Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice
2001

Using Touchscreens to Screen for Distress in Cancer Patients

Sample size: 172 publication Evidence: moderate

Author Information

Author(s): Cull A, Gould A, House A, Smith A, Strong V, Velikova G, Wright P, Selby P

Primary Institution: Imperial Cancer Research Fund, Medical Oncology Unit, Western General Hospital, Edinburgh, UK

Hypothesis

The study aims to confirm the validity of using touchscreen computers for screening clinically significant levels of distress among cancer patients.

Conclusion

The touchscreen screening system can effectively identify patients needing further clinical assessment while reducing unnecessary questions for those not in distress.

Supporting Evidence

  • 23% of patients were identified as 'cases' during the psychiatric interview.
  • The best screening strategy combined scores from MHI-5 and HADS.
  • Sensitivity of the screening method was 85% and specificity was 71%.

Takeaway

This study shows that using touchscreens can help doctors find out which cancer patients are feeling very sad or anxious without asking too many questions to those who are okay.

Methodology

Patients completed several questionnaires via touchscreen, followed by a psychiatric interview to confirm distress levels.

Limitations

Further work is needed to develop the optimal choice of screening questions.

Participant Demographics

Chemotherapy out-patients.

Digital Object Identifier (DOI)

10.1054/bjoc.2001.2182

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