Interdisciplinary provider visits attenuate relationship between patient concerns and distress in older adults with cancer Journal Article
| Authors: | McConnell, K. M.; Zaleta, A. K.; Saracino, R.; Miller, M. |
| Article Title: | Interdisciplinary provider visits attenuate relationship between patient concerns and distress in older adults with cancer |
| Abstract: | Purpose: This study examined the relationship between multidimensional patient concerns and anxiety and depression in a national sample of older adults with cancer (OACs ≥ 65 years) and the buffering effect of visiting providers across disciplines (e.g., oncology, allied health, primary care, mental health) on these relationships. Methods: Participants completed a cross-sectional survey through the Cancer Support Community’s Cancer Experience Registry (CER), an online community-based research initiative. Eligible participants were 65 years and older and diagnosed with cancer in the past five years. Participants completed self-report measures of (1) the severity of their concerns across multiple domains, (2) anxiety and depression, and (3) whether they received care for “symptoms and side effects” from various providers. Results: The sample consisted of 277 OACs; 45% endorsed elevated anxiety and 31% endorsed elevated depression. The most severe concerns were in the domains of body image and healthy lifestyle and symptom burden and impact. More severe concerns were associated with higher levels of anxiety and depression. The relationship between concern severity and distress was weaker in OACs who saw a palliative care, mental health, physical or occupational therapy provider, pharmacist, or primary care provider relative to OACs who did not. A visit with an oncology provider did not moderate most relationships between concerns and distress. Conclusions: The relationship between OACs’ concerns and distress was attenuated by treatment with a specialty provider. Interdisciplinary team care may be a vital component of comprehensive patient-centered care for OACs. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. |
| Keywords: | aged; aged, 80 and over; major clinical study; cancer patient; neoplasm; neoplasms; quality of life; palliative therapy; cohort analysis; psychology; oncology; self report; questionnaire; patient care; depression; anxiety disorder; occupational therapist; cross-sectional study; cross-sectional studies; anxiety; observational study; patient attitude; primary medical care; geriatric patient; body image; mental stress; stress, psychological; older adult; paramedical personnel; distress; mental health care; pharmacist; oncologist; healthy lifestyle; disease burden; very elderly; cancer; humans; human; male; female; article; multidisciplinary team; surveys and questionnaires; patient visit |
| Journal Title: | Quality of Life Research |
| Volume: | 33 |
| Issue: | 11 |
| ISSN: | 0962-9343 |
| Publisher: | Springer |
| Date Published: | 2024-11-01 |
| Start Page: | 2975 |
| End Page: | 2985 |
| Language: | English |
| DOI: | 10.1007/s11136-024-03760-7 |
| PUBMED: | 39162969 |
| PROVIDER: | scopus |
| PMCID: | PMC11967333 |
| DOI/URL: | |
| Notes: | Article -- Source: Scopus |
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