6533b83afe1ef96bd12a7a14

RESEARCH PRODUCT

Effectiveness of a Psychosocial Care Quality Improvement Strategy to Address Quality of Life in Patients with Cancer: The HuCare2 Stepped-Wedge Cluster Randomized Trial

Giuseppina SarobbaFrancesca CaputoFrancesca DiodatiCaterina CaminitiRodolfo MattioliAntonio RussoMario AiroldiFilippo ZerilliAntonio PazzolaMaria Antonietta AnnunziataPaolo GiordaniElisa IezziClaudio VerusioMarcello AragonaGiuseppe MagliettaSilvia NovelloStefania GoriRodolfo PassalacquaSaverio CinieriGiuseppe ProcopioCarmine Pinto

subject

Malemedicine.medical_specialtyQuality managementPsychological interventionPsychiatric Rehabilitationlaw.inventionQuality of life (healthcare)Randomized controlled triallawNeoplasmsMedicineCluster AnalysisHumansCluster randomised controlled trialOriginal InvestigationAgedbusiness.industryResearchCancer Care FacilitiesGeneral MedicineOdds ratioMiddle AgedQuality ImprovementAged; Cluster Analysis; Cross-Sectional Studies; Female; Humans; Italy; Male; Middle Aged; Neoplasms; Psychiatric Rehabilitation; Quality of Life; Quality ImprovementOnline OnlyCross-Sectional StudiesOncologyItalyPhysical therapyQuality of LifeFemalebusinessPsychosocial

description

Key Points Question Does an implementation strategy integrating psychosocial care into cancer centers improve at least 1 of 2 domains (emotional or social function) of health-related quality of life? Findings This stepped-wedge cluster randomized clinical trial included 762 patients with cancer at high risk for reduced quality of life. Health-related quality of life score improved from baseline to 3 months among participants in the Humanization in Cancer Care Quality Improvement Strategy arm vs the usual care arm, showing a statistically significant difference for emotional function, but not for social function. Meaning This study suggests the use of an implementation strategy aiming to provide routine psychosocial care in cancer centers may be beneficial to patients; further investigation is required on factors that can maximize its effects.

yearjournalcountryeditionlanguage
2021-10-14
10.1001/jamanetworkopen.2021.28667http://hdl.handle.net/2318/1874422