{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T16:10:07Z","timestamp":1768407007322,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,3,2]],"date-time":"2011-03-02T00:00:00Z","timestamp":1299024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Purpose<\/jats:italic>: To examine the possible effect of an educational model on distress screening in newly diagnosed cancer patients referred to Psycho\u2010oncology service (POS).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: We examined the differences in distress and problems among newly diagnosed cancer patients referred to POS by cancer care professionals' according to their clinical judgement (2\u2010year period; Study\u20101) and after an educational intervention on the Distress Thermometer (DT) and Problem List (PL), with referral to those reporting cut\u2010off scores indicative of \u2018caseness\u2019 (DT&gt;4) (1\u2010year period; Study\u20102).<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: In Study\u20101, 153 (6.7%) of 2268 new patients were referred and seen by the POS, which submitted each patient to the DT\/PL. About one\u2010third of the patients (31%) were not DT\u2010cases (scores &lt; 4) and showed lower levels of emotional and relational problems than those who resulted DT\u2010cases. In Study\u20102, of all newly diagnosed cancer patients (<jats:italic>n<\/jats:italic> = 1107), 583 (52.6%) were administered to the DT\/PL by nurses. Two\u2010hundred and eighty\u2010four (52.2%) resulting DT\u2010cases were referred to POS and, of these, 133 (12% of all new patients; 22.81% of those screened; 46.8% of cases) were seen by the POS. There were significant differences in problems between not referred (DT\u2010non\u2010cases) and referred patients (DT\u2010cases).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: Because of the observational nature of the study, the conclusions should be drawn with caution. The implementation of the routine use of DT\/PL seemed to determine a higher (79% increase) and more accurate referral of patients but the rate of acceptance was not high, confirming that more effort is necessary in implementing optimal psychosocial care in oncology. 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