
Contents
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8 Cervical Cancer Screening and HPV Vaccination: Multilevel Challenges to Cervical Cancer Prevention
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16 Psychosocial Issues Related to Liquid Biopsy for ctDNA in Individuals at Normal and Elevated Risk
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Introduction: Definition and Purpose of Clinical Practice Guidelines Introduction: Definition and Purpose of Clinical Practice Guidelines
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Evolution of Clinical Practice Guidelines in Psycho-Oncology Evolution of Clinical Practice Guidelines in Psycho-Oncology
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Implementation of Psychosocial Clinical Practice Guidelines: Appraisal of Quality Implementation of Psychosocial Clinical Practice Guidelines: Appraisal of Quality
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Frameworks for Dissemination and Implementation Frameworks for Dissemination and Implementation
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Progress in Dissemination and Implementation of Psychosocial Clinical Practice Guidelines Progress in Dissemination and Implementation of Psychosocial Clinical Practice Guidelines
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Evaluation of Implementation in Clinical Practice Evaluation of Implementation in Clinical Practice
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Implementation Challenges Implementation Challenges
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Depth and Quality of the Evidence Underpinning Clinical Practice Guidelines Depth and Quality of the Evidence Underpinning Clinical Practice Guidelines
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Health Professional Barriers Health Professional Barriers
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Patient Barriers Patient Barriers
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Systems Barriers: Resources Systems Barriers: Resources
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Application in Low- and Middle-Income Countries Application in Low- and Middle-Income Countries
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Future Directions Future Directions
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Focus on Research Design and Rigor Focus on Research Design and Rigor
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National Priorities and Cancer Plans National Priorities and Cancer Plans
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Developing Research Evidence to Support Guidelines in LIMCs Developing Research Evidence to Support Guidelines in LIMCs
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Development of Guidelines Focused on End-Users in a Clinical Context Development of Guidelines Focused on End-Users in a Clinical Context
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Communication and Engagement with Clinicians Communication and Engagement with Clinicians
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Redesign of Service Delivery and Capacity Building Redesign of Service Delivery and Capacity Building
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Engagement of Consumers Engagement of Consumers
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Reporting of Activity Reporting of Activity
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References References
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100 Implementation of Clinical Practice Guidelines for Psychosocial Cancer Care
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Published:January 2021
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Abstract
Psychosocial clinical practice guidelines (CPGs) provide evidence-based recommendations regarding clinical care in oncology, ranging from screening for distress to identification and treatment of disorders such as depression and anxiety. This chapter describes the evolution of CPGs, frameworks for evaluation of quality, and strategies for dissemination and implementation. It also describes the challenges in implementation of CPGs including the quality of supporting psychosocial research, which is dominated by descriptive studies rather than interventions; insufficient cost-benefit research to leverage practice change; and lack of research to guide recommendations in low- and middle-income countries. Strategies to increase implementation include alignment of research with implementation science, embedding psychosocial care in national cancer plans, and focus on systems design and clinician engagement. The role of patients and caregivers as advocates for access to evidence-based psychosocial care is also discussed.
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