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Presentation Description
Institution: Sunshine Coast Hospital and Health Service - Queensland, Australia
Background: Significant distress is experienced by 29-40% of palliative patients. Access to effective psychosocial interventions which reduce distress and enhance quality of life is essential, however the contextual factors associated with psychosocial intervention accessibility and relevance has received limited research.
Aim: This study has three aims: 1) understand palliative patients preferred medium of receiving psychosocial interventions; 2) understand palliative patient preferred biopsychosocial target domains; 3) to explore the wellbeing priorities during the palliative and EOL illness phases in a single cohort of palliative patients.
Method: 81 palliative patients from a Specialist Palliative Care Service completed a quantitative and qualitative questionnaire associated with the three aims. Quantitative data generated by the intervention delivery medium preferences question were subjected to mean ranking analysis, with one-way ANOVA post-hoc comparisons. Quantitative data generated by the endorsement of biopsychosocial target areas were subjected to descriptive analysis including frequencies and percentages of the total number of respondents. Qualitative data associated with the wellbeing priorities during the palliative and EOL phases were subjected to thematic analysis.
Results: Individual in-person was the most preferred medium for receiving psychosocial interventions. Improving quality of life, distressing emotions, and adjusting to the palliative care context were the 3 most frequently endorsed biopsychosocial target domains. Valued and comfortable living were the priority wellbeing themes for the palliative phase. Being surrounded by loved ones and comfortable and dignified dying were the priority wellbeing themes for the EOL phase.
Conclusions: Findings highlight psychosocial interventions as an essential part of a holistic approach to patient-centered care throughout both the palliative and the EOL phases. Results can inform the refinement of existing and the development of new psychosocial interventions, particularly those that target emotional distress, adjustment, and quality of life. Furthermore, in-person treatment delivery remains essential in an evolving digital world.
Aim: This study has three aims: 1) understand palliative patients preferred medium of receiving psychosocial interventions; 2) understand palliative patient preferred biopsychosocial target domains; 3) to explore the wellbeing priorities during the palliative and EOL illness phases in a single cohort of palliative patients.
Method: 81 palliative patients from a Specialist Palliative Care Service completed a quantitative and qualitative questionnaire associated with the three aims. Quantitative data generated by the intervention delivery medium preferences question were subjected to mean ranking analysis, with one-way ANOVA post-hoc comparisons. Quantitative data generated by the endorsement of biopsychosocial target areas were subjected to descriptive analysis including frequencies and percentages of the total number of respondents. Qualitative data associated with the wellbeing priorities during the palliative and EOL phases were subjected to thematic analysis.
Results: Individual in-person was the most preferred medium for receiving psychosocial interventions. Improving quality of life, distressing emotions, and adjusting to the palliative care context were the 3 most frequently endorsed biopsychosocial target domains. Valued and comfortable living were the priority wellbeing themes for the palliative phase. Being surrounded by loved ones and comfortable and dignified dying were the priority wellbeing themes for the EOL phase.
Conclusions: Findings highlight psychosocial interventions as an essential part of a holistic approach to patient-centered care throughout both the palliative and the EOL phases. Results can inform the refinement of existing and the development of new psychosocial interventions, particularly those that target emotional distress, adjustment, and quality of life. Furthermore, in-person treatment delivery remains essential in an evolving digital world.
Presenters
Authors
Authors
Mr Christopher Martin - Sunshine Coast Hospital and Health Service , Emeritus Professor Kenneth Pakenham - The University of Queensland
