Psycho-oncology and primary prevention in cancer control plans: an absent voice?

Dunn, Jeff, Holland, Jimmie, Hyde, Melissa K. and Watson, Maggie (2015) Psycho-oncology and primary prevention in cancer control plans: an absent voice?. Psycho-Oncology, 24 10: 1338-1345. doi:10.1002/pon.3917

Author Dunn, Jeff
Holland, Jimmie
Hyde, Melissa K.
Watson, Maggie
Title Psycho-oncology and primary prevention in cancer control plans: an absent voice?
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1099-1611
Publication date 2015-07-27
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/pon.3917
Open Access Status Not Open Access
Volume 24
Issue 10
Start page 1338
End page 1345
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley and Sons
Collection year 2016
Language eng
Formatted abstract
Background:  One third of cancer deaths are attributable to modifiable lifestyle, behaviour and psychosocial risk factors. Psycho-oncology can contribute significantly to prevention initiatives such as those described in national cancer control plans (NCCPs), to reduce or eliminate these risk factors. However, the extent to which psycho-oncology expertise has informed prevention objectives in plans is unclear.

Methods:  Accordingly, 35 English language NCCPs were located via existing databases and were searched using Adobe text searches (‘psycho’, ‘social’, ‘behav’ and ‘intervention’) to identify (a) representations of psycho-oncology, its dimensions (psychological, social and behavioural) and roles (e.g. psychologist); and (b) behaviour/lifestyle change interventions.

Results:  A third of NCCPs included the term psycho- or psychosocial-oncology; approximately half referred to a psycho-oncology dimension regarding prevention and early detection and half included actions/objectives relating to health professionals and provision of psychosocial care. The majority of cancer plans included prevention outcomes and focussed primarily on smoking cessation and alcohol reduction. Interventions commonly proposed were education, regulation and service provision; however, many were aspirational statements of intent rather than specific interventions. Psycho-oncology was represented in NCCPs but was limited in reference to prevention with few behavioural interventions utilised.

Conclusions:  Psycho-oncology input is needed to prescribe evidence-based interventions in cancer plans that not only educate, regulate and provide resources but also motivate, empower and create a supportive normative environment for behaviour change. In this manuscript, and throughout this Special Issue on Cancer Prevention, important principles, ideas and evidence within psycho-oncology are outlined which, if properly implemented, can help reduce the global cancer burden.
Keyword Cancer control
Primary prevention
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Early view of article. Published online 27 July, 2015.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
School of Social Science Publications
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