Purpose this study aims to translate the distress thermometer dt into indonesian, test its validity in indonesian women with breast cancer and determine norm scores of the indonesian dt for clinically relevant distress. It offers patients a list of common treatmentrelated difficulties to help them identify any problems that cause distress. The use of the modified distress thermometer in identifying and managing distress amongst aya cancer patients pandora patterson canteen australia university of sydney. Patients rate their distress over the last week, with 0 indicating no distress and 10 indicating high distress. National guidelines for stroke recommend that all patients entering rehabilitation are screened for mood disturbance using a validated measure. Please indicate if any of the following has been a problem for you in the past week including today. The dt is a selfreport tool that includes an overall distress rating 010 over the past week and a problem list where a. Validation of the distress thermometer for use among adolescents and young adults with cancer in australia. Despite the growing literature on the association of functional, physical, and qualityoflife qol deficits with poor postoperative outcomes, there is a gap in the literature identifying womens occupational performance needs after ovarian cancer surgery.
It has been developed by the national comprehensive cancer network nccn in the us. Alexandra hunt ms 1, elizabeth handorf phd 1, vipin khare md 1, matthew blau 1, yana chertock ma 1, carolyn fang phd 1, michael j. The national comprehensive cancer network distress thermometer as a screening tool for the evaluation of quality of life in uveal melanoma patients article pdf available in acta ophthalmologica. In 1997, the national comprehensive cancer network nccn established a multidisciplinary panel to examine this problem. Over a hipaasecure videoconference call, a cancer practicebased registered nurse assessed the patient using the nccn distress thermometer dt, amended for the hnc population to include issues such as jaw swelling and speech difficulties. Nccn clinical practice guidelines in oncology nccn guidelines. The dt is an 11 point scale presented visually as a thermometer. Nccn clinical practice guidelines in oncology nccn. Of these, 8 53% conduct routine distress screening for at least some patient groups.
National comprehensive cancer network nccn evidencebased. Patients reporting high distress were contacted by a social worker to determine the cause of the distress. Measurement of psychological distress in patients with intracranial tumours. Included in the guidelines was a global screener of distress the distress thermometer dt, an accom panying problem list, and treatment recommendations for psychosocial issues psychosocial distress practice guidelines panel, 1999. Pdf background the distress thermometer dt has been studied and. To verify distress and impact thermometer dit for screening emotional distress in gynecological cancer patients by hospital anxiety and depression scale total hadst as gold standard and to assess emotional changes by dit and hadst. The level of distress experienced is identified on a 010 scale and the problem list enables identification of issues in the past week related to practical, family, emotional or physical problems and spiritualreligious concerns. Dec 29, 2010 the distress thermometer dt is a singleitem rapid distress screening tool by use of which these difficulties can be minimized. Also, with the focus on the patient, carer needs are often overlooked. The thermometer measures distress on a 0 10 scale, and the problem checklist identi es more speci c etiologies of distress, such as practical, spiritual, physical, emotional, and family problems. This article describes a pilot of the distress thermometer, a tool used to measure patients levels of distress, and found it. Validation of the distress and impact thermometer and the.
New nccn distress guidelines and tools encourage patients to. It can include feelings of unease, sadness, worry, anger, helplessness, guilt, and so forth. Licensed works, modifications, and larger works may be distributed under different terms and without source code. Acceptability of the distress thermometer and problem list.
Screening for distress in the united states using the national comprehensive cancer networks distress thermometer mark lazenby, ph. Translating research on the distress thermometer into practice article pdf available in clinical journal of oncology nursing 18. A tool to measure levels of psychological distress. The nccn introduced the dt as a screening tool to identify sources of distress. Distress is an unpleasant emotional state that may affect how you feel, think, and act. Validation of distress thermometer for palliative care. Validation of the distress thermometer among stroke survivors.
