A pediatric cancer diagnosis and its treatment can have a detrimental effect on the mental health of children and their families. Screening to identify psychosocial risk in families has been recognized as a standard of care in pediatric oncology, but there has been limited clinical application of this standard thus far. A significant impediment to the implementation of psychosocial screening is the dearth of information on how to translate psychosocial screening to clinical practice, and specifically, how to follow-up from screening results. This manuscript aims to describe a protocol of a new intervention examining the feasibility and acceptability of mapping via a Psychosocial Navigator (PSN) psychosocial screening results to specific recommendations of resources for families based on measured risk for psychosocial distress and mental health symptoms. The pilot randomized control trial (RCT) consists of dyads of youth (10–17 years) newly diagnosed with cancer and their primary caregiver. This RCT includes two arms (intervention and control group), with each group completing measurements near diagnosis and 1 year later. After the initial assessment, dyads in the intervention group receive monthly screening results and recommendations from the study PSN that are tailored to these results. The patient’s primary healthcare team (nurse, social worker, oncologist) also receive the risk, distress, and mental health results as well as the recommendations from the PSN. This study addresses a significant barrier to the implementation of psychosocial screening in pediatric oncology: specifically, the limited knowledge of how to follow-up from screening results. Findings from this pilot will inform a future definitive RCT to test the effectiveness of the intervention on patient and family mental health outcomes. This project has implications for enhancing clinical care in pediatric oncology, as well as other pediatric populations. This is the first study of screening and follow-up using a psychosocial navigator. This study involves both patient and caregiver report. The small sample size necessitates a future larger study to investigate the effects of intervention. NCT04132856 , Registered 10 October 2019—retrospectively registered.

中文翻译：

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将心理社会筛查映射到儿科肿瘤学资源的协议：一项试点随机对照试验

儿科癌症诊断及其治疗可能对儿童及其家人的心理健康产生不利影响。筛查以识别家庭心理社会风险已被认为是儿科肿瘤学的护理标准，但迄今为止该标准的临床应用有限。社会心理筛查实施的一个重大障碍是缺乏关于如何将社会心理筛查转化为临床实践的信息，特别是如何从筛查结果中进行跟踪。本手稿旨在描述一项新干预方案，该方案通过心理社会导航器 (PSN) 心理社会筛查结果检查映射的可行性和可接受性，以根据测量的社会心理困扰和心理健康症状风险为家庭提供具体资源建议。试点随机对照试验 (RCT) 由新诊断为癌症的青年（10-17 岁）及其主要照顾者组成。该 RCT 包括两个组（干预组和对照组），每组在诊断附近和 1 年后完成测量。在初步评估之后，干预组中的二元组会收到来自研究 PSN 的针对这些结果量身定制的每月筛查结果和建议。患者的初级医疗团队（护士、社会工作者、肿瘤学家）也面临风险，痛苦和心理健康结果以及 PSN 的建议。这项研究解决了在儿科肿瘤学中实施心理社会筛查的一个重大障碍：具体来说，是对如何从筛查结果进行随访的知识有限。该试点的结果将为未来的最终 RCT 提供信息，以测试干预对患者和家庭心理健康结果的有效性。该项目对加强儿科肿瘤学以及其他儿科人群的临床护理具有重要意义。这是第一项使用社会心理导航器进行筛查和随访的研究。本研究涉及患者和护理人员报告。小样本量需要未来进行更大规模的研究来调查干预的效果。NCT04132856，2019 年 10 月 10 日注册——追溯注册。