{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:05:10Z","timestamp":1784199910349,"version":"3.55.0"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","award":["70113550"],"award-info":[{"award-number":["70113550"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>At least half of all cancer patients suffer from significant psychological distress, yet despite well\u2010validated screening procedures, distress often goes unrecognized or untreated. For this reason, a special training (OptiScreen\u2010Training) on this topic has been developed for oncology nurses and carried out on three visceral oncology wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Investigate whether this training influences patients' psychological symptoms, experience of distress screening, informedness, receipt of recommendation, and utilization of support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      To evaluate implementation, a prospective, non\u2010randomized pre\u2010post pilot study was conducted with two independent patient samples.\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009112 patients of the control group (CG, \u201ccare\u2010as\u2010usual\u201d) completed questionnaires before the OptiScreen\u2010Training and\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009210 different patients of the intervention group (IG) after the training. All patients had a gastrointestinal cancer diagnosis; the majority of both samples received surgery (58.1%\u201379.5%) as curative treatment (61.9%\u201377.7%) for colon cancer (33.3%\u201335.7%); were male (61%\u201363%); and mean age was 62\u2009years (range 21\u201391; SD\u2009=\u200911.80\u201313.06).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no significant difference between the CG and IG in terms of psychological distress, resources, or needs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.274\u20130.975), nor in the receipt of recommendations (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.748) or the use of psycho\u2010oncological support (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.648). In the IG, more patients indicated that they had completed a screening questionnaire (63.0% vs. 43.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and received psycho\u2010oncology information material (68.3% vs. 46.2%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Following the OptiScreen\u2010Training more patients reported they had been screened and informed, suggesting nursing staff are applying it in practice. However, it did not affect support use or distress levels, highlighting that screening alone isn't enough to improve psycho\u2010oncological care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71994","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:33:50Z","timestamp":1780464830000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Distress Screening and Information Reception Among Cancer Patients Following a Training for Oncology Nursing Staff: A Pilot Study"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2300-6555","authenticated-orcid":false,"given":"Lara","family":"Dreismann","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Hanover Medical School  Hanover Germany"},{"name":"Department of Stem Cell Transplantation University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5069-7278","authenticated-orcid":false,"given":"Tanja","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Hanover Medical School  Hanover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.591771"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4464"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-015-0451-1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2024.103655"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.11.003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-023-04759-2"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"263","article-title":"Mental Health Comorbidities in Cancer Patients Undergoing Visceral Surgery","volume":"82","author":"Krau\u00df O.","year":"2011","journal-title":"Der Chirurg"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.40.8922"},{"key":"e_1_2_12_10_1","unstructured":"National Comprehensive Cancer Network \u201cNCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines)\u2014Distress Management \u201d(2020) https:\/\/www.nccn.org\/guidelines\/guidelines\u2010detail."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4901"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.6331"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2005.00633.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3474"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1228"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-009-0731-2"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.786691"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4492"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.27.3698"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00761-021-01056-w"},{"key":"e_1_2_12_21_1","volume-title":"Improving Supportive and Palliative Care for Adults With Cancer. 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