In 1999, the national comprehensive cancer network nccn, recommended routine. Other tools used include a patient satisfaction tool 33%, a homegrown tool 27%, fatigue scale 10%, phq9 the 9item patient health questionnaire 10% and the factg functional assessment of cancer therapy general 8%. In 1999, the national comprehensive cancer network nccn, recommended routine screening for distress in all cancer patients. The distress screening pivotal visit was incorporated into the patients care plan at on day 8 on the 3rd cycle of the patients chemotherapy regimen. Patients and clinicians experiences of holistic needs assessment using a cancer distress thermometer and problem list. Acceptability of the distress thermometer and problem list to. Pdf measurement of psychological distress in patients. If you have lung cancer or mesothelioma, please call either johanna lynch or lucy pike on. Use of the distress thermometer for the elderly in the identification of distress and need in nursing and care homes source.
Predictive value of the distress thermometer as a predictive. The dt is used worldwide, and for many different patient groups. Nccn distress thermometer and problem list for patients. The nccn recommends screening patients at the initial visit soon after diagnosis and at each visit, although the screening schedule. Early evaluation and screening for distress leads to early and timely management of psychological distress, which in turn improves medical management. Advancing the standard of cancer care on march 17, 20. Current nccn guidelines suggest a cutoff of 4 ie, scores of 4 or higher for determining whether patients require referral to psychosocial services. It is similar to the rating scale used in doctors offices to measure pain. The dt is reportedly a brief, noninvasive, valid and acceptable alternative to longer psychometric instruments 15.
Effects of disease, treatment, and demographic variables on distress level were analyzed. Please circle the number 010 that best describes how much distress you have been experiencing in the past week including today. Nccn distress thermometer problem list please indicate if any of the following has been a problem for you in the past week including today. Jul 09, 2010 distress thermometer dt dt consists a singleitem self report measure of psychological distress, which consists of an 11point scale with the endpoints labeled no distress0 and extreme distress 10, participants were instructed to circle the number that describes their level of distress in the past seven days. Everyone with cancer has some distress at some point of time. An analysis of the distress thermometer problem list and.
The nurse reads the list to the survivor, and the survivors rates each area on a scale of 0 10. The national comprehensive cancer network nccn, a notforprofit alliance of leading cancer centers devoted to patient care, research, and education, is dedicated to improving the quality, effectiveness, and efficiency of cancer care so that patients can live better lives. The distress thermometer dt and problem checklist pc were developed to efficiently and reliably measure distress and factors contributing to distress. May 03, 20 predictive value of the distress thermometer as a predictive screening instrument to detect cancerrelated cognitive impairment in cancer patients concept the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Kucc implemented the dt in 2005 and modified the original version of the dt roth et. Routine screening for psychological distress on an australian. The dt is reportedly a brief, noninvasive, valid and acceptable alternative to longer psychometric instruments. By 2050, a 3fold increase in incident cancer relative to 20 was estimated 1.
The nccn 20 recommends screening for distress using a tool such as the distress thermometer, a singleitem tool asking people to score how distressed they have been over the past week on a picture of a thermometer using a scale from 0 no distress to 10 extreme distress located at the top see figure 1. Nccn distress thermometer for patients brisbane north phn. The nccn panel identified characteristics associated with psychosocial distress, and these are listed on disb page 1235. It consists of a scale from 010 and a problem list which provides information to which health care professionals a patient should be referred.
D yale university new haven, connecticut, usa uicc world congress, montreal, canada 29 august 2012. Therapieinduziertes symptommanagement bei patientinnen mit. Our version includes jaw swelling, hearing difficulties, and difficulty swallowing. A short and simple permissive license with conditions only requiring preservation of and license notices. The nurse identified areas of distress, then led patients in a discussion to elucidate specific concerns. The nurse reads the list to the survivor, and the survivors rates each area on a scale of 0. Pdf validity and feasibility of the arabic version of distress. The national comprehensive cancer network nccn defines distress as an unpleasant emotional experience of a psychological cognitive, behavioral, emotional, social, andor spiritual nature that may interfere with the ability to cope effectively with cancer, its physical symptoms and its treatment. The dt is a selfreport measure using an 11point scale from 0 no distress to 10 extreme distress. This translation is a direct result of nccns inaugural international day held during the nccn 18 th annual conference. The distress thermometer dt is a well validated screening tool, demonstrably sensitive and reasonably specific to the construct of distress in cancer. The distress thermometer dt was developed as a simple tool to effectively. Nccn evidencebased cancer guidelines, oncology drug. May 2020 in distress 23 pdf drive search and download pdf files for free.
