems and the awareness or use of clinical programs by patients who report these problems. Of the studies that examine age, gender and marital status as predictors of a range of patient outcomes, none examines the interactions between these demographic variables. This study examined the typical trajectory of common practical and psychosocial problems endorsed over 12 months in a usual-care sample of cancer outpatients. Specifically, we examined whether marital status, sex, age, and their interactions predicted these trajectories. We did not actively triage or refer patients in this study in order to examine the natural course of problem reports.
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    Screening for distress, the 6th vital sign: common problems in cancer outpatients over one year in usual care: associations with marital status, sex, and age
    (BioMed Central, 2012-10-02) Giese-Davis, Janine; Waller, Amy; Carlson, Linda E; Groff, Shannon; Zhong, Lihong; Neri, Eric; Bachor, Sacha M; Adamyk-Simpson, Jassandre; Rancourt, Kate MS; Dunlop, Bernie; Bultz, Barry D