Barriers to the provision of evidence-based psychosocial care in oncology

Penelope Schofield, Mariko Carey, Billie Bonevski, Rob Sanson-Fisher

Research output: Contribution to journalArticlepeer-review

68 Citations (Scopus)

Abstract

Meeting the psychological, social and physical needs of people with cancer is a challenge for individual health practitioners, health administrators and health policy makers. However, there is a considerable gap between recommended best-evidence psychosocial and supportive care and actual practice. This paper provides a discussion of the reasons for this gap using the precede-proceed model as a theoretical framework. The model is a useful way of classifying potential barriers to the application of recommended best practice into three categories: predisposing factors which influence motivation to behave in a particular way, enabling factors which facilitate the enactment of the behaviour and reinforcing factors which increase the likelihood that the behaviour will be maintained over time. Ways of addressing these barriers are proposed and discussed.

Original languageEnglish
Pages (from-to)863-872
Number of pages10
JournalPsycho-Oncology
Volume15
Issue number10
DOIs
Publication statusPublished - Oct 2006
Externally publishedYes

Keywords

  • Barriers
  • Best-practice
  • Cancer
  • Evidence based
  • Oncology
  • Precede-proceed
  • Psychosocial
  • Supportive care

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