Extreme distress no distress yes no practical problems child care housing insurancefinancial transportation workschool treatment decisions. The objective of this study was to determine the optimum dt cutoff score that would identify significant distress in patients with intracranial tumours thus validating its use in the neurosurgical setting. Jan 31, 2011 in an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress. Pdf the national comprehensive cancer network distress. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding their views of currently accepted approaches to treatment. Distress can also have a significant impact on a patients overall survival. The nccn recommends screening patients at the initial visit soon after diagnosis and at each visit, although the screening schedule may be revised as clinically indicated. Psychosocial distress is a broad concept defined by national comprehensive cancer network nccn. In an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress. The nccn distress thermometer is the most widely used and most wellvalidated tool to assess distress, said teresa deshields, phd, psychologist, siteman cancer center, washington university school of medicine, st. Distress is defined by the national comprehensive cancer network nccn as an emotionally unpleasant psychological. The distress thermometer dt was selected for the pilot because it is short, simple to use, and easy and quick to assess. The national comprehensive cancer network nccn created distress management guidelines.
Nccn distress thermometer and problem list for patients version 2. Patients with cancer, and their families and carers, may experience a range of psychological symptoms. Our understanding of distress has been influenced most profoundly in the past years by the implementation of the distress thermometer dt. Best practices in navigation and cancer survivorship survey. Measurement of psychological distress in patients with. The nccn uidelines and the illustrations herein may not be reproduced in any form without the express written permission of nccn. Extreme distress no distress 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 nccn distress thermometer for patients help for distress distress is an unpleasant emotional state that may affect how you feel, think, and act. Patients and clinicians experiences of holistic needs. Founding chair, nccn distress management panel she was the pioneer of psychooncology, an advocate for patients, and a worldrenowned leader in her field. The distress thermometer please circle or pick a number 010 from the drop down box that best describes how much distress you have been experiencing in the past week including today. This study investigated the acceptability of brief. The distress thermometer is a modified visual analogue scale that resembles a thermometer.
Implementation of nccn distress management guidelines by. The score identified on the distress thermometer may guide clinical decision making. Pdf translating research on the distress thermometer. Clinical experience with the nccn distress thermometer in. Nccn distress thermometer and problem list disa psychosocial distress patient characteristics disb. This instrument is the nccn recommended screening tool. An external file that holds a picture, illustration, etc. The dtpl was amended for a hnc survivorship population. The diagnosis of levels of distress for end of life residents. National comprehensive cancer network, is one of the most. On the same page is an associated problem checklist, which. Translating research on the distress thermometer into. The instrument includes a problem list of 34 problems ranging from practical, emotional, parenting, family or social, physical, or.
The dt consists of an 11point numeral scale 0 no distress. The distress thermometer is a quick screening tool used to measure psychological symptoms in patients with cancer. Screening for distress in the united states using the. The nccn distress management guideline is a useful tool to screen for and manage distress. The most frequently used instrument is the national comprehensive cancer network distress thermometer dt, a 0 to 10 point visual analog scale that is coupled with a problem checklist of 35 sources of distress. To establish an optimal cutoff point for the national comprehensive. Using a visual distress thermometer see the collection methods section below for an example, ask the person to indicate the level of distress that they have experienced in the past week on a scale from 010, where 0 indicates no distress and 10 indicates extreme distress.
