Patient and health professional's perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review

Dilworth, Sophie, Higgins, Isabel, Parker, Vicki, Kelly, Brian and Turner, Jane (2014) Patient and health professional's perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review. Psycho-Oncology, 23 6: 601-612. doi:10.1002/pon.3474

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Author Dilworth, Sophie
Higgins, Isabel
Parker, Vicki
Kelly, Brian
Turner, Jane
Title Patient and health professional's perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1057-9249
1099-1611
Publication date 2014-02-11
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/pon.3474
Open Access Status Not Open Access
Volume 23
Issue 6
Start page 601
End page 612
Total pages 12
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Objective To explore the barriers experienced and perceived by health professionals and patients in the delivery of psychosocial care to adults with cancer.

Methods Systematic searches were undertaken using the PsychInfo, Medline and CINAHL electronic databases, up to October 2013. Research reporting health professional or patient experiences and perceptions of barriers to psychosocial care are included in the review. The systematic review includes studies that have non-experimental, exploratory and observational designs, as is appropriate to answer the review question. Included studies were critically appraised. The results of individual quantitative studies were aggregated. Qualitative content analysis was used to analyse the qualitative results.

Results Twenty-five papers met the pre-specified inclusion criteria for the final review. The most commonly perceived barrier for patients relates to receiving adequate support from elsewhere and a lack of perceived need for psychosocial care. Health professionals report barriers at an organisational level most frequently followed by cultural and then individual clinician-related barriers.

Conclusions Barriers exist on a variety of levels. People with cancer need clear appropriate information and communication about psychosocial services, including information about the role of psychosocial care in addition to existing supports. Interventions that target the complex interplay of individual, organisational and cultural factors need to be developed. Strategies that improve health professional communication skills, identify clear referral pathways, improve acceptability of interventions and clearly identify the need for services could address many of the barriers identified in this review.
Keyword Cancer
Oncology
Psychosocial care
Systematic review
Barriers
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 11 FEB 2014

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 33 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 25 Feb 2014, 04:08:53 EST by Dr Jane Turner on behalf of Psychiatry - Royal Brisbane and Women's Hospital