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Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice

The aim of the study was to confirm the validity of using touchscreen computers for screening for clinically significant levels of distress among cancer patients in routine oncology practice. The Hospital Anxiety and Depression Scale (HADS), EORTC Quality of Life questionnaire (QLQ-C30), Mental Heal...

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Autores principales: Cull, A, Gould, A, House, A, Smith, A, Strong, V, Velikova, G, Wright, P, Selby, P
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2364000/
https://www.ncbi.nlm.nih.gov/pubmed/11747324
http://dx.doi.org/10.1054/bjoc.2001.2182
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author Cull, A
Gould, A
House, A
Smith, A
Strong, V
Velikova, G
Wright, P
Selby, P
author_facet Cull, A
Gould, A
House, A
Smith, A
Strong, V
Velikova, G
Wright, P
Selby, P
author_sort Cull, A
collection PubMed
description The aim of the study was to confirm the validity of using touchscreen computers for screening for clinically significant levels of distress among cancer patients in routine oncology practice. The Hospital Anxiety and Depression Scale (HADS), EORTC Quality of Life questionnaire (QLQ-C30), Mental Health Inventory-MHI5 and a Concerns Checklist were administered via touchscreen computer to 172 chemotherapy out-patients, twice, 2–4 weeks apart. A standard psychiatric interview (Present State Examination – PSE) was conducted within a week of the second assessment. On interview, 23% of patients were identified as ‘cases’. Using the available data (questionnaires, sociodemographic details, self-reported past psychiatric history), the best screening strategy combined scores from MHI-5 and HADS from a single time-point with the following rules: if MHI-5 < 11 = non-case; if MHI-5 ≥ 11 then use HADS; then, if HADS ≥ 9 = ‘case’ (sensitivity 85%; specificity 71%; misclassification rate 26%; positive predictive value 47%). The computerized screening system enabled data to be collected, scored, collated and reported in real time to identify patients who warrant further clinical assessment. It offers the potential for improving ‘case’ detection in routine oncology practice while reducing the burden of questions put to ‘non-cases’. Further work is needed to develop optimal choice of screening questions for this purpose. © 2001 Cancer Research Campaign http://www.bjcancer.com
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spelling pubmed-23640002009-09-10 Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice Cull, A Gould, A House, A Smith, A Strong, V Velikova, G Wright, P Selby, P Br J Cancer Regular Article The aim of the study was to confirm the validity of using touchscreen computers for screening for clinically significant levels of distress among cancer patients in routine oncology practice. The Hospital Anxiety and Depression Scale (HADS), EORTC Quality of Life questionnaire (QLQ-C30), Mental Health Inventory-MHI5 and a Concerns Checklist were administered via touchscreen computer to 172 chemotherapy out-patients, twice, 2–4 weeks apart. A standard psychiatric interview (Present State Examination – PSE) was conducted within a week of the second assessment. On interview, 23% of patients were identified as ‘cases’. Using the available data (questionnaires, sociodemographic details, self-reported past psychiatric history), the best screening strategy combined scores from MHI-5 and HADS from a single time-point with the following rules: if MHI-5 < 11 = non-case; if MHI-5 ≥ 11 then use HADS; then, if HADS ≥ 9 = ‘case’ (sensitivity 85%; specificity 71%; misclassification rate 26%; positive predictive value 47%). The computerized screening system enabled data to be collected, scored, collated and reported in real time to identify patients who warrant further clinical assessment. It offers the potential for improving ‘case’ detection in routine oncology practice while reducing the burden of questions put to ‘non-cases’. Further work is needed to develop optimal choice of screening questions for this purpose. © 2001 Cancer Research Campaign http://www.bjcancer.com Nature Publishing Group 2001-12 /pmc/articles/PMC2364000/ /pubmed/11747324 http://dx.doi.org/10.1054/bjoc.2001.2182 Text en Copyright © 2001 Cancer Research Campaign https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Regular Article
Cull, A
Gould, A
House, A
Smith, A
Strong, V
Velikova, G
Wright, P
Selby, P
Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
title Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
title_full Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
title_fullStr Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
title_full_unstemmed Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
title_short Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
title_sort validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2364000/
https://www.ncbi.nlm.nih.gov/pubmed/11747324
http://dx.doi.org/10.1054/bjoc.2001.2182
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