A conceptual framework of the psychosocial elements that should be assessed in candidates for hematopoietic cell transplant: Social workers’ and psychologists’ perspectives

Jill Randall, J. Jay Miller

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: The aim of this work was to explicate a conceptual framework of psychosocial elements assessed in candidates for hematopoietic cell transplant (HCT) and to explore differences in the conceptualization based on the use of risk rating scales in clinical practice. Methods: Concept mapping is a mixed methods participatory approach to elicit and organize the ideas of a group of stakeholders and produce a composite conceptual framework. Participants were social workers and psychologists with experience assessing HCT candidates. Results: Participants brainstormed 114 psychosocial elements and conceptualized them into 12 distinct clusters: Transplant Mindset, Support System, Caregiver, Lodging and Transportation, Financial and Legal, Work, Demographic Characteristics, Mental Health, Communication, Educational and Resource Needs, Physical Functioning, and Cognition. Participants who used risk rating scales did not prioritize the importance of the clusters differently than those who did not. Conclusions: The conceptualization converges and diverges with the literature. Divergences are of particular interest since the perspectives of practicing psychosocial professionals have been largely absent from the literature. The conceptual framework can guide psychosocial providers in assessing patients. Assessing the caregiver is a high priority, as is evaluating the patient’s mental health and mindset about transplant.

Original languageEnglish
Pages (from-to)303-320
Number of pages18
JournalJournal of Psychosocial Oncology
Volume41
Issue number3
DOIs
StatePublished - 2023

Bibliographical note

Funding Information:
This study was conducted for a PhD dissertation. The first author would like to acknowledge her dissertation committee members who provided mentorship, support, and valuable feedback to enhance the study. Much gratitude to: Dr. Karen Kayser (Chair), Dr. J. Jay Miller, Dr. Tom R. Lawson, Dr. Lesley Harris, Dr. Emma Sterrett-Hong. The American Cancer Society’s doctoral training grant for oncology social workers generously supported this work.

Publisher Copyright:
© 2022 Taylor & Francis Group, LLC.

Keywords

  • Assessment
  • concept mapping
  • hematopoietic cell transplant
  • oncology
  • psychosocial

ASJC Scopus subject areas

  • Oncology
  • Applied Psychology
  • Psychiatry and Mental health

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