Screening Demonstration Project Phases

Phase (1): Refine Measure
  • 350 participants from 10 CSC affiliate sites and Exempla St. Joseph Hospital nationwide completed pen-and-paper version of the 53-item SupportScreen™
  • Refined SupportScreen™  53-item measure to a total of 36-items using a statistical and theoretical criteria to meet community needs  

Phase (2): Test Validity and Reliability
  • 319 participants from 14 CSC sites nationwide completed pen-and-paper version of the 36-item screening tool
  • A subsample of 101 participants completed the 36-item screening tool a second time following the completion of the survey
Participants had to be:
  • English-speaking, 18 years+ of age
  • Cancer outpatients in treatment or follow-up
Survey included:
  • 36-item problem-related distress screening tool
  • Center for Epidemiologic Studies Depression Scale    (CES-D)
  • Distress Thermometer (DT)
  • Functional Assessment of Cancer Therapy
  • General well-being scale (FACT-G; version 4)
  • Demographic and biomedical questions  

Phase (3) Test Feasibility
Demonstrate that 5 unique community based sites can:
  • Screen 85% of new patients for distress
  • Make appropriate referrals
  • Provide follow-up care  

Phase (3): Methodology
  • All new first or second-visit outpatients, (depending on study site) screen using electronic 36-item community-validated screening tool
  • Patients (whether in the study or not) rescreen at 30-40 days from initial visit
  • Study participants complete additional set of evaluation questions at baseline and at rescreen visit
  • Program staff complete brief electronic survey after the initial screening and rescreening, and participate in monthly site-wide evaluation calls to discuss successes and challenges

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