Use of psychosocial services increases after a social worker-mediated intervention in gynecology oncology patients

Yuko Abbott, Nina R. Shah, Kristy K. Ward, Michael T. Mchale, Edwin A. Alvarez, Cheryl C. Saenz, Steven C. Plaxe

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

The purpose of this study was to determine whether the introduction of psychosocial services to gynecologic oncology outpatients by a social worker increases service use.During the initial six weeks (phase I), patients were referred for psychosocial services by clinic staff. During the second six weeks (phase II), a nurse introduced available services to each patient with a brochure. During the final 12 weeks (phase III), a social worker introduced services to each patient. The authors then compared psychosocial service referral rates. The sample included 196 patients. During phase III, the probability of a patient-initiated referral increased 3.4-fold (95 percent confidence interval [CI] [1.1, 10.4], p =. 04) compared with baseline; the probability of any referral rose 2.7-fold (95 percent CI [1.1, 6.3], p =. 03). The mean time to referral decreased from 79.4 days at baseline to 3.9 days during phase III (p <. 001). The phase III intervention was accomplished only in 34 patients (39 percent) because of scheduling conflicts. Of these, eight requested referral, resulting in a 24 percent patient-initiated referral rate after meeting with a social worker. The introduction of psychosocial services by a social worker to gynecologic oncology outpatients increases referral rates and expedites evaluation.

Original languageEnglish (US)
Pages (from-to)113-121
Number of pages9
JournalHealth and Social Work
Volume38
Issue number2
DOIs
StatePublished - May 2013

Keywords

  • distress
  • gynecologic oncology
  • psychosocial services
  • quality of life
  • social work

ASJC Scopus subject areas

  • Health(social science)

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    Abbott, Y., Shah, N. R., Ward, K. K., Mchale, M. T., Alvarez, E. A., Saenz, C. C., & Plaxe, S. C. (2013). Use of psychosocial services increases after a social worker-mediated intervention in gynecology oncology patients. Health and Social Work, 38(2), 113-121. https://doi.org/10.1093/hsw/hlt006