The usefulness of the distress thermometer in the management of cancer patients: a mixed methods approach

Objective: The aim of this study was to investigate the usefulness of the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List in identifying distress levels and psychosocial concerns over the cancer trajectory using a mixed-methods approach.<br />Method: Eighty-five cancer patients from the Barwon South West region of Victoria participated in this study by completing the NCCN Distress Thermometer and Problem List over three time periods. Three case studies were also conducted to add a qualitative dimension. <br />Results: Emotional concerns decreased as psychological distress levels decreased and a high level of physical concerns were consistent with a high level of psychological distress. Cancer patients’ narrative accounts also supported <br />the usefulness of the NCCN Distress Thermometer and Problem List as a screening tool.<br />Conclusions: Findings are discussed with reference to implications for psychological/emotional support of cancer patients, the provision of supportive care services and directions for future research.