{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T12:34:38Z","timestamp":1766752478195,"version":"3.48.0"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"BRAINS"},{"DOI":"10.13039\/501100001111","name":"Cancer Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001111","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this manuscript was to describe the frequency and types of nurse-identified needs, recommendations, and referrals delivered to intervention-arm carers of patients with high-grade glioma (HGG) during monthly nurse-led telephone assessments in the Care-IS randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Primary carers of patients diagnosed with HGG (\u22642 months prior) and undergoing active treatment were randomized to: a 12-month Care-IS intervention; or, a control group. Carers randomized to the intervention were included in this sub-analysis. Nurses recorded carers\u2019 needs and made recommendations and referrals. Data analysis descriptively explored categories of needs, recommendations, or referrals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An initial Nurse Telephone Assessment (NTA) was conducted with carers (N\u2005=\u200592) with drop-out related to time constraints, patient deterioration or death, or study withdrawal (N\u2005=\u200510 at month 10). Nurses identified \u22651 need, recommendation, or referral during the majority (\u226590%) of NTAs. Up to 6 months, the most common needs were: dealing with treatment and side effects (74%\u201385%), understanding physical symptoms and side effects (60%\u201376%), mental and behavioral changes (53%\u201367%), and caring for yourself (51%\u201368%). The top recommendations were: tailored resources from the Care-IS resource manual (81%\u201396%), community-based support (47%\u201365%), medical specialist and clinical care (39%\u201356%), and additional information provision (30%\u201338%). The top referrals were for medical specialists and clinical care (27%\u201348%). Palliative care was the main recommendation (29%) and referral (19%) at months 9\u201310.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NTAs identified a high frequency of carer unmet needs. Carer needs were highly variable, patient-focused, and changed over time. Nurses must accommodate a broad range of recommendations from providing additional information to making health\/community referrals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/nop\/npaf058","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T07:41:25Z","timestamp":1748677285000},"page":"1080-1091","source":"Crossref","is-referenced-by-count":0,"title":["Nurse-identified needs, recommendations, and referrals during consultations with family carers of patients diagnosed with high-grade glioma"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4065-4044","authenticated-orcid":false,"given":"Georgia K B","family":"Halkett","sequence":"first","affiliation":[{"name":"Curtin School of Nursing\/ Curtin Medical Research Institute, Faculty of Health Sciences, Curtin University , Bentley, Western Australia 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L","family":"Phillips","sequence":"additional","affiliation":[{"name":"ImPACCT, Faculty of Health, University of Technology Sydney , Ultimo, New South Wales ,","place":["Australia"]},{"name":"School of Nursing, Faculty of Health, Queensland University of Technology , Brisbane, Queensland ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5891-8197","authenticated-orcid":false,"given":"Peter","family":"Hudson","sequence":"additional","affiliation":[{"name":"End-of-life Care Research Group, Vrije University Brussels , Brussels ,","place":["Belgium"]},{"name":"Department of Nursing, University of Melbourne , Melbourne, Victoria ,","place":["Australia"]},{"name":"Centre for Palliative Care, St Vincent\u2019s Hospital Melbourne, Fitzroy , Victoria ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9543-7066","authenticated-orcid":false,"given":"Joanne","family":"Shaw","sequence":"additional","affiliation":[{"name":"Faculty of Science, School of Psychology, Psycho-Oncology Cooperative Research Group, University of Sydney , Sydney, New South Wales ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7707-1331","authenticated-orcid":false,"given":"Mona M","family":"Faris","sequence":"additional","affiliation":[{"name":"Faculty of Science, School of Psychology, Psycho-Oncology Cooperative Research Group, University of Sydney , Sydney, New South Wales ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5013-8361","authenticated-orcid":false,"given":"Rachel","family":"Campbell","sequence":"additional","affiliation":[{"name":"Faculty 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