Screening for social difficulties in cancer patients: clinical utility of the Social Difficulties Inventory
Screening for social difficulties in cancer patients: clinical utility of the Social Difficulties Inventory
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癌症患者社交困难筛查：社交困难量表的临床应用
DOI：
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发表时间：
2007
影响因子：
8.8
通讯作者：
G. Velikova
中科院分区：
文献类型：
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作者：
P. Wright;A. Smith;K. Roberts;P. Selby;G. Velikova
社会心理支持的指导方针已经制定，但在常规肿瘤学实践中没有标准的方法来识别遇到社会困难的患者。我们设计并评估了社会困难量表（SDI），以确定需要进一步评估的患者，并在适当的情况下转介到支持服务。本研究的目的是开发一个具有临床意义的SDI评分系统，为肿瘤学工作人员提供指导。在189名患者中，183人完成了SDI，并由一名社会工作研究员进行访谈，该研究员独立对SDI进行评分。患者/访谈者评价比较良好（类内相关性0.61,95%可信区间：0.51,0.70）。使用面试官社会困扰（SD）分数的前10%来指示“SD病例”，最佳“切割点”是患者评分大于或等于10（敏感性=0.80；特异性=0.76；183个“病例”中的56个）。在127例SD评分<10的患者中，有72例个体SDI项目评分较高。访谈后，32名患者转介专科服务，46名患者提供信息，112名患者未采取任何行动。开发的解释算法包括SD评分、单个SDI项目评分和一个额外的一般问题，使用四个案例场景进行说明。最后，已经制定了解释SDI的一般指南，以加强保健专业人员/患者咨询，以确定可能从支持、建议或干预中受益的患者。
Guidelines for psychosocial support have been developed, but there are no standard approaches in routine oncology practice to identify patients experiencing social difficulties. We have designed and evaluated a Social Difficulties Inventory (SDI) to identify patients requiring further assessment and, where appropriate, referral to support services. The purpose of this study was to develop a clinically meaningful SDI scoring system with guidance for oncology staff. Out of 189 patients, 183 completed the SDI and were interviewed by a social work researcher who scored the SDI independently. Comparison of patient/interviewer assessment was good (intraclass correlation 0.61, 95% confidence interval: 0.51, 0.70). Using top 10% of interviewer social distress (SD) scores to indicate ‘SD case’, the best ‘cut-point’ was a patient score of ⩾10 (sensitivity=0.80; specificity=0.76; 56 out of 183 ‘cases’). Out of 127 patients, 72 with SD score <10 had individual SDI item rated at a higher level. Following interview, 32 patients were referred to specialist services, 46 given information and 112 had no action taken. An interpretation algorithm developed includes SD score, individual SDI item rating, and an additional general question, illustrated using four case scenarios. In conclusion, general guidance for interpreting the SDI has been developed to enhance health-care professional/patient consultations with a view to identifying patients who may benefit from support, advice or intervention.
影响因子：
5.4
作者：
STANSFELD, S;MARMOT, M
通讯作者：
MARMOT, M