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Psychosocial assessment practices for hematopoietic stem cell transplantation: a national survey study

Bone Marrow Transplantation volume 58, pages 1314–1321 (2023)Cite this article

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Abstract

Psychosocial health predicts and contributes to medical outcomes for patients undergoing hematopoietic stem cell transplantation (HSCT). Yet, there are no standards for psychosocial assessments or support for both patients and caregivers across the care continuum. To examine the current state of psychosocial care, clinicians were sent a survey of their psychosocial assessment practices for patients and caregivers undergoing HSCT via the Listservs of professional organizations. Descriptive statistics and bivariate analyses were performed to summarize the findings. While 96% of participants reported routine pre-HSCT psychosocial assessment of patients, only 10.6% routinely used a validated transplant risk-assessment measure. Just 27% routinely performed follow-up psychosocial assessments. In contrast, only 47% of participants routinely assessed the psychosocial needs of family caregivers pre-HSCT, and 13% routinely performed follow-up assessments for caregivers. Most (90%) reported social workers were the primary providers of assessments. While patient-report measures were used for evaluation, the majority of assessments were clinical interviews. No significant differences were found between programs that treated adult and pediatric patients versus those only treating adult patients. Our findings highlight the lack of standard psychosocial practices for patients and family caregivers undergoing HSCT and we offer recommendations to fill this gap.

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Fig. 1: HSCT centers of respondents.
Fig. 2: Distribution of standardized screening measures.
Fig. 3: Recommendations for psychosocial assessments for HSCT patients and caregivers.

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Data availability

The datasets generated during and analyzed during the current study are available from the corresponding author upon reasonable request.

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Acknowledgements

We wish to acknowledge the American Psychosocial Oncology Society (APOS), formed in 1986 to bring together interdisciplinary professionals working on the psychological, behavioral, and social aspects of cancer. APOS’s mission is to advance the development and delivery of equitable and evidence-based psychosocial oncology care through research, practice, education, and advocacy. This work was conducted within APOS’s Transplantation and Cellular Therapy (TCT) Special Interest Group. We also wish to acknowledge all those persons who have gone through HSCT and their caregivers, as well as their healthcare providers, for inspiring this work.

Funding

This work was supported (in part) by the Intramural Program of the National Cancer Institute (LW) and through grant K08CA251654 (HLA). JR received research support from the National Cancer Institute institutional training grant T32-CA-236621.

Author information

Authors and Affiliations

  1. Pediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Bethesda, MD, USA

    Lori Wiener

  2. UMass Memorial Cancer Center, University of Massachusetts Chan Medical School, Worcester, MA, USA

    Timothy S. Sannes

  3. Center for Improving Patient and Population Health and Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA

    Jill Randall

  4. Department of Psychiatry and Behavioral Sciences; Division of Medical Psychiatry, Stanford University School of Medicine, Palo Alto, CA, USA

    Sheila Lahijana

  5. Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Allison J. Applebaum

  6. Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA

    Tamryn F. Gray & Hermioni L. Amonoo

  7. School of Nursing, College of Health Professions & Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI, USA

    Natalie S. McAndrew

  8. Froedtert & the Medical College of Wisconsin, Froedtert Hospital, Patient Care Research, Milwaukee, WI, USA

    Natalie S. McAndrew

  9. Department of Medicine, Division of Hematology, University of Colorado Anschutz Medical Campus, Denver, CO, USA

    Benjamin W. Brewer

  10. Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA, USA

    Hermioni L. Amonoo

Authors
  1. Lori Wiener
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  2. Timothy S. Sannes
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  3. Jill Randall
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  4. Sheila Lahijana
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  5. Allison J. Applebaum
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  6. Tamryn F. Gray
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  7. Natalie S. McAndrew
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  8. Benjamin W. Brewer
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  9. Hermioni L. Amonoo
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Contributions

LW, HLA, TSS, and JR conceptualized the idea and participated in the acquisition of data. LW wrote the original draft with contributions from BWB, SL, JR, AJA, TFG, NSM, HLA, and TSS participated in data analysis and manuscript writing. All authors reviewed and edited the final submitted manuscript.

Corresponding author

Correspondence to Lori Wiener.

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Competing interests

All other authors report no other conflicts of interest. AJA receives support from Blue Note Therapeutics and Beigene.

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Wiener, L., Sannes, T.S., Randall, J. et al. Psychosocial assessment practices for hematopoietic stem cell transplantation: a national survey study. Bone Marrow Transplant 58, 1314–1321 (2023). https://doi.org/10.1038/s41409-023-02087-0

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  • DOI: https://doi.org/10.1038/s41409-023-02087-0

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