In response to these standards, the nccn developed the distress thermometer. Distress is an unpleasant experience of a mental, physical, social, or spiritual nature it can affect the way you think, feel, or act distress may make it. In 2003, the nccn distress management panel published more fully. One such short screening tool is the distress thermometer dt. Distress dis1 definition of distress in cancer dis2 standards of care for distress management dis3 overview of evaluation and treatment process dis4 management of expected distress symptoms dis5 nccn distress thermometer and problem. To describe the experiences of women hospitalized after ovarian cancer surgery to identify potential areas for. Validation and reliability of distress thermometer in. The nccn clinical practice guidelines in oncology nccn guidelines are a statement of evidence and consensus of the authors regarding their views of. Nccn distress thermometer for patients ucsf radiation oncology. A qualitative study author links open overlay panel lucy biddle a sangeetha paramasivan a susan harris a rona campbell a james brennan b c william hollingworth a. Patients are comfortable using the distress thermometer and problem list and physicians see these tools as useful checklists to prompt and guide questions about physical and psychological symptoms. The nccn has advocated for the dt to be used to assess distress in cancer patients.
This is now a wellknown tool for initial screening. Use of the distress thermometer in clinical practice. Validation and reliability of distress thermometer in chinese. The national comprehensive cancer network nccn makes no representations or warranties of any kind regarding their content, use or application and disclaims any responsibility for their application or use in any way. Nccn distress thermometer for patients munson healthcare.
Nccn distress management panel members summary of the guidelines updates key terms. Prevalence and correlates of psychological distress in patients enrolling on phase i clinical trials using the nccn distress thermometer and problem list authors. This tool has an 11point scale that is depicted as a. Jan 31, 2011 cancer can be a distressing experience for cancer patients and carers, impacting on psychological, social, physical and spiritual functioning. Translations were also recently posted of the distress thermometer screening tool from the nccn guidelines for distress management in bahasa indonesia, chinese, korean, and spanish. It also contains an accompanying list of 34 problems grouped into five categories practical, family, emotional, spiritualreligious and physical. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding.
Implementation of nccn distress management guidelines by member institutions paul b. The nccn distress thermometer is a brief screening tool for cancer patients to assess distress. The german version of the nccn distressthermometer empirical examination of a screening instrument for the detection of psychosocial load for cancer patients lidoxnccndistressthermometer. Network distress thermometer, which is a commonly used tool during treatment as well. The discussion text has been updated to reflect the changes in the algorithm ms1. Extreme distress no distress 10 9 8 7 6 5 4 3 2 1 0. Jacobsen, phd, a and sean ransom, phd, b tampa, florida, and laie, hawaii it causes, heightened distress has been shown to be associated with poorer adherence to treatment recommendations, 4 poorer satisfaction with care, 5 and poorer quality. The nccn member institutions that treat adults were asked in april and may 2005 to describe their distress management practices, and 15 83% provided responses.
Therefore, such an instrument does not indicate whether. Pdf use of the distress thermometer in clinical practice. The nccn distress thermometer was administered to patients attending the breast cancer clinic at huntsman cancer institute during a 4month period. It is an unpleasant emotional experience of a psychological, social andor spiritual nature which extends on a continuum from normal feelings of vulnerability, sadness and fears to disabling problems such as depression, anxiety, panic, social. Stability and repeatability of the distress thermometer.
It ranges from 0 no distress to 10 extreme distress. Distress thermometer intervention trial full text view. Distress thermometer one of the most commonly used tools is the distress thermometer dt. However, health professionals often fail to detect distress in their patients due to time constraints and a lack of experience. Use of the distress thermometer in clinical practice ncbi. The nccn templates are not exhaustive and do not represent the full spectrum of care or treatment options described in the nccn guidelines or the nccn compendium or include all appropriate approaches or combinations of drugs or biologics for the treatment of cancer. The distress thermometer dt was developed as a simple tool to. Patients indicate how distressed they have felt over the past week, from 0 not distressed to 10 severely distressed. Patients at increased risk for moderate or severe distress are those with a history of psychiatric disorder, current depression, or substance use disorder and those with cognitive impairment, severe comorbid illnesses, uncontrolled symptoms, communication barriers, or. In the period of january 2014 until the july 2014 the 10 trained members of staff were requested to use the dt and a copy of the completed dt as well as a thematic log about its use was kept by the end of life educator. Translations of select nccn guidelines and related content are now available in bahasa indonesia, portuguese, chinese, japanese, spanish, korean, and turkish. The consumer resource, cancer how are you travelling.
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